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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Oct 28, 2024
Open Peer Review Period: Oct 29, 2024 - Dec 24, 2024
Date Accepted: Dec 23, 2024
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Assessing the Effectiveness of Interactive Robot-Assisted Virtual Health Coaching for Health Literacy and Disease Knowledge of Patients with Chronic Kidney Disease: Quasiexperimental Study

Chen NJ, Chang CH, Huang CM, Lin FH, Lu LT, Liu KY, Lai CL, Lin CY, Hou YC, Guo JL

Assessing the Effectiveness of Interactive Robot-Assisted Virtual Health Coaching for Health Literacy and Disease Knowledge of Patients with Chronic Kidney Disease: Quasiexperimental Study

J Med Internet Res 2025;27:e68072

DOI: 10.2196/68072

PMID: 39787589

PMCID: 11757972

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Assessing the Effectiveness of Interactive Robot-Assisted Virtual Health Coaching for Improving Health Literacy and Disease Knowledge in Patients with Chronic Kidney Disease

  • Nai-Jung Chen; 
  • Ching-Hao Chang; 
  • Chiu-Mieh Huang; 
  • Fen-He Lin; 
  • Li-Ting Lu; 
  • Kuan-Yi Liu; 
  • Chih-Lin Lai; 
  • Chin-Yao Lin; 
  • Yi-Chou Hou; 
  • Jong-Long Guo

ABSTRACT

Background:

Chronic kidney disease (CKD) imposes a significant global health and economic burden. Despite its widespread prevalence, public awareness of the disease remains limited.

Objective:

This study aimed to develop a 12-unit program enabling healthcare professionals to provide virtual health coaching via interactive robots, as well as to evaluate its effectiveness in improving disease knowledge and health literacy among patients with CKD.

Methods:

A quasi-experimental design was employed with 30 participants divided into two groups: 14 in the experimental group, which received the intervention, and 16 in the comparison group, which received standard care. Data were collected using structured and validated questionnaires, with assessments conducted both pre-and post-intervention. Thirty participants completed the program and underwent subsequent evaluations.

Results:

Post-intervention analysis using generalized estimating equations showed that, after age adjustment, the experimental group (n = 14) had significantly higher improvements in health literacy (coefficient = 2.51, Wald χ² = 5.89, P = 0.02) and disease knowledge (coefficient = 1.66, Wald χ² = 11.75, P = 0.001) than the comparison group (n = 16).

Conclusions:

This study demonstrated that interactive robot-assisted eHealth coaching effectively enhanced CKD-specific disease knowledge and health literacy. Thus, such programs comprise a promising tool for future patient education in clinical nephrology, warranting further promotion and broader applications.


 Citation

Please cite as:

Chen NJ, Chang CH, Huang CM, Lin FH, Lu LT, Liu KY, Lai CL, Lin CY, Hou YC, Guo JL

Assessing the Effectiveness of Interactive Robot-Assisted Virtual Health Coaching for Health Literacy and Disease Knowledge of Patients with Chronic Kidney Disease: Quasiexperimental Study

J Med Internet Res 2025;27:e68072

DOI: 10.2196/68072

PMID: 39787589

PMCID: 11757972

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