Jacobs Sara, Rotunda Wendi, Sarris Esquivel Nikie, Horvitz Casey, Ng Valerie, Vincent Adam, Arena Laura, Feher John, Hulbert LaShonda, Mensa-Wilmot Yvonne
RTI International, Research Triangle Park, NC, USA.
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Health Promot Pract. 2024 Dec 23:15248399241302051. doi: 10.1177/15248399241302051.
Diabetes affects millions of people in the United States and poses significant health and economic challenges, but it can be prevented or managed through health behavior changes. Such changes might be aided by voice-activated personal assistants (VAPAs), which offer interactive and real-time assistance through features such as reminders, or obtaining health information. However, there are little data on interest and acceptability of integrating VAPAs into programs such as the National Diabetes Prevention Program (National DPP) or diabetes, self-management, education, and support (DSMES) services.
We conducted individual and small-group semi-structured interviews of National DPP and DSMES staff and program participants. We used rapid-turnaround qualitative thematic analysis to identify emerging themes using an adapted version of the Consolidated Framework for Implementation Research (CFIR).
Nearly all program participants and staff had prior experience with VAPAs, but not in the context of these programs. Most program participants felt confident in their ability to use VAPAs but were concerned about their privacy and security. Program staff were optimistic about the feasibility of integrating VAPAs into existing programs given their ability to support healthy habit formation, but staff were less optimistic about using VAPAs to share health information. Program staff also felt that additional resources to support VAPA use would help ensure that VAPAs would not create an extra burden on staff and program participants.
Integrating VAPAs as a resource to enhance mobile applications already in use shows potential to support health behavior change. Future research should include how this technology could be further optimized to enhance utility.
糖尿病影响着美国数百万人，带来了重大的健康和经济挑战，但通过改变健康行为可以预防或控制糖尿病。语音激活个人助手（VAPA）可能有助于此类改变，它通过提醒或获取健康信息等功能提供交互式实时协助。然而，关于将VAPA整合到诸如国家糖尿病预防计划（National DPP）或糖尿病自我管理、教育与支持（DSMES）服务等项目中的兴趣和可接受性的数据很少。
我们对国家糖尿病预防计划和糖尿病自我管理、教育与支持服务的工作人员及项目参与者进行了个人和小组半结构化访谈。我们使用快速定性主题分析，通过对实施研究综合框架（CFIR）的改编版本来识别新出现的主题。
几乎所有项目参与者和工作人员都有使用VAPA的经验，但并非在这些项目的背景下。大多数项目参与者对自己使用VAPA的能力有信心，但担心其隐私和安全。鉴于VAPA有支持健康习惯养成的能力，项目工作人员对将其整合到现有项目的可行性持乐观态度，但对使用VAPA共享健康信息则不太乐观。项目工作人员还认为，支持使用VAPA的额外资源将有助于确保VAPA不会给工作人员和项目参与者带来额外负担。
将VAPA作为一种资源来增强已在使用的移动应用程序，显示出支持健康行为改变的潜力。未来的研究应包括如何进一步优化这项技术以提高其效用。
