Jiang Hongzhan, Li Xuejing, Meng Meiqi, Yang Dan, Wang Ziyan, Hao Yufang
School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
School of Nursing, Beijing University of Chinese Medicine, Beijing, China
BMJ Open. 2025 Mar 18;15(3):e095360. doi: 10.1136/bmjopen-2024-095360.
Embodied conversational agents (ECAs) are computer-based dialogue systems designed to simulate face-to-face interactions by incorporating human-like physical attributes. Their capacity to establish and maintain an empathic relationship in patient interactions positions them as innovative tools that facilitate shared decision-making (SDM). To systematically synthesise the existing evidence concerning the development and application of ECAs in promoting SDM, this protocol delineates a scoping review designed to identify and present the available evidence within this domain. Specifically, the protocol outlines a review that will concentrate on the key features of ECAs in the context of SDM, including their appearance, dialogue mechanisms and emotional models, within the framework, as well as their implementation and evaluation in clinical settings.
The framework established by Arksey and O'Malley will be employed to guide the scoping review process. This protocol outlines the systematic retrieval of seven databases, including PubMed, EMBASE, PsycINFO, Web of Science, the Cumulative Index to Nursing and Allied Health Literature, Institute of Electrical and Electronics Engineers (IEEE) Xplore Digital Library and Association for Computing Machinery (ACM) Digital Library. The search strategy has been developed and will be conducted across each database, from its inception to September 2024. Two researchers will conduct literature screening and data extraction independently. The results will be systematically organised and presented through narrative abstracts, tables and/or figures.
Ethical approval is not necessary for this review, as it uses data that have been previously collected. Furthermore, the obtained results will be reported in a peer-reviewed journal.
Open Science Framework Registries (https://doi.org/10.17605/OSF.IO/BN3CM).
具身对话代理（ECA）是基于计算机的对话系统，旨在通过融入类人身体属性来模拟面对面互动。它们在患者互动中建立和维持共情关系的能力使其成为促进共同决策（SDM）的创新工具。为了系统地综合有关ECA在促进SDM方面的开发和应用的现有证据，本方案描述了一项范围综述，旨在识别和呈现该领域内的现有证据。具体而言，该方案概述了一项综述，该综述将聚焦于SDM背景下ECA的关键特征，包括其在该框架内的外观、对话机制和情感模型，以及它们在临床环境中的实施和评估。
将采用由阿克西和奥马利建立的框架来指导范围综述过程。本方案概述了对七个数据库的系统检索，包括PubMed、EMBASE、PsycINFO、科学引文索引、护理及相关健康文献累积索引、电气和电子工程师协会（IEEE）Xplore数字图书馆以及美国计算机协会（ACM）数字图书馆。搜索策略已经制定，并将在每个数据库中从其创建到2024年9月进行。两名研究人员将独立进行文献筛选和数据提取。结果将通过叙述性摘要、表格和/或图表进行系统整理和呈现。
由于本综述使用的是先前收集的数据，因此无需伦理批准。此外，所获得的结果将在同行评审期刊上报告。
开放科学框架注册库（https://doi.org/10.17605/OSF.IO/BN3CM）。
