CoachAI: A Conversational Agent Assisted Health Coaching Platform

Poor lifestyle represents a health risk factor and is the leading cause of morbidity and chronic conditions. The impact of poor lifestyle can be significantly altered by individual behavior change. Although the current shift in healthcare towards a long lasting modifiable behavior, however, with increasing caregiver workload and individuals' continuous needs of care, there is a need to ease caregiver's work while ensuring continuous interaction with users. This paper describes the design and validation of CoachAI, a conversational agent assisted health coaching system to support health intervention delivery to individuals and groups. CoachAI instantiates a text based healthcare chatbot system that bridges the remote human coach and the users. This research provides three main contributions to the preventive healthcare and healthy lifestyle promotion: (1) it presents the conversational agent to aid the caregiver; (2) it aims to decrease caregiver's workload and enhance care given to users, by handling (automating) repetitive caregiver tasks; and (3) it presents a domain independent mobile health conversational agent for health intervention delivery. We will discuss our approach and analyze the results of a one month validation study on physical activity, healthy diet and stress management.

Assistive System in Conversational Agent for Health Coaching: The CoachAI Approach

With increasing physicians' workload and patients' needs for care, there is a need for technology that facilitates physicians work and performs continues follow-up with patients. Existing approaches focus merely on improving patient's condition, and none have considered managing physician's workload. This paper presents an initial evaluation of a conversational agent assisted coaching platform intended to manage physicians' fatigue and provide continuous follow-up to patients. We highlight the approach adapted to build the chatbot dialogue and the coaching platform. We will particularly discuss the activity recommender algorithms used to suggest insights about patients' condition and activities based on previously collected data. The paper makes three contributions: (1) present the conversational agent as an assistive virtual coach, (2) decrease physicians workload and continuous follow up with patients, all by handling some repetitive physician tasks and performing initial follow up with the patient, (3) present the activity recommender that tracks previous activities and patient information and provides useful insights about possible activity and patient match to the coach. Future work focuses on integrating the recommender model with the CoachAI platform and test the prototype with patient's in collaboration with an ambulatory clinic.

Beyond Patient Monitoring: Conversational Agents Role in Telemedicine & Healthcare Support For Home-Living Elderly Individuals

There is a need for systems to dynamically interact with ageing populations to gather information, monitor health condition and provide support, especially after hospital discharge or at-home settings. Several smart devices have been delivered by digital health, bundled with telemedicine systems, smartphone and other digital services. While such solutions offer personalised data and suggestions, the real disruptive step comes from the interaction of new digital ecosystem, represented by chatbots. Chatbots will play a leading role by embodying the function of a virtual assistant and bridging the gap between patients and clinicians. Powered by AI and machine learning algorithms, chatbots are forecasted to save healthcare costs when used in place of a human or assist them as a preliminary step of helping to assess a condition and providing self-care recommendations. This paper describes integrating chatbots into telemedicine systems intended for elderly patient after their hospital discharge. The paper discusses possible ways to utilise chatbots to assist healthcare providers and support patients with their condition.

Towards Automatic & Personalised Mobile Health Interventions: An Interactive Machine Learning Perspective

Machine learning (ML) is the fastest growing field in computer science and healthcare, providing future benefits in improved medical diagnoses, disease analyses and prevention. In this paper, we introduce an application of interactive machine learning (iML) in a telemedicine system, to enable automatic and personalised interventions for lifestyle promotion. We first present the high level architecture of the system and the components forming the overall architecture. We then illustrate the interactive machine learning process design. Prediction models are expected to be trained through the participants' profiles, activity performance, and feedback from the caregiver. Finally, we show some preliminary results during the system implementation and discuss future directions. We envisage the proposed system to be digitally implemented, and behaviourally designed to promote healthy lifestyle and activities, and hence prevent users from the risk of chronic diseases.

A Conversational Interface to Improve Medication Adherence: Towards AI Support in Patient's Treatment

Medication adherence is of utmost importance for many chronic conditions, regardless of the disease type. Engaging patients in self-tracking their medication is a big challenge. One way to potentially reduce this burden is to use reminders to promote wellness throughout all stages of life and improve medication adherence. Chatbots have proven effectiveness in triggering users to engage in certain activity, such as medication adherence. In this paper, we discuss "Roborto", a chatbot to create an engaging interactive and intelligent environment for patients and assist in positive lifestyle modification. We introduce a way for healthcare providers to track patients adherence and intervene whenever necessary. We describe the health, technical and behavioural approaches to the problem of medication non-adherence and propose a diagnostic and decision support tool. The proposed study will be implemented and validated through a pilot experiment with users to measure the efficacy of the proposed approach.

Can a Chatbot Determine My Diet?: Addressing Challenges of Chatbot Application for Meal Recommendation

Poor nutrition can lead to reduced immunity, increased susceptibility to disease, impaired physical and mental development, and reduced productivity. A conversational agent can support people as a virtual coach, however building such systems still have its associated challenges and limitations. This paper describes the background and motivation for chatbot systems in the context of healthy nutrition recommendation. We discuss current challenges associated with chatbot application, we tackled technical, theoretical, behavioural, and social aspects of the challenges. We then propose a pipeline to be used as guidelines by developers to implement theoretically and technically robust chatbot systems.