Neurospine.  2022 Jun;19(2):348-356. 10.14245/ns.2143080.540.

Conversational Artificial Intelligence for Spinal Pain Questionnaire: Validation and User Satisfaction

Affiliations
  • 1Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea
  • 2Human-Robot Interaction Center, Korea Institute of Robotics and Technology Convergence, Pohang, Korea
  • 3Division of Mechanical Convergence Engineering, Silla University, Busan, Korea

Abstract


Objective
The purpose of our study is to develop a spoken dialogue system (SDS) for pain questionnaire in patients with spinal disease. We evaluate user satisfaction and validated the performance accuracy of the SDS in medical staff and patients.
Methods
The SDS was developed to investigate pain and related psychological issues in patients with spinal diseases based on the pain questionnaire protocol. We recognized patients’ various answers, summarized important information, and documented them. User satisfaction and performance accuracy were evaluated in 30 potential users of SDS, including doctors, nurses, and patients and statistically analyzed.
Results
The overall satisfaction score of 30 patients was 5.5 ± 1.4 out of 7 points. Satisfaction scores were 5.3 ± 0.8 for doctors, 6.0 ± 0.6 for nurses, and 5.3 ± 0.5 for patients. In terms of performance accuracy, the number of repetitions of the same question was 13, 16, and 33 (13.5%, 16.8%, and 34.7%) for doctors, nurses, and patients, respectively. The number of errors in the summarized comment by the SDS was 5, 0, and 11 (5.2%, 0.0%, and 11.6 %), respectively. The number of summarization omissions was 7, 5, and 7 (7.3%, 5.3%, and 7.4%), respectively.
Conclusion
This is the first study in which voice-based conversational artificial intelligence (AI) was developed for a spinal pain questionnaire and validated by medical staff and patients. The conversational AI showed favorable results in terms of user satisfaction and performance accuracy. Conversational AI can be useful for the diagnosis and remote monitoring of various patients as well as for pain questionnaires in the future.

Keyword

Conversational artificial intelligence; Pain questionnaire; Spoken dialogue system; Natural language process; Chatbot; Spine
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