Let’s K-Talk: A Storytelling Intervention Leveraging Chatbot Technology to Prevent HPV and HPV Associated Cancers for Ethnic Koreans Living in the U.S.

Let’s K-Talk：利用聊天机器人技术的讲故事干预措施，为居住在美国的朝鲜族人预防 HPV 和 HPV 相关癌症

• 批准号: 10709487
• 负责人: MinJin Kim
• 金额: $ 16.32万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-23 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10709487
• 关键词: Area; Artificial Intelligence; Asian; Asian population; Attitude; Award; Behavior; Black Populations; Cancer Etiology; Clinical Management; Clinical Trials; Collaborations; Communication; Communities; Data; Data Aggregation; Dedications; Disease; Disparity; Documentation; Ethnic Origin; Feasibility Studies; Future; Genital; Genitalia; Goals; HPV-High Risk; Happiness; Health; Health Disparities Research; Health Promotion; Health behavior and outcomes; Hispanic Populations; Human; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Human papilloma virus infection; Incidence; Individual; Infection; International; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Korean American; Koreans; Leadership; Malignant Neoplasms; Malignant Vaginal Neoplasm; Malignant neoplasm of anus; Malignant neoplasm of cervix uteri; Malignant neoplasm of penis; Malignant neoplasm of vulva; Manuals; Measures; Mediating; Mediation; Medical; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methods; Mexican Americans; Minority; Minority Groups; Mission; Motivation; Not Hispanic or Latino; Online Systems; Outcome; Participant; Persons; Photography; Population; Preparation; Prevalence; Prevention program; Preventive; Procedures; Randomized; Randomized, Controlled Trials; Reduce health disparities; Research; Research Design; Research Methodology; Research Training; Resources; Risk; Scientist; Sexually Transmitted Diseases; Site; Statistical Methods; Structure; Subgroup; System; Technology; Testing; Throat Cancer; Time; Training; Transcultural Nursing; United States National Institutes of Health; Vaccination; Vaccines; Voice; Woman; acceptability and feasibility; aged; cancer prevention; cancer statistics; career; chatbot; college; design; digital; disorder prevention; effectiveness outcome; effectiveness testing; efficacy evaluation; experience; health communication; health data; health difference; health disparity; health equity; health equity promotion; implementation outcomes; improved; innovation; insight; longitudinal analysis; mHealth; malignant mouth neoplasm; men; multiphase optimization strategy; novel; operation; optimism; post intervention; post-doctoral training; pragmatic trial; pre-doctoral; prevent; primary outcome; programs; recruit; retention rate; satisfaction; secondary outcome; skills; theories; therapy design; usability; vaccine acceptance; young adult; young man; young woman

PROJECT SUMMARY/ABSTRACT The primary goal of this K23 award is to provide Dr. Minjin Kim with the structured advanced research training, protected time, and mentoring necessary for improving health disparities, health promotion, disease prevention, and innovation using technology to improve health and to reach underserved, under-resourced populations. Candidate: Dr. Kim is a transcultural nurse scientist dedicated to health disparities research using a narrative or “storytelling” approach to capture the voices of a diverse range of people and communities. Her long-term goal is to design and implement sustainable disease prevention programs leveraging technologies that are theory- based, culturally inclusive, and personally relevant to reduce health disparities and promote health equity, improve preventive health behaviors and outcomes, and reach underserved, high-need populations. Dr. Kim’s short-term goal is to employ storytelling interventions leveraging artificial intelligence (AI) chatbots that facilitate timely, effective, and sustained motivation for vaccination to prevent HPV-related infections and cancers. Research: Human papillomavirus (HPV) infection is a sexually transmitted infection with 3 out of 4 new infections occurring in individuals aged 15 to 24. Although HPV vaccine is safe and effective at preventing HPV-related infections and cancers, our preliminary study has shown that only 1 in 5 English-speaking, college-educated Korean American women aged 18 to 26 in the Northeast U.S. had received the HPV vaccine (19%). Dr. Kim’s storytelling video-based intervention leveraging AI chatbot technology (K-Talk) delivers a user-centered experience to promote HPV vaccination behavior among Korean Americans aged 18 to 26. The study aims to 1) adapt and refine the previously developed K-Talk and 2) conduct a pilot Multiphase Optimization Strategy-based trial to assess feasibility, acceptability, and preliminary efficacy of K-Talk. The proposed study assesses the primary outcome (HPV vaccine uptake) by obtaining photo documentation of an HPV vaccination card. This study has a substantial opportunity to reach underserved, hard-to-reach Korean Americans and other minorities. K-Talk is a promising intervention to promote HPV vaccination as a means of cancer prevention. Mentoring/Training: With the expertise of the transdisciplinary mentoring team and consultants from inside and outside of Cincinnati, Dr. Kim will achieve her appointed research and career goals in five domains to advance her program of research through this award. These domains are: designing intervention studies using state-of- the-art research design, mHealth and chatbot-based technologies to improve health communication and dissemination of the interventions, conducting and managing clinical trials and pragmatic trials, advanced statistical methods for clinical trials data as well as communication and leadership skills. The proposed research and training will enable Dr. Kim to independently conduct a future pragmatic trial (R01) that evaluates efficacy of the K-Talk intervention piloted in this proposal.

项目摘要/摘要 该K23奖的主要目标是为Minjin Kim博士提供结构化的高级研究培训，即 受保护的时间和改善健康分布，健康促进，预防疾病所必需的心理 以及使用技术的创新来改善健康并达到服务不足，资源不足的人群。 候选人：金博士是一位跨文化护士科学家，致力于使用叙述或 “讲故事”的方法来捕捉潜水员和社区的声音。她的长期目标 是设计和实施可持续疾病预防计划，利用理论的技术 - 基于文化，包容和个人相关，以减少健康差异并促进健康公平， 改善预防性健康行为和结果，并达到服务不足的高需求人群。金博士 短期目标是采用讲故事的干预措施，利用人工智能（AI）聊天机器人 及时，有效且持续的疫苗动机防止与HPV相关的感染和取消。 研究：人乳头瘤病毒（HPV）感染是一种性传播感染，有4种新感染 在15至24岁的个体中发生。尽管HPV疫苗是安全有效的，可防止与HPV相关 感染和癌症，我们的初步研究表明，只有5分之一的英语，大学教育 美国东北部18至26岁的韩国妇女接受了HPV疫苗（19％）。金博士 基于讲故事的视频干预利用AI聊天机器人技术（K-Talk）提供以用户为中心的 促进18至26岁韩裔美国人的HPV疫苗接种行为的经验。该研究的目的是1） 适应并完善先前开发的k-talk和2）进行试验多相优化策略 试验以评估K-Talk的可行性，可接受性和初步效率。拟议的研究评估 通过获取HPV疫苗卡的照片文档，主要结果（HPV疫苗摄取）。这 研究有很大的机会来吸引服务不足的，难以到达的韩裔美国人和其他少数民族。 K-Talk是促进HPV疫苗接种作为预防癌症的一种承诺干预措施。 指导/培训：通过跨学科指导团队的专业知识和内部和顾问的专业知识 在辛辛那提之外，金博士将在五个领域实现她任命的研究和职业目标以促进 她通过此奖项的研究计划。这些领域是：使用最先进的设计干预研究 ART研究设计，MHealth和基于聊天机器人的技术，以改善健康沟通和 传播干预措施，进行和管理临床试验和务实试验，先进 临床试验数据以及沟通和领导能力的统计方法。拟议的研究 培训将使金博士能够独立进行未来的务实试验（R01），以评估 该提案中试行的K-Talk干预措施。