A virtual assistant for primary care's food and nutrition surveillance system: Development and validation study in Brazil

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-10-10 DOI:10.1016/j.pec.2024.108461

Eliza Sella Battisti , Mateus Klein Roman , Ericles Andrei Bellei , Vanessa Ramos Kirsten , Ana Carolina Bertoletti De Marchi , Greisse Viero Da Silva Leal

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Abstract

Objective

The study aimed to develop and validate a conversational agent (chatbot) designed to support Food and Nutrition Surveillance (FNS) practices in primary health care settings.

Methods

This mixed-methods research was conducted in three stages. Initially, the study identified barriers and challenges in FNS practices through a literature review and feedback from 655 health professionals and FNS experts across Brazil. Following this, a participatory design approach was employed to develop and validate the chatbot's content. The final stage involved evaluating the chatbot's user experience with FNS experts.

Results

The chatbot could accurately understand and respond to 60 different intents or keywords related to FNS. Themes such as training, guidance, and access emerged as crucial for guiding FNS initiatives and addressing implementation challenges, primarily related to human resources. The chatbot achieved a Global Content Validation Index of 0.88.

Conclusion

The developed chatbot represents a significant advancement in supporting FNS practices within primary health care.

Practice implication

By providing an innovative, interactive, educational tool that is both accessible and reliable, this digital assistant has the potential to facilitate the operationalization of FNS practices, addressing the critical need for effective training and counseling in developing countries.

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基层医疗机构食品与营养监测系统的虚拟助手：巴西的开发和验证研究

目标该研究旨在开发和验证一个对话代理（聊天机器人），以支持初级卫生保健环境中的食品与营养监测（FNS）实践。方法这项混合方法研究分三个阶段进行。首先，该研究通过文献综述以及巴西全国 655 名卫生专业人员和食品与营养监测专家的反馈，确定了食品与营养监测实践中的障碍和挑战。随后，采用参与式设计方法开发并验证聊天机器人的内容。最后一个阶段是与 FNS 专家一起评估聊天机器人的用户体验。培训、指导和访问等主题对于指导 FNS 计划和应对实施挑战（主要与人力资源有关）至关重要。该聊天机器人的全球内容验证指数为 0.88。实践意义通过提供一种创新、互动、教育工具，该数字助手既方便又可靠，有可能促进 FNS 实践的操作化，满足发展中国家对有效培训和咨询的迫切需求。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.