Fig. 5: Implementation and delivery of the digital intervention.
The SAR intervention was designed as complementary to standard care rather than replacing human staff functions, aligning with current best practices in healthcare technology implementation and ethical considerations around patient safety27,28,29. To ensure response accuracy and clinical appropriateness, all the SAR dialog content underwent systematic validation (see Table 5). The clinical staff, including nurses, physicians, and physiotherapists, were facilitated in the design/definition phase, but also reviewed and approved all the programmed responses during the system development phase. This ensured that all the critical clinical functions remained under human oversight, while leveraging the SAR’s unique capabilities for consistent, available-on-demand educational support and interaction.
