#Patients tell more secrets to virtual humans Patients are more willing to disclose personal information to virtual humans than to actual ones, likely because computers don make judgments or look down on people the way another human might. The findings show promise for people suffering from posttraumatic stress and other mental anguish, says Gale Lucas, a social psychologist at University of Southern California Institute for Creative Technologies. In intake interviews, people were more honest about their symptoms, no matter how potentially embarrassing, when they believed that a human observer wasn in on the conversation. n any given topic, there a difference between what a person is willing to admit in person versus anonymously, Lucas says. The study provides the first empirical evidence that virtual humans can increase a patient willingness to disclose personal information in a clinical setting. It also presents compelling reasons for doctors to start using virtual humans as medical screeners. The honest answers acquired by a virtual human could help doctors diagnose and treat their patients more appropriately. Virtual humans For the study, which will appear in Computers in Human Behavior, researchers recruited 239 adults through Craigslist. The participants, whose ages ranged from 18 to 65, were invited to a laboratory to interact with a virtual human as if they were being admitted to a clinic or hospital. Subjects were interviewed as part of an evaluation of Simsensei, a virtual human application that can be used to identify signals of depression and other mental health issues through real-time sensing and recognition of nonverbal behaviors. It is a research project designed to assess the potential of such technology and is based on more than 10 years of virtual human research and development at ICT. Some participants were told the virtual human responses were automated fully others were told that the responses were controlled remotely, puppet-like, by a human observer in another room. In reality, all participants were assigned randomly a fully or semi-automated virtual human, regardless of what they were told, and their video interviews were analyzed later by a (human) researcher. The mere belief that participants were interacting with only a computer made them more open and honest, researchers found, even when the virtual human asked personal questions such as, hat something you feel guilty about? or ell me about an event, or something that you wish you could erase from your memory. ay better than talking to a person In addition, video analysis of the study subjectsfacial expressions showed that they were also more likely to show more intense signs of sadnesserhaps the most vulnerable of expressionshen they thought only pixels were present. One participant who thought the virtual human was automated said the experience was ay better than talking to a person. I don really feel comfortable talking about personal stuff to other people. In contrast, a participant who thought the conversation was being observed told researchers wish you hadn told me that other people were in the other room listening in. It was weird, like, I don even know these people. I would have said a lot more stuff if they weren there. Sense of anonymity The virtual human named Ellie opened the conversation with questions such as here are you from originally? and incorporated feedback (sorry to hear that and empathetic listening through facial expressions and nodding. Secondly, ervirtual nature gave participants a sense of anonymity, making them more willing to disclose personal information in a private setting without fear of criticism. e know that developing a rapport and feeling free of judgment are two important factors that affect a person willingness to disclose personal information, says coauthor Jonathan Gratch, director of virtual humans research and a professor of computer science. he virtual character delivered on both these fronts and that is what makes this a particularly valuable tool for obtaining information people might feel sensitive about sharing. The researchers were careful to emphasize that the virtual human could supplementot replacerained clinicians. Still the implications of the findings are plentiful both in terms of reducing costs and improving care. Several are being explored in developing projects, including virtual humans to help detect signs of depression, provide screening services for patients in remote areas, or act as roleplaying partners for training health professionals. The Defense Advanced Research Projects Agency and the US ARMY funded the research. Source: US a
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