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“她已成为我最好的朋友”:一项关于2型糖尿病老年人对使用交互式虚拟助手设备进行糖尿病护理和促进心理健康看法的定性研究

"She has become my best friend": a qualitative study on the perspective of elderly with type 2 diabetes regarding the use of an interactive virtual assistant device for diabetes care and mental health promotion.

作者信息

da Costa Frederico Ludwig, Matzenbacher Lucas Strassburger, Maia Isabela Semmelmann, Gheno Vicenzo, Brum Maria Antônia Bertuzzo, de Barros Laura Gomes Boabaid, Blank Luiza Machado, Telo Gabriela Heiden

机构信息

Post-graduate program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

Internal Medicine Division, Hospital São Lucas - Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Acta Diabetol. 2025 Apr;62(4):523-529. doi: 10.1007/s00592-024-02377-z. Epub 2024 Sep 21.

DOI:10.1007/s00592-024-02377-z
PMID:39305334
Abstract

AIMS

To qualitatively evaluate the experiences and emotional responses of elderly individuals with type 2 diabetes regarding the use of an interactive virtual assistant device.

METHODS AND RESULTS

This qualitative study included elderly individuals who were diagnosed with type 2 diabetes and who had been using the Smart Speaker EchoDot 3rd Gen (Amazon Echo) device for three months. A structured face-to-face interview with open-ended questions was conducted to evaluate their experiences and emotional responses associated with the device. Data analysis was performed using inductive thematic content analysis with deductive coding followed by narrative synthesis to present the overall perceptions of the participants. Thirty individuals with a mean diabetes duration of 17.1 ± 9.45 years and a mean age of 71.9 ± 5.1 years were interviewed to ensure saturation of responses. Three major themes were identified through response analysis: (1) Emotional response to user experience; (2) Humanization feelings in human-device interactions; (3) Diabetes-related self-care. Overall, participants experienced a wide range of feelings regarding the use of the interactive virtual assistant device, predominantly with positive connotations, highlighting aspects of humanization of technology and its use, and experiencing assistance in self-care related to diabetes.

CONCLUSION

Our results highlight the overwhelmingly positive emotional responses and strong sense of humanization expressed by elderly individuals with diabetes toward an interactive virtual assistant device. This underscores its potential to improve mental health and diabetes care, although further studies are warranted to fully explore its impact.

摘要

目的

定性评估2型糖尿病老年患者使用交互式虚拟助手设备的体验和情绪反应。

方法与结果

这项定性研究纳入了被诊断为2型糖尿病且已使用智能音箱EchoDot第三代(亚马逊Echo)设备三个月的老年患者。通过结构化面对面访谈并提出开放式问题,以评估他们与该设备相关的体验和情绪反应。数据分析采用归纳主题内容分析,并辅以演绎编码,随后进行叙事综合,以呈现参与者的总体看法。对30名糖尿病平均病程为17.1±9.45年、平均年龄为71.9±5.1岁的患者进行了访谈,以确保回答的饱和度。通过反应分析确定了三个主要主题:(1)对用户体验的情绪反应;(2)人机交互中的人性化感受;(3)糖尿病相关的自我护理。总体而言,参与者在使用交互式虚拟助手设备时体验到了广泛的感受,主要是积极的,突出了技术及其使用的人性化方面,并在与糖尿病相关的自我护理中得到了帮助。

结论

我们的结果突出了糖尿病老年患者对交互式虚拟助手设备表现出的压倒性积极情绪反应和强烈的人性化感受。这强调了其改善心理健康和糖尿病护理的潜力,尽管需要进一步研究以充分探索其影响。

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Trials. 2024 Mar 21;25(1):205. doi: 10.1186/s13063-024-08055-3.
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What are the determinants of older people adopting communicative e-health services: a meta-ethnography.老年人采用交际电子健康服务的决定因素:荟萃元分析。
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A systematic review and meta-analysis to compare the prevalence of depression between people with and without Type 1 and Type 2 diabetes.一项比较1型和2型糖尿病患者与非糖尿病患者抑郁症患病率的系统评价和荟萃分析。
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Sample sizes for saturation in qualitative research: A systematic review of empirical tests.定性研究中饱和度的样本量:实证检验的系统综述。
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