Long-term effects of e-Health secondary prevention on cardiovascular health: a systematic review and meta-analysis DOI
Jing Jing Su, Justina Yat Wa Liu, Daphne Sze Ki Cheung

и другие.

European Journal of Cardiovascular Nursing, Год журнала: 2023, Номер 22(6), С. 562 - 574

Опубликована: Янв. 25, 2023

Abstract Aims Despite the well-documented short-to-medium-term effectiveness of e-Health (electronic health) secondary prevention interventions on patients with cardiovascular disease (CVD), there is limited empirical evidence regarding long-term effectiveness. This review aims to evaluate effects health outcomes CVD. Methods and results systematic meta-analysis followed Cochrane Handbook for Systematic Reviews Interventions. EMBASE, Medline, Web Science, Scopus were searched from 1990 May 2022. Randomized controlled trials investigating CVD that collected endpoint data at ≥ 12 months included. RevMan 5.3 was used risk bias assessment meta-analysis. Ten 1559 participants Data pooling suggested programmes have significantly reduced LDL cholesterol [n = 6; SMD −0.26, 95% confidence interval (CI): (−0.38, −0.14), I2 17%, P < 0.001]; systolic blood pressure 5; −0.46, CI: (−0.84, −0.08), 90%, 0.02]; re-hospitalization, reoccurrence, mortality [risk ratio 0.36, (0.17, 0.77), 0%, 0.009]. Effects behavioural modification, physiological body weight glucose, quality life inconclusive. Conclusion effective in improving management factors reducing reoccurrence cardiac events Results are inconclusive behaviour modification life. Exploring, implementing, strengthening strategies focus maintaining changes enhancing psychosocial elements should be undertaken. Registration PROSPERO CRD42022300551.

Язык: Английский

Revolutionizing healthcare: the role of artificial intelligence in clinical practice DOI Creative Commons
Shuroug A. Alowais, Sahar S. Alghamdi, Nada Alsuhebany

и другие.

BMC Medical Education, Год журнала: 2023, Номер 23(1)

Опубликована: Сен. 22, 2023

Abstract Introduction Healthcare systems are complex and challenging for all stakeholders, but artificial intelligence (AI) has transformed various fields, including healthcare, with the potential to improve patient care quality of life. Rapid AI advancements can revolutionize healthcare by integrating it into clinical practice. Reporting AI’s role in practice is crucial successful implementation equipping providers essential knowledge tools. Research Significance This review article provides a comprehensive up-to-date overview current state practice, its applications disease diagnosis, treatment recommendations, engagement. It also discusses associated challenges, covering ethical legal considerations need human expertise. By doing so, enhances understanding significance supports organizations effectively adopting technologies. Materials Methods The investigation analyzed use system relevant indexed literature, such as PubMed/Medline, Scopus, EMBASE, no time constraints limited articles published English. focused question explores impact applying settings outcomes this application. Results Integrating holds excellent improving selection, laboratory testing. tools leverage large datasets identify patterns surpass performance several aspects. offers increased accuracy, reduced costs, savings while minimizing errors. personalized medicine, optimize medication dosages, enhance population health management, establish guidelines, provide virtual assistants, support mental care, education, influence patient-physician trust. Conclusion be used diagnose diseases, develop plans, assist clinicians decision-making. Rather than simply automating tasks, about developing technologies that across settings. However, challenges related data privacy, bias, expertise must addressed responsible effective healthcare.

Язык: Английский

Процитировано

1226

Systematic review and meta-analysis of the effectiveness of chatbots on lifestyle behaviours DOI Creative Commons
Ben Singh, Tim Olds, Jacinta Brinsley

и другие.

npj Digital Medicine, Год журнала: 2023, Номер 6(1)

Опубликована: Июнь 23, 2023

Chatbots (also known as conversational agents and virtual assistants) offer the potential to deliver healthcare in an efficient, appealing personalised manner. The purpose of this systematic review meta-analysis was evaluate efficacy chatbot interventions designed improve physical activity, diet sleep. Electronic databases were searched for randomised non-randomised controlled trials, pre-post trials that evaluated targeting and/or sleep, published before 1 September 2022. Outcomes total steps, moderate-to-vigorous activity (MVPA), fruit vegetable consumption, sleep quality duration. Standardised mean differences (SMD) calculated compare intervention effects. Subgroup analyses conducted assess type, duration, output use artificial intelligence. Risk bias assessed using Effective Public Health Practice Project Quality Assessment tool. Nineteen included. Sample sizes ranged between 25-958, participant age 9-71 years. Most (n = 15, 79%) targeted most had a low-quality rating 14, 74%). Meta-analysis results showed significant effects (all p < 0.05) chatbots increasing (SMD 0.28 [95% CI 0.16, 0.40]), daily steps 0.17, 0.39]), MVPA 0.53 0.24, 0.83]), consumption 0.59 0.25, 0.93]), duration 0.44 0.32, 0.55]) 0.50 0.09, 0.90]). text-based, intelligence more efficacious than speech/voice multicomponent chatbot-only 0.05). Findings from indicate are quality. Chatbot across range populations groups, with both short- longer-term interventions, only being efficacious.

Язык: Английский

Процитировано

85

Artificial intelligence and obesity management: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2023 DOI Creative Commons
Harold Bays, Angela Fitch, Suzanne Cuda

и другие.

Obesity Pillars, Год журнала: 2023, Номер 6, С. 100065 - 100065

Опубликована: Апрель 20, 2023

This Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) provides clinicians an overview of Artificial Intelligence, focused on the management patients with obesity.

Язык: Английский

Процитировано

71

Roles, Users, Benefits, and Limitations of Chatbots in Health Care: Rapid Review DOI Creative Commons
Moustafa Laymouna, Yuanchao Ma, David Lessard

и другие.

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e56930 - e56930

Опубликована: Апрель 12, 2024

Background Chatbots, or conversational agents, have emerged as significant tools in health care, driven by advancements artificial intelligence and digital technology. These programs are designed to simulate human conversations, addressing various care needs. However, no comprehensive synthesis of chatbots’ roles, users, benefits, limitations is available inform future research application the field. Objective This review aims describe characteristics, focusing on their diverse roles pathway, user groups, limitations. Methods A rapid published literature from 2017 2023 was performed with a search strategy developed collaboration sciences librarian implemented MEDLINE Embase databases. Primary studies reporting chatbot benefits were included. Two reviewers dual-screened results. Extracted data subjected content analysis. Results The categorized into 2 themes: delivery remote services, including patient support, management, education, skills building, behavior promotion, provision administrative assistance providers. User groups spanned across patients chronic conditions well cancer; individuals focused lifestyle improvements; demographic such women, families, older adults. Professionals students also alongside seeking mental behavioral change, educational enhancement. chatbots classified improvement quality efficiency cost-effectiveness delivery. identified encompassed ethical challenges, medicolegal safety concerns, technical difficulties, experience issues, societal economic impacts. Conclusions Health offer wide spectrum applications, potentially impacting aspects care. While they promising for improving quality, integration system must be approached consideration ensure optimal, safe, equitable use.

Язык: Английский

Процитировано

44

AI Chatbots and Cognitive Control: Enhancing Executive Functions Through Chatbot Interactions: A Systematic Review DOI Creative Commons
Pantelis Pergantis, Victoria Bamicha,

Charalampos Skianis

и другие.

Brain Sciences, Год журнала: 2025, Номер 15(1), С. 47 - 47

Опубликована: Янв. 6, 2025

Background/Objectives: The evolution of digital technology enhances the broadening a person's intellectual growth. Research points out that implementing innovative applications world improves human social, cognitive, and metacognitive behavior. Artificial intelligence chatbots are yet another human-made construct. These forms software simulate conversation, understand process user input, provide personalized responses. Executive function includes set higher mental processes necessary for formulating, planning, achieving goal. present study aims to investigate executive reinforcement through artificial chatbots, outlining potentials, limitations, future research suggestions. Specifically, examined three questions: use conversational in functioning training, their impact on executive-cognitive skills, duration any improvements. Methods: assessment existing literature was implemented using systematic review method, according PRISMA 2020 Principles. avalanche search method employed conduct source following databases: Scopus, Web Science, PubMed, complementary Google Scholar. This included studies from 2021 experimental, observational, or mixed methods. It AI-based conversationalists support functions, such as anxiety, stress, depression, memory, attention, cognitive load, behavioral changes. In addition, this general populations with specific neurological conditions, all peer-reviewed, written English, full-text access. However, excluded before 2021, reviews, non-AI-based conversationalists, not targeting range skills abilities, without open criteria aligned objectives, ensuring focus AI agents function. initial collection totaled n = 115 articles; however, eligibility requirements led final selection 10 studies. Results: findings suggested positive effects enhance improve skills. Although, several limitations were identified, making it still difficult generalize reproduce effects. Conclusions: an tool can assistant learning expanding contributing metacognitive, social development individual. its training is at primary stage. highlighted need unified framework reference studies, better designs, diverse populations, larger sample sizes participants, longitudinal observe long-term use.

Язык: Английский

Процитировано

5

Sustainability of Weight Loss Through Smartphone Apps: Systematic Review and Meta-analysis on Anthropometric, Metabolic, and Dietary Outcomes DOI Creative Commons
Han Shi Jocelyn Chew, Wee Ling Koh, Janelle Shaina Ng

и другие.

Journal of Medical Internet Research, Год журнала: 2022, Номер 24(9), С. e40141 - e40141

Опубликована: Сен. 21, 2022

Background: Evidence on the long-term effects of weight management smartphone apps various weight-related outcomes remains scarce. Objective: In this review, we aimed to examine anthropometric, metabolic, and dietary at time points. Methods: Articles published from database inception March 10, 2022 were searched, 7 databases (Embase, CINAHL, PubMed, PsycINFO, Cochrane Library, Scopus, Web Science) using forward backward citation tracking. All randomized controlled trials that reported change as an outcome in adults with overweight obesity included. We performed separate meta-analyses random models for weight, waist circumference, high-density lipoprotein cholesterol, low-density blood glucose level, pressure, total energy intake per day. Methodological quality was assessed Risk Bias tool. Results: Based our meta-analyses, loss sustained between 3 12 months, a peak 2.18 kg months tapered down 1.63 months. did not find significant benefits secondary examined, except slight improvement systolic pressure Most included studies covered app-based interventions comprised components beyond food logging, such real-time diet exercise self-monitoring, personalized remote progress tracking, timely feedback provision, smart devices synchronized activity data smartphones, libraries physical ideas. Conclusions: Smartphone are effective initiating sustaining but their minimal current states. Future could consider aspects socioecological model. Conversational dialectic simulate health coaches be useful enhance user engagement effectiveness. Trial Registration: International Prospective Register Systematic Reviews (PROSPERO) CRD42022329197; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=329197

Язык: Английский

Процитировано

44

Review of artificial intelligence‐based question‐answering systems in healthcare DOI Creative Commons
Leona Cilar, Lucija Gosak, Gregor Štiglic

и другие.

Wiley Interdisciplinary Reviews Data Mining and Knowledge Discovery, Год журнала: 2023, Номер 13(2)

Опубликована: Янв. 10, 2023

Abstract Use of conversational agents, like chatbots, avatars, and robots is increasing worldwide. Yet, their effectiveness in health care largely unknown. The aim this advanced review was to assess the use agents various fields care. A literature search, analysis, synthesis were conducted February 2022 PubMed CINAHL. included evidence analyzed narratively by employing principles thematic analysis. We reviewed articles on artificial intelligence‐based question‐answering systems Most identified report its effectiveness; less known about use. outlined study findings explored directions future research, provide evidence‐based knowledge systems. This article categorized under: Fundamental Concepts Data Knowledge > Human Centricity User Interaction Application Areas Health Care Technologies Artificial Intelligence

Язык: Английский

Процитировано

37

Chatbot Adoption: A Multiperspective Systematic Review and Future Research Agenda DOI
Abdulla M. Alsharhan, Mostafa Al‐Emran, Khaled Shaalan

и другие.

IEEE Transactions on Engineering Management, Год журнала: 2023, Номер 71, С. 10232 - 10244

Опубликована: Авг. 2, 2023

Studies on Chatbot adoption are gaining traction across different fields. Previous studies have outlined several drivers of through the lenses various technology theories. However, these not been thoroughly reviewed and synthesized. Therefore, this article aims to analyze theories, antecedents, moderators, domains, methodologies, participants a multiperspective viewpoint. Out 3942 collected, 219 were analyzed. The main findings indicated that acceptance model, social presence theory, computers actors dominant theories in explaining adoption. Most focused examining usage intention Chatbots, with limited investigations actual use continuous intention. Nearly 63% analyzed did employ those tend do so most frequently gender, Chatbot/technical experience, age. This presents fresh viewpoint deepens our understanding proposes agendas for future research. agenda incorporates research directions Chatbots general generative artificial intelligence specific. It also offers theoretical contributions provides relevant information developers, decision-makers, practitioners, IT vendors, policymakers.

Язык: Английский

Процитировано

26

Natural Language Processing Influence on Digital Socialization and Linguistic Interactions in the Integration of the Metaverse in Regular Social Life DOI Open Access
Rashadul Islam Sumon, Shah Muhammad Imtiyaj Uddin, Salma Akter

и другие.

Electronics, Год журнала: 2024, Номер 13(7), С. 1331 - 1331

Опубликована: Апрель 2, 2024

The Metaverse and Natural Language Processing (NLP) technologies have combined to fundamentally change the nature of digital sociability. Our understanding social interaction needs be reevaluated as Metaverse’s influence spreads into more areas daily life, such AI-driven gaming, interactive training companions, museum exhibits, personalized fitness coaching, virtual mental health assistance, language translation services, tour guiding, conferencing. This study analyzes how NLP is changing relationships in these applications. We examine algorithms societal norms, individual behaviors, interpersonal connections, improve user experience using a multi-method approach incorporating surveys sentiment analysis. study’s findings show can enhance experiences while also pointing out related issues like potential bias moral problems. provides foundational analysis, shedding light on challenges negotiating environment that molded by cutting-edge NLP. It offers stakeholders academia public policy essential assistance helps them understand manage complex ramifications this socio-technological paradigm.

Язык: Английский

Процитировано

12

Effectiveness of an Artificial Intelligence-Assisted App for Improving Eating Behaviors: Mixed Methods Evaluation DOI Creative Commons
Han Shi Jocelyn Chew, Nicholas Chew, Shaun Loong

и другие.

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e46036 - e46036

Опубликована: Март 12, 2024

Background A plethora of weight management apps are available, but many individuals, especially those living with overweight and obesity, still struggle to achieve adequate loss. An emerging area in is the support for one’s self-regulation over momentary eating impulses. Objective This study aims examine feasibility effectiveness a novel artificial intelligence–assisted app improving behaviors Southeast Asian cohort. Methods single-group pretest-posttest was conducted. Participants completed 1-week run-in period 12-week app-based program called Eating Trigger-Response Inhibition Program (eTRIP). self-monitoring system built upon 3 main components, namely, (1) chatbot-based check-ins on lapse triggers, (2) food-based computer vision image recognition (system based local food items), (3) automated time-based nudges meal stopwatch. At every mealtime, participants were prompted take picture their items, which identified by technology, thereby triggering set chatbot-initiated questions triggers such as who users with. Paired 2-sided t tests used compare differences psychobehavioral constructs before after 7-day program, including overeating habits, snacking consideration future consequences, behaviors, anxiety, depression, physical activity. Qualitative feedback analyzed content analysis according 4 steps, decontextualization, recontextualization, categorization, compilation. Results The mean age, self-reported BMI, waist circumference 31.25 (SD 9.98) years, 28.86 7.02) kg/m2, 92.60 18.24) cm, respectively. There significant improvements all 7 constructs, except anxiety. After adjusting multiple comparisons, statistically found habits (mean –0.32, SD 1.16; P<.001), –0.22, 1.12; P<.002), behavior 0.08, 0.49; P=.007), depression –0.12, 0.74; activity 1288.60, 3055.20 metabolic equivalent task-min/day; P<.001). Forty-one reported skipping at least 1 (ie, breakfast, lunch, or dinner), summing 578 (67.1%) 862 meals skipped. Of 230 participants, 80 (34.8%) provided textual that indicated satisfactory user experience eTRIP. Four themes emerged, becoming more mindful self-monitoring, personalized reminders prompts chatbot, logging recognition, (4) engaging simple, easy, appealing interface. attrition rate 8.4% (21/251). Conclusions eTRIP feasible effective be tested larger population its sustainability people obesity. Trial Registration ClinicalTrials.gov NCT04833803; https://classic.clinicaltrials.gov/ct2/show/NCT04833803

Язык: Английский

Процитировано

11