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[论文解读] From Efficiency to Meaning: Adolescents' Envisioned Role of AI in Health Management

Jamie Lee, Kyuha Jung|arXiv (Cornell University)|Feb 27, 2026
Digital Mental Health Interventions被引用 0
一句话总结

论文使用设计虚构与共设计，邀请23名青少年，探讨 AI 如何在家庭乳糜泻病情管理与健康学习中提供支持，揭示从理解与自主到认知缓解与家庭调解等多重角色。

ABSTRACT

While prior research has focused on providers, caregivers, and adult patients, little is known about adolescents' perceptions of AI in health learning and management. Utilizing design fiction and co-design methods, we conducted seven workshops with 23 adolescents (aged 14-17) to understand how they anticipate using health AI in the context of a family celiac diagnosis. Our findings reveal that adolescents have four main envisioned roles of health AI: enhancing health understanding and help-seeking, reducing cognitive burden, supporting family health management, and providing guidance while respecting their autonomy. We also identified nuanced trust and a divided view on emotional support from health AI. These findings suggest that adolescents perceive AI's value as a tool that moves them from efficiency to meaning-one that creates time for valued activities. We discuss opportunities for future health AI systems to be designed to encourage adolescent autonomy and reflection, while also supporting meaningful, dialectical activities.

研究动机与目标

  • 在乳糜泻诊断情境中，调查青少年对 AI 在自身及家庭健康管理中作用的看法。
  • 识别青少年对健康 AI 在学习、症状理解与与可信成人讨论方面所期望的益处。
  • 考察青少年在与健康 AI 互动时对信任与情感支持的担忧。
  • 阐明 AI 如何在促进家庭协作完成健康任务的同时，支持青少年的自主性。

提出的方法

  • 采用设计虚构，在家庭健康（乳糜泻）情境中创建渐进的健康 AI 场景。
  • 与23名14-17岁的青少年共同设计AI支持概念，开展七场工作坊。
  • 依循Braun与Clarke的归纳性主题分析，对工作坊记录文本进行分析，以提炼关于 AI 角色与关切的主题。
  • 与医生合作，让场景具有临床相关性并确保健康情境的适切性。
  • 在获得同意后录制会谈，并分析769分钟的视频数据以提取定性见解。
Figure 1. Examples of initial questions raised by adolescents when confronted with mother’s celiac disease diagnosis
Figure 1. Examples of initial questions raised by adolescents when confronted with mother’s celiac disease diagnosis

实验结果

研究问题

  • RQ1RQ1：青少年如何设想 AI 在支持个人与家庭健康管理中的角色？
  • RQ2RQ2：青少年在所设想的健康 AI 系统中有哪些担忧？

主要发现

  • 青少年期望健康 AI 提升健康理解与自我及家人健康求助的能力。
  • AI 被视为能降低认知负担、帮助进行症状自我评估与健康监测。
  • AI 能调解家庭健康管理，支持协作完成健康任务，同时不削弱自主性。
  • 参与者将 AI 视为尊重青少年独立性的向导，不应取代人类主导的护理，体现从效率向有意义参与的转变。
  • 来自 AI 的信任与情感支持具有情境依赖性，并随健康 Stakes 与任务类型而异。
Figure 2. Examples of co-designed health AI systems for mother’s celiac disease management (A: an AI app by Workshop 7 participants, B: an AI robot by Workshop 6 participants, C: an AI system with a robot and a smartwatch by Workshop 3 participants, and D: an AI food scale scanner by Workshop 4 part
Figure 2. Examples of co-designed health AI systems for mother’s celiac disease management (A: an AI app by Workshop 7 participants, B: an AI robot by Workshop 6 participants, C: an AI system with a robot and a smartwatch by Workshop 3 participants, and D: an AI food scale scanner by Workshop 4 part

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