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Engaging women with an embodied conversational agent to deliver mindfulness and lifestyle recommendations: A feasibility randomized control trial
Affiliation:1. Department of Medicine, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213, United States;2. Division of Cardiology, Department of Medicine, UPMC Heart and Vascular Institute, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA 15213, United States;3. Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Avenue, Boston, MA 02118, United States;4. College of Computer and Information Science, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, United States;1. Division of Information and Computing Technology, College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar;2. Centre for Health Informatics, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia;3. Mental Health Services, Hamad Medical Corporation, Qatar;1. Institut Mines-Télécom, Télécom ParisTech, CNRS, LTCI, 46 rue Barrault, Paris, 75013, France;2. CNRS, LTCI, Télécom ParisTech, 46 rue Barrault, Paris, 75013, France
Abstract:ObjectiveThis randomized controlled trial evaluates the feasibility of using an Embodied Conversational Agent (ECA) to teach lifestyle modifications to urban women.MethodsWomen were randomized to either 1) an ECA (content included: mindfulness, stress management, physical activity, and healthy eating) or 2) patient education sheets mirroring same content plus a meditation CD/MP3 once a day for one month. General outcome measures included: number of stress management techniques used, physical activity levels, and eating patterns.ResultsSixty-one women ages 18 to 50 were enrolled. On average, 51% identified as white, 26% as black, 23% as other races; and 20% as Hispanic. The major stress management techniques reported at baseline were: exercise (69%), listening to music (70%), and social support (66%). After one month, women randomized to the ECA significantly decreased alcohol consumption to reduce stress (p = 0.03) and increased daily fruit consumption by an average of 2 servings compared to the control (p = 0.04).ConclusionIt is feasible to use an ECA to promote health behaviors on stress management and healthy eating among diverse urban women.Practice implicationsCompared to patient information sheets, ECAs provide promise as a way to teach healthy lifestyle behaviors to diverse urban women.
Keywords:Embodied conversational agent  Mindfulness  Mindfulness based stress reduction  Stress management  Healthy eating  Nutrition  Physical activity
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