title: Artificial intelligence and immediacy: designing health communication to personally engage consumers and providers.
abstract: OBJECTIVE
  We describe how ehealth communication programs can be improved by using artificial intelligence (AI) to increase immediacy.
  
  
  METHODS
  We analyzed major deficiencies in ehealth communication programs, illustrating how programs often fail to fully engage audiences and can even have negative consequences by undermining the effective delivery of information intended to guide health decision-making and influence adoption of health-promoting behaviors. We examined the use of AI in ehealth practices to promote immediacy and provided examples from the ChronologyMD project.
  
  
  RESULTS
  Strategic use of AI is shown to help enhance immediacy in ehealth programs by making health communication more engaging, relevant, exciting, and actionable.
  
  
  CONCLUSIONS
  AI can enhance the "immediacy" of ehealth by humanizing health promotion efforts, promoting physical and emotional closeness, increasing authenticity and enthusiasm in health promotion efforts, supporting personal involvement in communication interactions, increasing exposure to relevant messages, reducing demands on healthcare staff, improving program efficiency, and minimizing costs.
  
  
  CONCLUSIONS
  User-centered AI approaches, such as the use of personally involving verbal and nonverbal cues, natural language translation, virtual coaches, and comfortable human-computer interfaces can promote active information processing and adoption of new ideas. Immediacy can improve information access, trust, sharing, motivation, and behavior changes.
authors.affiliation: George Mason University, Fairfax, VA 22030, USA. gkreps@gmu.edu
authors.forename: Gary L
authors.initials: GL
authors.lastname: Kreps
authors.forename: Linda
authors.initials: L
authors.lastname: Neuhauser
mesh_terms: D001185:Artificial Intelligence; D003142:Communication; D003256:Community Participation; D054626:Consumer Health Information / Q000592:standards*; D003424:Crohn Disease; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D015397:Program Evaluation; D017216:Telemedicine; D013997:Time Factors
keywords: Artificial intelligence; Consumer engagement; Crohn's disease; Health communication; Immediacy; Participatory design