A RCT to Reduce Cardiopulmonary Re-hospitalizations
This five-year, NIH/NHLBI-funded project, in collaboration with Boston Medical Center,
has developed procedures and technologies for educating hospital
patients about their conditions and post-discharge self-care,
medications, and follow-up appointments, in an effort to reduce
re-hospitalizations due to poor patient communication and patient
non-compliance. We have developed a conversational virtual nurse agent
that conducts a bedside dialogue with patients immediately prior to
hospital discharge. This intervention was compared with a
standard-of-care control condition in a randomized clinical trial
involving 750 patients being discharged from Boston Medical Center. [Quicktime VIDEO]
In a follow-on project funded by the Agency for Healthcare Research
and Quality ("Virtual Patient Advocate to Reduce Adverse Drug Events"),
we have developed an intervention that follows patients home from the
hospital through to their first visit with their Primary Care
Physician, using a web-based virtual nurse. [DEMO]
- Zhou, S., Bickmore, T., Jack, B. Agent-User Concordance and
Satisfaction with a Virtual Hospital Discharge Nurse. Intelligent
Virtual Agents conference (IVA) (2014) PDF
Bickmore, T., Vardoulakis, L., Jack, B., Paasche-Orlow, M.
Automated Promotion of Technology Acceptance by Clinicians Using Relational Agents.
Intelligent Virtual Agents conference(IVA)
Pfeifer, L, Bickmore, T (to appear)
Longitudinal Remote Follow-Up by Intelligent Conversational Agents for Post-Hospitalization Care.
AAAI Spring Symposium on AI in Health Communication.
Bickmore, T, Pfeifer, L, Byron, D, Forsythe, S, Henault, L, Jack, B, Silliman, R, Paasche-Orlow, M (2010)
Usability of Conversational Agents by Patients with Inadequate Health Literacy: Evidence from Two Clinical Trials.
Journal of Health Communication 15, 197-210.
- Bickmore, T, Mitchell, S, Jack, B, Paasche-Orlow, M, Pfeifer, L, ODonnell, J (2010).
Response to a Relational Agent by Hospital Patients with Depressive Symptoms.
Interacting with Computers special issue on Mental Health 22(4), 289-298. PDF
- Bickmore, T., Pfeifer, L., and Jack, B. (2009) Taking the Time to
Care: Empowering Low Health Literacy Hospital Patients with Virtual
Nurse Agents Proceedings of the ACM SIGCHI Conference on Human Factors
in Computing Systems (CHI), Boston, MA. PDF
Bickmore, T., Pfeifer, L., and Paasche-Orlow, M. (2009) Using Computer
Agents to Explain Medical Documents to Patients with Low Health
Literacy. Patient Education and Counseling 75(3): 315-320. PDF
- Bickmore, T., Pfeifer, L. and Paasche-Orlow, M. (2007) Health
Document Explanation by Virtual Agents Intelligent Virtual Agents '07,
- 10/10 - "Virtual Patient Advocate Could Enhance Health Literacy" Health Leaders
- 11/09 - "Virtual Nurse: Always on Call" Ivanhoe Newswire [TV News]
- 7/09 - "How to Save a Bundle on Hospital Readmissions" Managed Care Journal [Magazine]
- 6/09 - "Taking a bite out of readmissions: Researchers identify strategies to streamline discharges" Today's Hospitalist
- 2/09 - "Project RED: The reengineered hospital discharge program" Boston.com
- 2/09 - "Discharge Protocol Cuts Readmissions" Family Practice News [Magazine]
- 3/31/09 - "Improving Patient Safety: Implementing Re-Engineered Hospital Discharges Web Conference" sponsored by AHRQ [Archived Webcast]
- 2/08 - "Implementing Lifelike Animation: Boston Medical Center
implements computerized workstation to converse with patients" Advance
- 12/14/07 - Mass High Tech - "Good night, nurse! BMC tests virtual RN for discharges" [Web Link]