Walters Nicole L, Lindsey-Mills Zoe T, Brangan Andrew, Savage Sarah K, Schmidlen Tara J, Morgan Kelly M, Tricou Eric P, Betts Megan M, Jones Laney K, Sturm Amy C, Campbell-Salome Gemme
Geisinger, 100 N. Academy Avenue, Danville, PA 17822, USA.
Invitae, 1400 16 Street, San Francisco, CA 94103, USA.
PEC Innov. 2023 Feb 4;2:100134. doi: 10.1016/j.pecinn.2023.100134. eCollection 2023 Dec.
To assess use of two web-based conversational agents, the Family Sharing Chatbot (FSC) and One Month Chatbot (OMC), by individuals with familial hypercholesterolemia (FH).
FSC and OMC were sent using an opt-out methodology to a cohort of individuals receiving a FH genetic result. Data from 7/1/2021 through 5/12/2022 was obtained from the electronic health record and the chatbots' HIPAA-secure web portal.
Of 175 subjects, 21 (12%) opted out of the chatbots. Older individuals were more likely to opt out. Most (91/154, 59%) preferred receiving chatbots via the patient EHR portal. Seventy-five individuals (49%) clicked the FSC link, 62 (40%) interacted, and 36 (23%) shared a chatbot about their FH result with at least one relative. Ninety-two of the subjects received OMC, 22 (23%) clicked the link and 20 (21%) interacted. Individuals who shared were majority female and younger on average than the overall cohort. Reminders tended to increase engagement.
Results demonstrate characteristics relevant to chatbot engagement. Individuals may be more inclined to receive chatbots if integrated within the patient EHR portal. Frequent reminders can potentially improve chatbot utilization.
FSC and OMC employ innovative digital health technology that can facilitate family communication about hereditary conditions.
评估家族性高胆固醇血症（FH）患者对两款基于网络的对话代理工具——家庭共享聊天机器人（FSC）和一月聊天机器人（OMC）的使用情况。
采用退出式方法将FSC和OMC发送给一组收到FH基因检测结果的个体。从电子健康记录和聊天机器人符合健康保险流通与责任法案（HIPAA）安全标准的网络门户获取2021年7月1日至2022年5月12日的数据。
在175名受试者中，21名（12%）选择不使用聊天机器人。年龄较大的个体更有可能选择退出。大多数（91/154，59%）更喜欢通过患者电子健康记录门户接收聊天机器人。75名个体（49%）点击了FSC链接，62名（40%）进行了互动，36名（23%）与至少一名亲属分享了关于其FH检测结果的聊天机器人。92名受试者收到了OMC，22名（23%）点击了链接，20名（21%）进行了互动。分享信息的个体大多数为女性，平均年龄比整个队列的年龄小。提醒往往会增加参与度。
结果显示了与聊天机器人参与度相关的特征。如果聊天机器人集成在患者电子健康记录门户中，个体可能更倾向于接收。频繁提醒可能会提高聊天机器人的利用率。
FSC和OMC采用了创新的数字健康技术，可促进家庭关于遗传性疾病的沟通。
