Kyyhkynen Rasmus, Peltonen Laura-Maria, Smed Jouni
Department of Computing, Faculty of Technology, University of Turku, Turku, Finland.
Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
Healthc Inform Res. 2023 Oct;29(4):394-399. doi: 10.4258/hir.2023.29.4.394. Epub 2023 Oct 31.
The use of videoconferencing technologies for clinician-patient online consultations has become increasingly popular. Training on online communication competence through a videoconferencing application that integrates nonverbal communication detection with feedback is one way to prepare future clinicians to conduct effective online consultations. This case report describes and evaluates two such applications designed for healthcare professionals and students in healthcare-related fields.
We conducted a literature review using five databases, including the Web of Science, Scopus, PubMed, ACM, IEEE, and CINAHL in the spring of 2022.
We identified seven studies on two applications, ReflectLive and EQClinic. These studies were conducted by two research groups from the USA and Australia and were published between 2016 and 2020. Both detected nonverbal communication from video and audio and provided computer-generated feedback on users' nonverbal communication. The studies evaluated usability, effectiveness in learning communication skills, and changes in the users' awareness of their nonverbal communication. The developed applications were deemed feasible. However, the feedback given by the applications needs improvement to be more beneficial to the user. The applications were primarily evaluated with medical students, with limited or no attention given to questions regarding ethics, information security, privacy, sustainability, and costs.
Current research on videoconferencing systems for training online consultation skills is very limited. Future research is needed to develop more user-centered solutions, focusing on a multidisciplinary group of students and professionals, and to explore the implications of these technologies from a broader perspective, including ethics, information security, privacy, sustainability, and costs.
使用视频会议技术进行临床医生与患者的在线咨询越来越普遍。通过将非语言沟通检测与反馈相结合的视频会议应用程序来培训在线沟通能力,是让未来临床医生做好有效开展在线咨询准备的一种方式。本病例报告描述并评估了两款为医疗保健专业人员及医疗相关领域学生设计的此类应用程序。
2022年春季,我们使用包括科学引文索引、Scopus、医学期刊数据库、美国计算机协会数据库、电气和电子工程师协会数据库以及护理学与健康领域数据库在内的五个数据库进行了文献综述。
我们确定了关于两款应用程序ReflectLive和EQClinic的七项研究。这些研究由来自美国和澳大利亚的两个研究小组进行,发表于2016年至2020年之间。两款应用程序均能从视频和音频中检测非语言沟通,并针对用户的非语言沟通提供计算机生成的反馈。这些研究评估了可用性、学习沟通技巧的有效性以及用户对自身非语言沟通意识的变化。所开发的应用程序被认为是可行的。然而,应用程序给出的反馈需要改进,以便对用户更有益。这些应用程序主要是针对医学生进行评估的,对于伦理、信息安全、隐私、可持续性和成本等问题关注有限或未予关注。
目前关于用于培训在线咨询技能的视频会议系统的研究非常有限。未来需要开展更多以用户为中心的研究,关注多学科的学生和专业人员群体,并从更广泛的角度探讨这些技术的影响,包括伦理、信息安全、隐私、可持续性和成本。