{"id":"https://openalex.org/W4411129063","doi":"https://doi.org/10.1007/s10916-025-02202-2","title":"User Engagement with A Multimodal Conversational Agent for Self-Care and Chronic Disease Management: A Retrospective Analysis","display_name":"User Engagement with A Multimodal Conversational Agent for Self-Care and Chronic Disease Management: A Retrospective Analysis","publication_year":2025,"publication_date":"2025-06-09","ids":{"openalex":"https://openalex.org/W4411129063","doi":"https://doi.org/10.1007/s10916-025-02202-2","pmid":"https://pubmed.ncbi.nlm.nih.gov/40488988"},"language":"en","primary_location":{"id":"doi:10.1007/s10916-025-02202-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10916-025-02202-2","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02202-2.pdf","source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02202-2.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103120279","display_name":"Selahattin \u00c7olako\u011flu","orcid":"https://orcid.org/0000-0002-8600-1789"},"institutions":[{"id":"https://openalex.org/I4210088664","display_name":"Turkish Society of Hematology","ror":"https://ror.org/003pzts41","country_code":"TR","type":"other","lineage":["https://openalex.org/I4210088664"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Selahattin Colakoglu","raw_affiliation_strings":["Department of Clinical Development, Albert Health, Istanbul, Turkey"],"affiliations":[{"raw_affiliation_string":"Department of Clinical Development, Albert Health, Istanbul, Turkey","institution_ids":["https://openalex.org/I4210088664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108779656","display_name":"Mustafa Durmu\u015f","orcid":null},"institutions":[{"id":"https://openalex.org/I4210088664","display_name":"Turkish Society of Hematology","ror":"https://ror.org/003pzts41","country_code":"TR","type":"other","lineage":["https://openalex.org/I4210088664"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Mustafa Durmus","raw_affiliation_strings":["Department of Clinical Development, Albert Health, Istanbul, Turkey"],"affiliations":[{"raw_affiliation_string":"Department of Clinical Development, Albert Health, Istanbul, Turkey","institution_ids":["https://openalex.org/I4210088664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106931170","display_name":"Zeynep Pelin Polat","orcid":null},"institutions":[{"id":"https://openalex.org/I4210088664","display_name":"Turkish Society of Hematology","ror":"https://ror.org/003pzts41","country_code":"TR","type":"other","lineage":["https://openalex.org/I4210088664"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Zeynep Pelin Polat","raw_affiliation_strings":["Department of Clinical Development, Albert Health, Istanbul, Turkey"],"affiliations":[{"raw_affiliation_string":"Department of Clinical Development, Albert Health, Istanbul, Turkey","institution_ids":["https://openalex.org/I4210088664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106931171","display_name":"Asli Yildiz","orcid":null},"institutions":[{"id":"https://openalex.org/I4210088664","display_name":"Turkish Society of Hematology","ror":"https://ror.org/003pzts41","country_code":"TR","type":"other","lineage":["https://openalex.org/I4210088664"]},{"id":"https://openalex.org/I4210104933","display_name":"Biruni University","ror":"https://ror.org/01nkhmn89","country_code":"TR","type":"education","lineage":["https://openalex.org/I4210104933"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Asli Yildiz","raw_affiliation_strings":["Department of Clinical Development, Albert Health, Istanbul, Turkey","School of Medicine, Biruni University, Istanbul, Turkey"],"affiliations":[{"raw_affiliation_string":"Department of Clinical Development, Albert Health, Istanbul, Turkey","institution_ids":["https://openalex.org/I4210088664"]},{"raw_affiliation_string":"School of Medicine, Biruni University, Istanbul, Turkey","institution_ids":["https://openalex.org/I4210104933"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082173308","display_name":"Emre Sezg\u0131n","orcid":"https://orcid.org/0000-0001-8798-9605"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Emre Sezgin","raw_affiliation_strings":["The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA. emre.sezgin@nationwidechildrens.org","The Ohio State University College of Medicine, Columbus, OH, USA. emre.sezgin@nationwidechildrens.org"],"affiliations":[{"raw_affiliation_string":"The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA. emre.sezgin@nationwidechildrens.org","institution_ids":[]},{"raw_affiliation_string":"The Ohio State University College of Medicine, Columbus, OH, USA. emre.sezgin@nationwidechildrens.org","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5103120279"],"corresponding_institution_ids":["https://openalex.org/I4210088664"],"apc_list":{"value":3390,"currency":"EUR","value_usd":4390},"apc_paid":{"value":3390,"currency":"EUR","value_usd":4390},"fwci":8.3923,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.97229469,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"49","issue":"1","first_page":"76","last_page":"76"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9993000030517578,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9993000030517578,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12027","display_name":"Social Media in Health Education","score":0.9983999729156494,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/descriptive-statistics","display_name":"Descriptive statistics","score":0.6040463447570801},{"id":"https://openalex.org/keywords/logistic-regression","display_name":"Logistic regression","score":0.5367032289505005},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.5263786911964417},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5003490447998047},{"id":"https://openalex.org/keywords/disease","display_name":"Disease","score":0.4200797975063324},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.33565276861190796},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3326408267021179},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.22308221459388733},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.18101242184638977},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.17738842964172363}],"concepts":[{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.6040463447570801},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5367032289505005},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.5263786911964417},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5003490447998047},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4200797975063324},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.33565276861190796},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3326408267021179},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.22308221459388733},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.18101242184638977},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.17738842964172363},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019468","descriptor_name":"Disease Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019468","descriptor_name":"Disease Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019468","descriptor_name":"Disease Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D063731","descriptor_name":"Mobile Applications","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D063731","descriptor_name":"Mobile Applications","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D063731","descriptor_name":"Mobile Applications","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s10916-025-02202-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10916-025-02202-2","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02202-2.pdf","source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},{"id":"pmid:40488988","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40488988","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical systems","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:12148993","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12148993","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12148993/pdf/10916_2025_Article_2202.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Med Syst","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s10916-025-02202-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10916-025-02202-2","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02202-2.pdf","source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411129063.pdf","grobid_xml":"https://content.openalex.org/works/W4411129063.grobid-xml"},"referenced_works_count":45,"referenced_works":["https://openalex.org/W2616352600","https://openalex.org/W2765338544","https://openalex.org/W2768275546","https://openalex.org/W2796817098","https://openalex.org/W2801150160","https://openalex.org/W2833507391","https://openalex.org/W2843010082","https://openalex.org/W2913262603","https://openalex.org/W2920187112","https://openalex.org/W2932047266","https://openalex.org/W2946084149","https://openalex.org/W2952696996","https://openalex.org/W2977444880","https://openalex.org/W3002751842","https://openalex.org/W3020920545","https://openalex.org/W3029938811","https://openalex.org/W3046201587","https://openalex.org/W3048100966","https://openalex.org/W3094347363","https://openalex.org/W3108615578","https://openalex.org/W3133406856","https://openalex.org/W3135619344","https://openalex.org/W3159451509","https://openalex.org/W3161732502","https://openalex.org/W3186085110","https://openalex.org/W3200177029","https://openalex.org/W3200742808","https://openalex.org/W4210372979","https://openalex.org/W4212875148","https://openalex.org/W4247149070","https://openalex.org/W4281557951","https://openalex.org/W4281624552","https://openalex.org/W4293459943","https://openalex.org/W4297405114","https://openalex.org/W4311869171","https://openalex.org/W4320065330","https://openalex.org/W4321748146","https://openalex.org/W4324288408","https://openalex.org/W4365141258","https://openalex.org/W4366590507","https://openalex.org/W4389504244","https://openalex.org/W4391828195","https://openalex.org/W4393180839","https://openalex.org/W4404609441","https://openalex.org/W4410442606"],"related_works":["https://openalex.org/W2129863591","https://openalex.org/W4376141652","https://openalex.org/W4309301591","https://openalex.org/W1596769710","https://openalex.org/W2587373007","https://openalex.org/W4409308761","https://openalex.org/W2923497059","https://openalex.org/W2978363435","https://openalex.org/W4394896199","https://openalex.org/W3094917185"],"abstract_inverted_index":{"This":[0],"study":[1],"highlights":[2],"user":[3,36],"preferences":[4],"for":[5,34],"voice":[6],"interaction":[7],"and":[8],"health":[9],"information":[10],"access":[11],"when":[12],"using":[13],"a":[14],"multimodal":[15],"conversational":[16],"agent.":[17],"The":[18],"high":[19],"rate":[20],"of":[21],"single-session":[22],"users":[23],"(58%)":[24],"points":[25],"to":[26,28],"barriers":[27],"sustainable":[29],"engagement,":[30],"emphasizing":[31],"the":[32],"need":[33],"better":[35],"experience":[37],"strategies.":[38]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2}],"updated_date":"2026-03-31T07:56:22.981413","created_date":"2025-10-10T00:00:00"}
