Development and Validation of Conversational Agent to Pregnancy Safe-education.

Pregnant women constantly need some information to support nutritional decisions during pregnancy, and many do not receive such assistance at all. This study aims to present a conversational agent to provide reliable information to pregnant women, focusing on nutritional education and evaluating the perception of pregnant women and health professionals about the agent. As a scientific contribution, this article developed and implemented a conversational agent in a real environment capable of generating reliable responses on the basis of a set of health documents. We proposed an intervention study with 25 women and 10 healthcare providers through a survey to measure the perceptions of these groups towards conversational agents. The results show that the intended design could ensure positive support for pregnant women, clarify certain issues for the public, and remove some knowledge barriers. The results showed no significant difference between the groups (p-value = 0.713). Depending on the perception of the pregnant group, the conversational agent model can teach new knowledge during the prenatal period (Mean = 4.56). The model presented for health professionals could already be indicated as a support tool for pregnant women (Mean = 4.7).

The HoPE Model Architecture: a Novel Approach to Pregnancy Information Retrieval Based on Conversational Agents.

Conversational agents are used to communicating with humans in a friendly manner. To achieve the highest level of performance, agents need to respond assertively and fastly. Transformer architectures are shown to produce excellent performances on recent tasks; however, for tasks involving conversational agents, they may have a lower speed performance. The main goal of this study is to evaluate and propose a HoPE (Healthcare Obstetric in PrEgnancy) model that is tailored to pregnancy data. We carried out a dataset extraction and construction process based on collections of health documents related to breastfeeding, childcare, pregnant care, nutrition, risks, vaccines, exams, and physical exercises. We evaluated two pre-trained models in the Portuguese language for the conversational agent architecture proposal and chose the one with the best performance to compose the HoPE architecture. The BERTimbau model, which has been trained on data augmentation strategies, proves to be able to retrieve information quickly and most accurately than others. For the fine-tuning process, we achieved a Spearman correlation of 95.55 on BERTimbau augmented with a few pairs (1.500 pairs). The HoPE model architecture achieved an F1-Score of 0.89, outperforming other combinations tested in this study. We will evaluate this approach for clinical studies in future studies.