This study suggests a way to utilize the existing medical ontology and natural language processing techniques to extract major medical concepts from lay vocabularies of health consumers on social media and group them based on the defined semantic types in the ontology. Diabetes-related discussions on Tumblr was used to test the efficiency of SpaCy and the Markov-Viterbi algorithm to map lay medical terms to the defined medical concepts in the UMLS. The system discussed in this paper can better analyze free texts, take care of word ambiguity and extract the lifestyle indicators from the daily life discussions of diabetic people on Tumblr. The findings of this study can contribute to developing health applications that track the health behavior of those living with chronic conditions such as diabetes. This approach can also assist researchers who are interested in processing lay languages used by health consumers to foster an understanding of their health behavior.

Conversational agents have gained their ground in our daily life and various domains including healthcare. Chronic condition self-management is one of the promising healthcare areas in which conversational agents demonstrate significant potential to contribute to alleviating healthcare burdens from chronic conditions. This survey paper introduces and outlines types of conversational agents, their generic architecture and workflow, the implemented technologies, and their application to chronic condition self-management.

The integration of motivational strategies and self-management theory with mHealth tools is a promising approach to changing the behavior of patients with chronic disease. In this manuscript, we describe the development and current architecture of a prototype voice-activated self-monitoring application (VoiS) which is based on these theories. Unlike prior mHealth applications which require textual input, VoiS app relies on the more convenient and adaptable approach of asking users to verbally input markers of diabetes and hypertension control through a smart speaker. The VoiS app can provide real-time feedback based on these markers; thus, it has the potential to serve as a remote, regular, source of feedback to support behavior change. To enhance the usability and acceptability of the VoiS application, we will ask a diverse group of patients to use it in real-world settings and provide feedback on their experience. We will use this feedback to optimize tool performance, so that it can provide patients with an improved understanding of their chronic conditions. The VoiS app can also facilitate remote sharing of chronic disease control with healthcare providers, which can improve clinical efficacy and reduce the urgency and frequency of clinical care encounters. Because the VoiS app will be configured for use with multiple platforms, it will be more robust than existing systems with respect to user accessibility and acceptability.