Accepted for/Published in: JMIR Formative Research
Date Submitted: Jan 4, 2023
Date Accepted: Aug 3, 2023
User Evaluation of a Chat-Based Instant Messaging Support Health Education Program for Patients with Chronic Kidney Disease: Preliminary Findings of a Formative Study
ABSTRACT
Background:
Artificial intelligence-driven chatbots are increasingly being used in health care, but few chat-based instant messaging support health education programs are designed for patients with chronic kidney disease (CKD) and evaluate its effectiveness. Additionally, limited research exists on the utilization of chat-based programs among CKD patients, particularly those that integrate a chatbot aimed at enhancing patients’ communication ability and disease-specific knowledge.
Objective:
The objective of this formative study is to gather the data necessary to develop an intervention program of chat-based instant messaging support health education for patients with CKD. Participants’ user experiences will form the basis for program design improvements.
Methods:
Data were collected from April to November 2020 using a structured questionnaire. A pre–post design was employed, and 60 patients consented to join the three-month program. Among them, 55 successfully completed the study measurements. The System Usability Scale was used for participant evaluations of the usability of the chat-based program.
Results:
Paired t-tests revealed significant differences before and after intervention for communicative literacy (t=3.99, P<.001) and CKD-specific disease knowledge (t=7.54, P<.001). Within disease knowledge, significant differences were observed in the aspects of CKD basic knowledge (t=3.46, P=.001), lifestyle (t=3.83, P=.001), dietary intake (t=5.51, P<.001), and medication (t=4.17, P=.001). However, no significant difference was found in the aspect of disease prevention. Subgroup analysis revealed that while the findings among male participants were similar to those of the main sample, this was not the case among female participants.
Conclusions:
The findings reveal that a chat-based instant messaging support health education program may be effective for middle-aged and older patients with CKD. The use of a chat-based program with multiple promoting approaches is promising, and users’ evaluation is satisfactory. Clinical Trial: Clinicaltrials.gov (Protocol ID: NCT05665517)
Citation
The author of this paper has made a PDF available, but requires the user to login, or create an account.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.