“Alexa, did the pandemic make you smarter?” A follow up content analysis of a virtual assistant’s responses to a prenatal query

References

• Javaid S, Barringer S, Compton SD, Kaselitz E, Muzik M, Moyer CA. The impact of COVID-19 on prenatal care in the United States: qualitative analysis from a survey of 2519 pregnant women. Midwifery. 2021;98:102991. doi:10.1016/j.midw.2021.102991.
   PubMed Web of Science ®Google Scholar
• Townsend R, Chmielewska B, Barratt I, Kalafat E, van de Meulen J, Gurol-Urganci I, O’Brien P, Morris E, Draycott T, Thangarantinam S, et al. Global changes in maternity care provision during the COVID-19 pandemic: a systematic review and meta-analysis. eClin Med. 2021;37:100947. doi:10.1016/j.eclinm.2021.100947.
   PubMedGoogle Scholar
• Mobiquity. Exploring the impact of digital tools in healthcare management and patient loyalty. 2022 July 9 [accessed July 2022 21]. https://f.hubspotusercontent10.net/hubfs/1868764/healthcare%20survey%205.pdf
   Google Scholar
• Graseck A, Leitner K. Prenatal education in the digital age. Clin Obstet Gynecol. 2021;64(2):345–51. doi:10.1097/GRF.0000000000000608.
   PubMed Web of Science ®Google Scholar
• Healthy People 2030. Washington (DC): U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Health IT. [accessed Aug 2021 13]. https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-it.
   Google Scholar
• Amiri P, Karahanna E. Chatbot use cases in the Covid-19 public health response. JAMIA. 2022;29(5):1000–10. doi:10.1093/jamia/ocac014.
   Web of Science ®Google Scholar
• Alagha EC, Helbing RR. Evaluating the quality of voice assistants’ responses to consumer health questions about vaccines: an exploratory comparison of Alexa, Google Assistant and Siri. BMJ Health Care Inform. 2019;26(1):e100075. doi:10.1136/bmjhci-2019-100075.
   PubMedGoogle Scholar
• Stasha SAAS, Facts, and trends. Policy Advice. 2021 Feb 2 [accessed July 2022 21]. https://policyadvice.net/insurance/insights/amazon-alexa-statistics/
   Google Scholar
• Laicchia F Global smart speaker market share 2016-2021, by vendor. Statista. 2022 Mar 21 [accessed July 2022 21]. https://www.statista.com/statistics/792604/worldwide-smart-speaker-market-share/
   Google Scholar
• Thormundsson B Main devices used with voice assistants in the U.S. 2021, by brand. Statistic. 2022 Mar 29 [accessed July 2022 21]. https://www.statista.com/statistics/1274398/voice-assistant-use-by-device-united-states/
   Google Scholar
• Merritt A Here’s what people are really doing with their Alexa and Google home digital assistants. VentureBeat. 2018 [accessed July 2022 22]. https://venturebeat.com/2018/11/17/heres-what-people-are-really-doing-with-their-alexa-and-google-home-assistants/
   Google Scholar
• Schindler-Ruwisch J, Palancia Esposito C. “Alexa, am I pregnant?”: a content analysis of a virtual assistant’s responses to prenatal health questions during the COVID-19 pandemic. Patient Educ Couns. 2021;104(3):460–63. doi:10.1016/j.pec.2020.12.026.
   PubMed Web of Science ®Google Scholar
• American College of Obstetricians and Gynecologists, FAQs. [accessed Aug 2021 13]. https://www.acog.org/patient-resources/faqs.
   Google Scholar
• Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005 Nov;15(9):1277–88. doi:10.1177/1049732305276687.
   PubMed Web of Science ®Google Scholar
• Chan KL, Chen M. Effects of social and mobile health apps on pregnancy care: meta-analysis. JMIR Mhealth Uhealth. 2019;7(1):e11836. doi:10.2196/11836.
   PubMed Web of Science ®Google Scholar
• Kasperbauer TJ, Wright DE. Expanded FDA regulation of health and wellness apps. Bioethics. 2020;34(3):235–41. doi:10.1111/bioe.12674.
   PubMed Web of Science ®Google Scholar
• Sciuto A, Saini A, Forlizzi J, Hong JI “Hey Alexa, what’s up?”: a mixed-methods studies of in-home conversational agent usage. In Proceedings of the 2018 Designing Interactive Systems Conference (DIS ‘18). Association for Computing Machinery, New York, NY, USA, 857–68.
   Google Scholar
• Moussalli S, Cardoso W. Intelligent personal assistants: can they understand and be understood by accented L2 learners? Comput Assist Lang Learn. 2020;33(8):865–90. doi:10.1080/09588221.2019.1595664.
   Web of Science ®Google Scholar
• Turea M 10 Ways Alexa is revolutionizing healthcare. Aug 2021 07 [accessed Aug 2021 13]. https://healthcareweekly.com/alexa-in-healthcare/.
   Google Scholar
• Wiggers K Amazon is poorly vetting Alexa’s user-submitted answers. Venture Beat. 2019 Nov 1. [accessed Aug 2021 16]. https://venturebeat.com/2019/11/01/amazon-alexa-answers-vetting-user-questions/
   Google Scholar
• Sharecare. 2010. [accessed July 2021 14]. https://www.sharecare.com/
   Google Scholar
• Nanda V. Sharecare: the company making health digital. 2018 Sept 21. [accessed Aug 2021 16]. https://techweek.com/sharecare-atlanta-making-health-digital/.
   Google Scholar
• Office on Women’s Health, U.S. Department of Health and Human Services, womenshealth.gov. [accessed July 2021 14]. https://www.womenshealth.gov/.
   Google Scholar
• Yang S, Lee J, Sezgin E, Bridge J, Lin S. Clinical advice by voice assistants on postpartum depression: cross-sectional investigation using Apple Siri, Amazon Alexa, Google Assistant, and Microsoft Cortana. JMIR Mhealth Uhealth. 2021;9(1):e24045. doi:10.2196/24045.
   PubMed Web of Science ®Google Scholar
• Quiroz JC, Bongolan T, Ijaz K Alexa depression and anxiety self-tests: a preliminary analysis of user experience and trust. In Adjunct Proceedings of the 2020 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2020 ACM International Symposium on Wearable Computers (UbiComp-ISWC ‘20). Association for Computing Machinery, September 2020. 494–96; New York, NY. Available from: https://dl.acm.org/doi/abs/10.1145/3410530.3414374
   Google Scholar
• Griffin AC, Xing Z, Khairat S, Wang Y, Bailey S, Arguello J, Chung AE. Conversational agents for chronic disease self-management: a systematic review. AMIA Annu Symp Proc. 2021;2020:504–13. PMID: 33936424; PMCID: PMC8075433.
   PubMedGoogle Scholar
• The Office of the National Coordinator for Health Information Technology. ONC’s cures act final rule. Empowering Patients with Their Health Record in a Modern Health IT Economy. [accessed July 2021 16]. https://www.healthit.gov/curesrule/overview/about-oncs-cures-act-final-rule.
   Google Scholar
• Open Notes®. Everyone on the Same Page. 2022 [accessed July 2022 22]. https://www.opennotes.org
   Google Scholar
• Halili L, Liu R, Hutchinson KA, Semeniuk K, Redman LM, Adamo KB. Development and pilot evaluation of a pregnancy-specific mobile health tool: a qualitative investigation of SmartMoms Canada. BMC Med Inform Decis Mak. 2018 Nov 12; 18(1):95. doi:10.1186/s12911-018-0705-8.
   PubMedGoogle Scholar
• Barbosa-Leiker C, Smith CL, Crespi EJ, Brooks O, Burduli E, Ranjo S, Carty CL, Hebert LE, Waters SF, Gartstein MA. Stressors, coping, and resources needed during the COVID-19 pandemic in a sample of perinatal women. BMC Pregnancy Childbirth. 2021 Mar 1;21(1):171. doi:10.1186/s12884-021-03665-0
   PubMed Web of Science ®Google Scholar
• Rubinelli S, Myers K, Rosenbaum M, Davis D. Implications of the current COVID-19 pandemic for communication in healthcare. Patient Educ Couns. 2020;103(6):1067–69. doi:10.1016/j.pec.2020.04.021.
   PubMed Web of Science ®Google Scholar