Designing for Adolescent Voice in Health Decisions: Embodied Conversational Agents for HPV Vaccination

Fuente: arXiv
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Auteurs principaux: Steenstra, Ian, Patkar, Neha, Perkins, Rebecca B., Paasche-Orlow, Michael K., Bickmore, Timothy
Format: Preprint
Publié: 2026
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author Steenstra, Ian
Patkar, Neha
Perkins, Rebecca B.
Paasche-Orlow, Michael K.
Bickmore, Timothy
author_facet Steenstra, Ian
Patkar, Neha
Perkins, Rebecca B.
Paasche-Orlow, Michael K.
Bickmore, Timothy
contents Adolescents are directly affected by preventive health decisions such as vaccination, yet their perspectives are rarely solicited or supported. Most digital interventions for Human Papillomavirus (HPV) vaccination are designed exclusively for parents, implicitly treating adolescents as passive recipients rather than stakeholders with agency. We present the design and evaluation of a mobile intervention that gives adolescents a voice in HPV vaccination decisions alongside their parents. The system uses embodied conversational agents tailored to each audience: parents interact with an animated physician using education and motivational interviewing techniques, while adolescents can choose between an age-appropriate doctor or a narrative fantasy game that conveys HPV facts through play. We report findings from a clinic-based pilot study with 21 parent-adolescent dyads. Results indicate high satisfaction across both audiences, improved HPV knowledge, and increased intent to vaccinate. We discuss design implications for supporting adolescent participation, choice, and agency in decisions about their health.
format Preprint
id arxiv_https___arxiv_org_abs_2603_05321
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Designing for Adolescent Voice in Health Decisions: Embodied Conversational Agents for HPV Vaccination
Steenstra, Ian
Patkar, Neha
Perkins, Rebecca B.
Paasche-Orlow, Michael K.
Bickmore, Timothy
Human-Computer Interaction
Adolescents are directly affected by preventive health decisions such as vaccination, yet their perspectives are rarely solicited or supported. Most digital interventions for Human Papillomavirus (HPV) vaccination are designed exclusively for parents, implicitly treating adolescents as passive recipients rather than stakeholders with agency. We present the design and evaluation of a mobile intervention that gives adolescents a voice in HPV vaccination decisions alongside their parents. The system uses embodied conversational agents tailored to each audience: parents interact with an animated physician using education and motivational interviewing techniques, while adolescents can choose between an age-appropriate doctor or a narrative fantasy game that conveys HPV facts through play. We report findings from a clinic-based pilot study with 21 parent-adolescent dyads. Results indicate high satisfaction across both audiences, improved HPV knowledge, and increased intent to vaccinate. We discuss design implications for supporting adolescent participation, choice, and agency in decisions about their health.
title Designing for Adolescent Voice in Health Decisions: Embodied Conversational Agents for HPV Vaccination
topic Human-Computer Interaction
url https://arxiv.org/abs/2603.05321