Albright Glenn, Adam Cyrille, Serri Deborah, Bleeker Seth, Goldman Ron
Department of Psychology, Baruch College, City University of New York, New York, NY, USA;; Kognito, New York, NY, USA.
Kognito, New York, NY, USA;; Department of Communication, Media, and Learning Technologies Design, Teachers College, Columbia University, New York, NY, USA.
Mhealth. 2016 Nov 28;2:44. doi: 10.21037/mhealth.2016.11.02. eCollection 2016.
Skillful, collaborative conversations are powerful tools to improve physical and mental health. Whether you are a parent talking with your child about the dangers of substance abuse, an educator concerned about a student's signs of psychological distress, a veteran worried about a buddy who is contemplating suicide, or a healthcare professional wanting to better engage patients to increase treatment compliance, having the skill, confidence and motivation to engage in conversations can truly transform the health and well-being of those you interact with. Kognito develops role-play simulations that prepare individuals to effectively lead real-life conversations that measurably improve social, emotional, and physical health. The behavior change model that drives the simulations draws upon components of game mechanics, virtual human simulation technology and integrates evidence-based instructional design components as well as principles of social-cognitive theory and neuroscience such as motivational interviewing, emotional regulation, empathy and mindfulness. In the simulations, users or enter a risk-free practice environment and engage in a conversation with intelligent, fully animated, and emotionally responsive virtual characters that model human behavior. It is in practicing these conversations, and receiving feedback from a virtual coach, that users learn to better lead conversations in real life. Numerous longitudinal studies have shown that users who complete Kognito simulations demonstrate statistically significant and sustained increases in attitudinal variables that predict behavior change including preparedness, likelihood, and self-efficacy to better manage conversations. Pending the target population, each online or mobile simulation resulted in desired behavior changes ranging from increased referrals of students, patients or veterans in psychological distress to mental health support services, or increasing physician patient-centered communication or patient self-confidence and active involved in the decision-making processes. These simulations have demonstrated a capability to address major health and public health concerns where effective conversations are necessary to bring about changes in attitudes and behaviors.
巧妙的协作性对话是改善身心健康的有力工具。无论你是一位与孩子谈论药物滥用危害的家长、一位关注学生心理困扰迹象的教育工作者、一位担心同伴有自杀念头的退伍军人，还是一位希望更好地与患者互动以提高治疗依从性的医疗保健专业人员，具备进行对话的技巧、信心和动力，都能真正改变你与之互动的人的健康和幸福状况。Kognito开发角色扮演模拟，帮助人们做好准备，有效地引领现实生活中的对话，从而显著改善社会、情感和身体健康。驱动这些模拟的行为改变模型借鉴了游戏机制、虚拟人类模拟技术的元素，并整合了基于证据的教学设计元素以及社会认知理论和神经科学的原理，如动机性访谈、情绪调节、同理心和正念。在模拟中，用户进入一个无风险的练习环境，与智能、完全动画化且情感反应灵敏的虚拟角色进行对话，这些角色模拟人类行为。正是在练习这些对话并从虚拟教练那里获得反馈的过程中，用户学会在现实生活中更好地引领对话。大量纵向研究表明，完成Kognito模拟的用户在预测行为改变的态度变量方面有统计学上显著且持续的提升，包括做好准备、可能性以及更好地管理对话的自我效能感。根据目标人群的不同，每个在线或移动模拟都带来了期望的行为改变，从将心理困扰的学生、患者或退伍军人更多地转介到心理健康支持服务，到增加医生以患者为中心的沟通，或增强患者的自信心并使其积极参与决策过程。这些模拟已证明有能力解决重大的健康和公共卫生问题，而在这些问题上，有效的对话对于改变态度和行为是必要的。
