Han Hee Jeong, Mendu Sanjana, Jaworski Beth K, Owen Jason E, Abdullah Saeed
Pennsylvania State University, University Park, PA, USA.
National Institutes of Health, Sacramento, CA, USA.
Digit Health. 2024 Oct 7;10:20552076241286133. doi: 10.1177/20552076241286133. eCollection 2024 Jan-Dec.
Post-traumatic stress disorder (PTSD) is a pervasive health concern affecting millions of individuals. However, there remain significant barriers to providing resources and addressing the needs of individuals living with PTSD. To address this treatment gap, we have collaborated with clinical experts to develop PTSDialogue-a conversational agent (CA) that aims to support effective self-management of PTSD. In this work, we have focused on assessing the feasibility and acceptance of PTSDialogue for individuals living with PTSD.
We conducted semi-structured interviews with individuals living with PTSD ( ). Participants were asked about their experiences with the PTSDialogue and their perceptions of its usefulness in managing PTSD. We then used bottom-up thematic analysis with a qualitative interpretivist approach to analyze the interview data.
All participants expressed that PTSDialogue could be beneficial for supporting PTSD treatment. We also uncovered key opportunities and challenges in using CAs to complement existing clinical practices and support longitudinal self-management of PTSD. We highlight important design features of CAs to provide effective support for this population, including the need for personalization, education, and privacy-sensitive interactions.
We demonstrate the acceptability of CAs to support longitudinal self-management of PTSD. Based on these findings, we have outlined design recommendations for technologies aiming to reduce treatment and support gaps for individuals living with serious mental illnesses.
创伤后应激障碍(PTSD)是一个普遍存在的健康问题,影响着数百万人。然而,在提供资源和满足PTSD患者需求方面仍存在重大障碍。为了填补这一治疗空白,我们与临床专家合作开发了PTSDialogue——一种对话代理(CA),旨在支持PTSD的有效自我管理。在这项工作中,我们专注于评估PTSDialogue对PTSD患者的可行性和可接受性。
我们对PTSD患者进行了半结构化访谈( )。参与者被问及他们使用PTSDialogue的经历以及他们对其在管理PTSD方面有用性的看法。然后,我们采用自下而上的主题分析和定性解释主义方法来分析访谈数据。
所有参与者都表示PTSDialogue可能有助于支持PTSD治疗。我们还发现了使用对话代理来补充现有临床实践和支持PTSD纵向自我管理的关键机遇和挑战。我们强调了对话代理的重要设计特征,以便为这一人群提供有效支持,包括个性化、教育以及隐私敏感交互的需求。
我们证明了对话代理在支持PTSD纵向自我管理方面的可接受性。基于这些发现,我们为旨在减少严重精神疾病患者治疗和支持差距的技术概述了设计建议。