Burtscher, Michael Josef

Gantenbein, Andreas

Hauser-Ulrich, Sandra

Kowatsch, Tobias

Künzli, Hansjörg

Lienhard, Natascha

ZHAW digitalcollection

Working alliance  was comparable to guided internet therapies withhuman coaches Participants enjoyed using the app:Useful and easy to use Replies with an average answerratio of 0.71 (SD 0.20) to 200 (SD58.45) conversations initiated bySELMA  Appreciation of the empathicand responsible interaction Main criticism from participants: No option to enter free textLimited persoanlizationCan a chatbot be applied as aneffective therapy tool to supportstress managment?Does empathic communication stylehelp to increase effectiveness,working alliance, and adherence?Insights into process related aspectssuch as barriers and facilitators toadherence, feasiblity and self-efficacyPreliminary (2)Expected ResultsTools: Pics, videos, audios,etc-Develop a rule-based & decision-tree chatbot (conversational agent)to deliver just-in-time adaptiveinterventionsUse of cognitive behavioral therapyand mindfulness-based elementsto  support stress management Conduct randomized controlledtrials RCT for evaluation:Pilot RCT to test feasiblity andpreliminary effectiveness Micro RCT to test interventioncomponentsRCT to test effectivenessOutcomes: Burden, stress, well-being,pain, anxiety, depression, workingalliance and adheranceMethodsHigh prevalence of chronic conditions such as pain and migraine (8) (9)Chronic conditions are related to stress and decreased quality of life (1) (6)Chronic conditions have negative impact on productivity (7)Intervention paradigm of chronic conditions is to focus on prevention as well aschange in healh behavior and lifestyle (3) (4)Chatbots have been increasinlgy used in healthcare, but with limited proof ofeffectiveness (5)BackgroundSELMA – Text-based Healthcare ChatbotCoaching to Reduce Stress of PeopleSuffering from Chronic Pain and Migraine Sandra Hauser-Ulrich*, Natascha Lienhard, Michael Burtscher,  Andreas Gantenbein, TobiasKowatsch, Hansjörg Künzli. *Corresponding author: sandra.hauser-ulrich@zhaw.ch To design, develop andimplement a textbasedhealthcare chatbot to helpindividuals with chronic pain/migraine for stress-management To evaluate effectiveness,working alliance, andfeasibility of the text-basedhealthcare chatbot incomparison to usual care.Purpose of thisresearch1 Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M. et al. (2015). The prevalence and correlates of depression, anxiety, and        stress in a sample ofcollege students. Journal of Affective Disorders,173, 90–96. https://doi.org/10.1016/j.jad.2014.10.0542 Hauser-Ulrich, Sandra; Künzli, Hansjörg; Meier-Peterhans, Danielle; Kowatsch, Tobias, 2020. A smartphone-based health care chatbot to promote self-management of chronicpain (SELMA) : pilot randomized controlled trial. JMIR mHealth and uHealth. 8(4), S. e15806. Verfügbar unter: https://doi.org/10.21256/zhaw-198933 Katz, D.L., Frates, E.P., Bonnet, J.P., et al. (2018). Lifestyle as Medicine: The Case for a True Health Initiative. American Journal of Health Promotion : AJHP, 32(6):1452-1458.https://doi.org/10.1177/0890117117705949.4 Kvedar, J., Fogel, A., Elenko, E., Zohar, D. (2016). Digital medicine's march on chronic disease. Nat Biotechnol 34, 239–246 (2016). https://doi.org/10.1038/nbt.34955 Laranjo, L.et al. (2018). Conversational agents in healthcare: a systematic review, Journal of the American Medical Informatics Association, 25, 1248–1258.https://doi.org/10.1093/jamia/ocy0726 Linton, S. (2005). Do psychological factors increase the risk for back pain in the general population in both a cross-sectional and prospective analysis? European Journal ofPain (London, England), 9(4), 355-361. https://doi.org/7 OECD/European Union (2016), Health at a Glance: Europe 2016: State of Health in the EU Cycle. OECD Publishing, Paris. https://doi.org/10.1787/9789264265592-en.6 Reid, K.J., Harker J, Bala, M.M., Truyers, C., Kellen, E., Bekkering, G.E., & Kleijnen, J. (2011). Epidemiology of chronic non-cancer pain in Europe: narrative review of  revalence,pain treatments and pain impact. Curr Med Res Opin. 27(2):449-62. https://doi.org/10.1185/03007995.2010.545813.7 Steiner, T.J., Stovner, L.J., & Vos, T. (2014). GBD 2015: migraine is the third cause of disability in under 50s. J Headache Pain 17, 104 (2016). https://doi.org/10.1186/s10194-016-0699-5References and partnersModule selection - tailoring Data collectionAdherence ratio: 71%

Text-based healthcare chatbot coaching to reduce stress of people suffering from chronic pain and migraine

https://digitalcollection.zhaw.ch/bitstream/11475/22237/3/2020_Hauser-Ulrich_Text-based_healthcare_chatbot_coaching.pdf

Text-based healthcare chatbot coaching to reduce stress of people suffering from chronic pain and migraine

Abstract

Similar works

Full text

Available Versions

ZHAW digitalcollection