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2.Recently, another systematic literature review of conversational
agents focused on health care was published ( Laranjo et al., 2018 ).This technique is focused mainly on signal processing,
syntactic and semantic analysis of discourse, and pragmatics,
thus allowing natural language generation to provide meaningful
conversation based on context analysis ( Ganesh, Harsha, Pingali, &
Verma, 2008 ).Conversational agents may be considered virtual avatars with
verbal or non-verbal communication characteristics, executing a
human-to-machine interactive task ( Wargnier et al., 2015 ).2.1.


النص الأصلي


  1. Conversational agents
    One premise of conversational agents is engagement, which is
    defined as a conversational process between agents and users. This
    process should observe and analyze the behavior of other participants
    with voice or visual tools helping to focus the attention of
    individuals on communication. In this sense, conversational agents
    execute a vital role in facilitating engagement, which is a major
    goal of the technology developer ( Wargnier et al., 2015 ).
    Conversational agents may be considered virtual avatars with
    verbal or non-verbal communication characteristics, executing a
    human-to-machine interactive task ( Wargnier et al., 2015 ). Also
    called relational agents, they can emulate some human characteristics,
    using different types of interactions such as speech, gaze,
    hand gestures, and other nonverbal modalities ( Wang et al., 2015 ).
    These types of interactions are called multimodal communication,
    being very useful in the health field by providing potential personal
    interfaces to interact with users from the health care domain
    ( Turunen et al., 2011 ).
    In the health context, the use of agents for education has been
    widely explored, with several applications having been introduced
    in the therapeutic and patient care context ( Wang et al., 2015 ).
    Robots have been tested continuously for elderly care with features
    that support physicians by providing advice and insights to
    treat elderly patients ( Heerink, Kröse, Evers, & Wielinga, 2010 ).
    Conversational agents act in any environment to gather information
    and use it in their interactions through knowledge engineering
    processes ( López, Eisman, & Castro, 2008 ). This gathering
    process can allow an agent to perform different functions based
    on the current necessity, e.g., some studies used speech and language
    techniques to detect dementia in patients ( Aramaki, Shikata,
    Miyabe, & Kinoshita, 2016; Fraser, Meltzer, & Rudzicz, 2016; Tanaka
    et al., 2017a ).
    In this sense agents are helpful tools for human-machine interaction,
    allowing the input of data via natural language, processing
    sentences, and returning answers accurately through text or speech
    ( Galvao, Barros, Neves, & Ramalho, 2004 ). Some agents apply probabilistic
    techniques to improve dialog. Natural language processing
    (NLP) is one of the primary tools for interactions between humans
    and agents. This technique is focused mainly on signal processing,
    syntactic and semantic analysis of discourse, and pragmatics,
    thus allowing natural language generation to provide meaningful
    conversation based on context analysis ( Ganesh, Harsha, Pingali, &
    Verma, 2008 ). In this way, conversational agents can be successful
    in creating an informal connection with their users ( Iftene &
    Vanderdonckt, 2016 ).
    Therefore, conversational agents can use artificial intelligence
    algorithms to interpret user dialog and conduct useful interactions
    with users. Approaches such as reinforcement learning have gained
    popularity in the conversational agents field, demonstrating better
    results than approaches based on rules and other techniques
    ( Yasavur et al., 2014 ).
    2.1. Related work
    Articles related to the context of our study are presented
    in the following review. The survey by Abdul-Kader and
    Woods (2015) discussed different techniques, architectures designs,
    and methods from papers related to speech interactions through
    conversational agents, identifying significant improvements in this
    area over the past decade.
    Architectures have become a common research topic in the last
    few years. The study by D’Alfonso et al. (2017) presented a multimodal
    semantic architecture based on ontologies and inferences.
    In D’Haro et al. (2017) the focus was develop a modular platform
    to combine different types of technologies to provide testing and
    checking. Conversational agents play an essential role in integration
    with other technologies in this architecture.
    In the study by Kar and Haldar (2016) , an architecture involving
    the Internet of Things (IoT) and conversational agents was proposed
    to identify the challenges and shortcomings of existing IoT
    systems.
    Recently, another systematic literature review of conversational
    agents focused on health care was published ( Laranjo et al., 2018 ).
    The study presents specific characteristics of conversational agents,
    posing research questions toward the health domain by assessing
    aspects including main characteristics and study methods. In this
    sense, there are some critical differences with our study. In their
    article, the focus is more specific to the health field than on the intersection
    of health and computer science. For instance, their survey
    does not include many articles on computer science, which is
    reflected in the final corpus of 40 articles in our survey and 17 in
    theirs. Furthermore, our proposed taxonomy is more comprehensive,
    expanding on the agent and architecture aspects, and details
    systems and techniques used by conversational agents. Finally, the
    research questions aim to elucidate some aspects different from
    the other study, including goals, main contexts, and proposals in
    the health domain.
    According to several research results, and considering the related
    work, this article answers the central question: What are the
    main interactions, architectures, and dialogues that involve conversational
    agents? In this sense, this article aims to develop a systematic
    literature review of conversational agents in health care to
    better understand the concepts, challenges, goals, types of interactions,
    and contexts related to this subject.


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