Acceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice

Nadarzynski, T., Bayley, J., Llewellyn, C., Kidsley, S. and Graham, C.A. 2020. Acceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice. BMJ Sexual and Reproductive Health. Advanced online publication. doi:10.1136/bmjsrh-2018-200271

TitleAcceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice
TypeJournal article
AuthorsNadarzynski, T., Bayley, J., Llewellyn, C., Kidsley, S. and Graham, C.A.
Abstract

Objectives Sexual and reproductive health (SRH) services are undergoing a digital transformation. This study explored the acceptability of three digital services, (i) video consultations via Skype, (ii) live webchats with a health advisor and (iii) artificial intelligence (AI)-enabled chatbots, as potential platforms for SRH advice.

Methods A pencil-and-paper 33-item survey was distributed in three clinics in Hampshire, UK for patients attending SRH services. Logistic regressions were performed to identify the correlates of acceptability.

Results In total, 257 patients (57% women, 50% aged <25 years) completed the survey. As the first point of contact, 70% preferred face-to-face consultations, 17% telephone consultation, 10% webchats and 3% video consultations. Most would be willing to use video consultations (58%) and webchat facilities (73%) for ongoing care, but only 40% found AI chatbots acceptable. Younger age (<25 years) (OR 2.43, 95% CI 1.35 to 4.38), White ethnicity (OR 2.87, 95% CI 1.30 to 6.34), past sexually transmitted infection (STI) diagnosis (OR 2.05, 95% CI 1.07 to 3.95), self-reported STI symptoms (OR 0.58, 95% CI 0.34 to 0.97), smartphone ownership (OR 16.0, 95% CI 3.64 to 70.5) and the preference for a SRH smartphone application (OR 1.95, 95% CI 1.13 to 3.35) were associated with video consultations, webchats or chatbots acceptability.

Conclusions Although video consultations and webchat services appear acceptable, there is currently little support for SRH chatbots. The findings demonstrate a preference for human interaction in SRH services. Policymakers and intervention developers need to ensure that digital transformation is not only cost-effective but also acceptable to users, easily accessible and equitable to all populations using SRH services.

KeywordsAI, chatbot, webchat
JournalBMJ Sexual and Reproductive Health
ISSN2515-1991
Year2020
PublisherBMJ
Accepted author manuscript
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)doi:10.1136/bmjsrh-2018-200271
Publication dates
Published21 Jan 2020

Related outputs

Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study
Nadarzynski, T., Miles, O., Cowie, A. and Ridge, Damien T. 2019. Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study. Digital Health. 5, pp. 1-12. doi:10.1177/2055207619871808

Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study
Nadarzynski, T., Miles, O., Cowie, A. and Ridge, Damien T. 2019. Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study. Digital Health. Advanced online publication. doi:10.1177/2055207619871808

Determinants of Influenza and Pertussis Vaccination Uptake in Pregnancy: A Multicenter Questionnaire Study of Pregnant Women and Healthcare Professionals
Wilcox, C.R., Calvert, A., Metz, J., Kilich, E., MacLeod, R., Beadon, K, Heath, P.T., Khalil, A., Finn, A., Snape, M.D., Vandrevala, T., Nadarzynski, T., Coleman, M.A. and Jones, C.E. 2019. Determinants of Influenza and Pertussis Vaccination Uptake in Pregnancy: A Multicenter Questionnaire Study of Pregnant Women and Healthcare Professionals. The Pediatric Infectious Disease Journal. 38 (6), pp. 625-630. doi:10.1097/INF.0000000000002242

Digital Health Psychology
Yardley, L., Bradbury, K., Nadarzynski, T. and Hunter, C. 2019. Digital Health Psychology. in: Revenson, T.A. and Gerung, R.A.R. (ed.) Handbook of Health Psychology New York Routledge. pp. 519-525

Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment
Miners, A., Nadarzynski, T., Witzel, C, Phillips, A.N., Cambiano, V., Rodger, A.J. and Llewellyn, C.D. 2019. Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment. PLoS Medicine. 16 (4), p. e1002779. doi:10.1371/journal.pmed.1002779

Mixed-methods study in England and Northern Ireland to understand young men who have sex with men’s knowledge and attitudes towards human papillomavirus vaccination
Kesten, J.M., Flannagan, C., Ruane-McAteer, E., Merriel, S.W.D., Nadarzynski, T., Shapiro, G.K., Rosberger, Z. and Prue, G. 2019. Mixed-methods study in England and Northern Ireland to understand young men who have sex with men’s knowledge and attitudes towards human papillomavirus vaccination. BMJ Open. 9 (e025070). doi:10.1136/bmjopen-2018-025070

Targeted advertisement of chlamydia screening on social media: A mixed-methods analysis
Nadarzynski, T., Burton, J., Henderson, K., Zimmerman, D., Hill, O. and Graham, C. 2019. Targeted advertisement of chlamydia screening on social media: A mixed-methods analysis. Digital Health. 5, pp. 1-10. doi:10.1177/2055207619827193

Determinants of influenza and pertussis vaccination uptake in pregnancy: a multi-centre questionnaire study of pregnant women and healthcare professionals
Wilcox, C.R., Calvert, A., Metz, J., Kilich, E., MacLeod, R., Beadon, K., Heath, P.T., Khalil, A., Finn, A., Snape, M.D., Vandrevala, T., Nadarzynski, T., Coleman, M.A. and Jones, C.E. 2019. Determinants of influenza and pertussis vaccination uptake in pregnancy: a multi-centre questionnaire study of pregnant women and healthcare professionals. The Pediatric Infectious Disease Journal. 38 (6), pp. 625-630. doi:10.1097/INF.0000000000002242

Attendance of MSM at Genitourinary Medicine services in England: implications for selective HPV vaccination programme (a short communication)
Bayley, J., Mesher, D., Nadarzynski, T., Hughes, G. and Soldan, K. 2018. Attendance of MSM at Genitourinary Medicine services in England: implications for selective HPV vaccination programme (a short communication). Sexually Transmitted Infections. 94, pp. 542-544. doi:10.1136/sextrans-2016-052912

Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK
Nadarzynski, T., Smith, H., Richardson, D., Bremner, S. and Llewellyn, C. 2018. Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK. Vaccine. 36 (33), pp. 5065-5070. doi:10.1016/j.vaccine.2018.06.075

Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis
Nadarzynski, T., Smith, H., Richardson, D., Pollard, A. and Llewellyn, C.D. 2017. Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis. British Journal of Health Psychology. 22 (2), pp. 345-361. doi:10.1111/bjhp.12233

Human papillomavirus and vaccine-related perceptions among men who have sex with men: a systematic review
Nadarzynski, T., Smith, H., Richardson, D., Jones, C.J. and Llewellyn, C.D. 2014. Human papillomavirus and vaccine-related perceptions among men who have sex with men: a systematic review. Sexually Transmitted Infections. 90 (7), pp. 515-523. doi:10.1136/sextrans-2013-051357

Permalink - https://westminsterresearch.westminster.ac.uk/item/qy351/acceptability-of-artificial-intelligence-ai-enabled-chatbots-video-consultations-and-live-webchats-as-online-platforms-for-sexual-health-advice


Share this
Tweet
Email

Usage statistics

6 total views
25 total downloads
6 views this month
18 downloads this month
These values are for the period from September 2nd 2018, when this repository was created

Export as