研發預立醫療照護諮商（ACP）衛教機器人之初探

Preliminary Exploration of Developing an Educational Robot for Advance Care Planning (ACP) Consultation

目的：本研究旨在開發一款專門用於預立醫療照護諮商（ACP）前的衛教型機器人，減輕民眾在討論生死議題時的心理壓力，於醫療人員介入前，提供初步的衛教資訊，替生命末期做好預先決策。
方法：本研究在活動後採兩種方式進行使用者體驗資料搜集，以量性為主，採結構式問卷進行調查；輔以質性訪談，針對台灣北部地區之社區活動據點、樂齡大學等五個場域，每場域選取兩位長者進行體驗，了解其對機器人的使用成效。
結果：10位參與長者認為利用衛教型機器人進行預立醫療照護相關衛教宣導活動，在學習投入持正向評價，其中，實用性與價值性有評價最高（平均數分別為6.30，滿分為7）；而使用衛教機器人的經驗也讓參與者覺得滿意（平均分數3.70，滿分5），願意再使用意圖高（平均分數4.00，滿分5）。另外，訪談長輩表示活動進行後不僅能增加對預立醫療的認知，而且過程中對機器人可愛外型與友善互動設計印象深刻。
建議：可透過技術優化（例如：閩南語辨識）與內容升級（例如：課程進度彈性調整）進一步提升使用體驗與應用範圍，在設計與技術上仍有改善空間，以更全面滿足用戶需求並進一步提升應用效益。

Purpose: This study aims to develop a health education robot specifically designed for Advance Care Planning (ACP). The goal is to alleviate the psychological stress associated with discussing end-of-life topics, providing initial educational information before medical professionals intervene, and facilitating proactive decision-making for end-of-life care.
Methods: This study collected user experience data after the activity using two methods. The first involved quantitative data collection through structured questionnaires. The second employed a qualitative approach, utilizing a self-designed interview guide. The study targeted elder from community and lifelong learning institutions in northern Taiwan, selecting two participants from each site to engage with the robot. This approach aimed to assess the effectiveness of the robot based on their experiences.
Results: The 10 participants believed that the use of health education robots to carry out health education promotion activities related to advance medical care had positive evaluations on learning investment. Among them, practicality and value had the highest evaluation (average values were 6.30, full score respectively) is 7); and the experience of using the health education robot also made the participants feel satisfied (average score 3.70, out of 5), and their willingness to use it again was high (average score 4.00, out of 5). In addition, during the interview, it was found that the activity not only increased the awareness of proactive medical care, but also left a deep impression on the robot's cute appearance and friendly interactive design.
Recommendations: The user experience and application scope can be further enhanced through technical optimizations (e.g., Taiwanese dialect recognition) and content upgrades (e.g., flexible course progress adjustments). There is still room for improvement in design and technology to more comprehensively meet user needs and further amplify the benefits of application.