Predicting User Engagement in Longitudinal Interventions with Virtual Agents

Longitudinal agent-based interventions only work if people continue using them on a regular basis, thus identifying users who are at risk of disengaging from these applications is important for retention and efficacy. We develop machine learning models that predict long-term user engagement in three longitudinal virtual agent-based health interventions. We achieve accuracies of 74% to 90% in predicting user dropout in a given prediction period of the intervention based on the user's past interactions with the agent. Our models contain features related to session frequency and duration, health behavior, and user-agent dialogue content. We find that the features most predictive of dropout include number of user utterances, percent of user utterances that are questions, and the percent of user health behavior goals met during the observation period. Ramifications for the design of virtual agents for longitudinal applications are discussed.

[1]  Justine Cassell,et al.  BEAT: the Behavior Expression Animation Toolkit , 2001, Life-like characters.

[2]  Xiaohang Wu,et al.  Intervention Strategies for Improving Patient Adherence to Follow-Up in the Era of Mobile Information Technology: A Systematic Review and Meta-Analysis , 2014, PloS one.

[3]  Ginevra Castellano,et al.  An exploration of user engagement in HCI , 2009, AFFINE '09.

[4]  Carolyn Penstein Rosé,et al.  Shared Task on Prediction of Dropout Over Time in Massively Open Online Courses , 2014, EMNLP 2014.

[5]  Everlyne Kimani,et al.  The Atrial Fibrillation Health Literacy Information Technology System: Pilot Assessment , 2017, JMIR cardio.

[6]  Timothy W. Bickmore,et al.  Establishing and maintaining long-term human-computer relationships , 2005, TCHI.

[7]  Ted Pedersen,et al.  Predicting Continued Participation in Online Health Forums , 2015, Louhi@EMNLP.

[8]  Carlos Angel Iglesias,et al.  A cognitive assistant for learning java featuring social dialogue , 2018, Int. J. Hum. Comput. Stud..

[9]  Imed Zitouni,et al.  Automatic Online Evaluation of Intelligent Assistants , 2015, WWW.

[10]  Timothy W. Bickmore,et al.  Social desirability bias and engagement in systems designed for long-term health tracking , 2013 .

[11]  Rosalind W. Picard,et al.  Establishing the computer-patient working alliance in automated health behavior change interventions. , 2005, Patient education and counseling.

[12]  Everlyne Kimani,et al.  That's a Rap - Increasing Engagement with Rap Music Performance by Virtual Agents , 2017, IVA.

[13]  Justine Cassell,et al.  Relational agents: a model and implementation of building user trust , 2001, CHI.

[14]  Imed Zitouni,et al.  Predicting User Satisfaction with Intelligent Assistants , 2016, SIGIR.

[15]  Timothy W. Bickmore,et al.  Engagement vs. Deceit: Virtual Humans with Human Autobiographies , 2009, IVA.

[16]  Elaine Toms,et al.  What is user engagement? A conceptual framework for defining user engagement with technology , 2008, J. Assoc. Inf. Sci. Technol..

[17]  Nobuhiro Kaji,et al.  Prediction of Prospective User Engagement with Intelligent Assistants , 2016, ACL.

[18]  Timothy W. Bickmore,et al.  Maintaining reality: Relational agents for antipsychotic medication adherence , 2010, Interact. Comput..

[19]  Mick P Couper,et al.  Engagement and Retention: Measuring Breadth and Depth of Participant Use of an Online Intervention , 2010, Journal of medical Internet research.

[20]  Timothy Bickmore,et al.  Testing the comparative effects of physical activity advice by humans vs. computers in underserved populations: The COMPASS trial design, methods, and baseline characteristics. , 2017, Contemporary clinical trials.

[21]  Jodi Asbell-Clarke,et al.  Challenging games help students learn: An empirical study on engagement, flow and immersion in game-based learning , 2016, Comput. Hum. Behav..

[22]  Zarnie Khadjesari,et al.  Impact and Costs of Incentives to Reduce Attrition in Online Trials: Two Randomized Controlled Trials , 2011, Journal of medical Internet research.

[23]  Hayato Kobayashi,et al.  Effects of Game on User Engagement with Spoken Dialogue System , 2015, SIGDIAL Conference.

[24]  Lucy Yardley,et al.  Developing and Evaluating Digital Interventions to Promote Behavior Change in Health and Health Care: Recommendations Resulting From an International Workshop , 2017, Journal of medical Internet research.

[25]  M. Csíkszentmihályi,et al.  The Concept of Flow , 2014 .

[26]  Timothy W. Bickmore,et al.  Increasing Engagement with Virtual Agents Using Automatic Camera Motion , 2016, IVA.

[27]  Timothy W. Bickmore,et al.  Relational Agents Improve Engagement and Learning in Science Museum Visitors , 2011, IVA.

[28]  Nitesh V. Chawla,et al.  SMOTE: Synthetic Minority Over-sampling Technique , 2002, J. Artif. Intell. Res..

[29]  E. Skinner,et al.  Motivation in the classroom: Reciprocal effects of teacher behavior and student engagement across the school year. , 1993 .

[30]  Timothy W. Bickmore,et al.  Birth Control, Drug Abuse, or Domestic Violence? What Health Risk Topics Are Women Willing to Discuss with a Virtual Agent? , 2014, IVA.

[31]  Timothy Bickmore,et al.  Increasing the Engagement of Conversational Agents through Co-Constructed Storytelling , 2015, INT/SBG@AIIDE.

[32]  Timothy W. Bickmore,et al.  MAINTAINING ENGAGEMENT IN LONG-TERM INTERVENTIONS WITH RELATIONAL AGENTS , 2010, Appl. Artif. Intell..

[33]  Ann Blandford,et al.  Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis , 2016, Translational behavioral medicine.

[34]  Max Van Kleek,et al.  Measurements of engagement in mobile behavioural interventions , 2015 .