JMIR Publications

ABSTRACT

Background:

Today, virtually all smartphones provide a digital voice assistant (DVA) for their user, and it is estimated that about 91% of adults report owning and operating a smartphone. A DVA is an automated system pre-installed on technological devices, such as smartphones, computers, tablets, and speakers, that serves to aid users in performing tasks like answering questions, home control, playing music, managing schedules, sending messages, and more. Research with DVA is emerging, and the elucidation of applicability to health and healthcare is needed.

Objective:

This objective of this study was to describe the use of DVAs among primary care patients, as well as purposely sampled clinics including patients with visual and physical disabilities.

Methods:

A convenience sample of adult participants were recruited to complete a needs assessment survey to ascertain the interest and possible utility of DVAs to promote and enhance health from among three populations at an academic medical center: general primary care patients recruited from a primary care clinic, patients with visual disabilities recruited from the low vision clinic, and patients with physical disabilities recruited from a physical medicine and rehabilitation clinic. The survey used in this study was a 46-item investigator-developed instrument administered to participants assessing knowledge, use, and perceptions of DVAs, participant interest to participate in related future studies, and demographic questions.

Results:

The results of the survey showed that the majority of participants have used a DVA before (69.7%; 152/218) and were willing to use them in the future (78.4%; 171/218). Participants reported moderate to high concern about the privacy (47.8%; 97/203), security (54.5%; 110/202), and confidentiality (51.7%; 105/203) of DVAs. Those with visual disabilities reported a greater percentage having never used DVA than those without visual disabilities (39.0% vs. 24.6%.; P=.03). There was no significant difference in reliance on DVA for the participants with and without physical disabilities (45.0% vs. 34.9%; P=.31) indicating they do not require it for everyday needs.

Conclusions:

DVA use remains low among the surveyed participants with physical and visual disabilities. For those with visual disabilities, DVA use was seen to be advantageous in everyday life for tasks such as answering questions and seeking information, but not for those with physical disabilities. However, further research should be conducted that focuses on the utilization of DVA by accessing data that represents an individual’s DVA use without being biased by knowledge of a research study. Additionally, research is needed on DVA use that includes diverse samples of participants with physical and visual disabilities that addresses the barriers to using DVAs for these adult populations.