source_paper
string
source_section
string
premise
string
target_doi
string
target_paper
string
PMC10007007
Results
Among the 4 RCT studies, the study by Carrasco-Hernandez et al [23] reported the highest compliance relatively (8/12, 67%), followed closely by the study by Piao et al [21] (7/12, 58%).
10.2196/15085
PMC7267999
PMC10007007
Results
The study by Perski et al [24] reported compliance on only 50% (6/12) of the factors, closely followed by the study by Bickmore et al [33] (5/12, 42%).
10.1177/2055207619880676
PMC6775545
PMC10007007
Results
The study by Perski et al [24] reported compliance on only 50% (6/12) of the factors, closely followed by the study by Bickmore et al [33] (5/12, 42%).
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Among the non-RCT studies, the studies by Maher et al [22] and Brar Prayaga et al [30] reported the highest compliance (5/9, 56%), followed closely by the studies by Masaki et al [25], Prochaska et al [31], and To et al [32] (4/9, 44%).
10.2196/17558
PMC7382010
PMC10007007
Results
Among the non-RCT studies, the studies by Maher et al [22] and Brar Prayaga et al [30] reported the highest compliance (5/9, 56%), followed closely by the studies by Masaki et al [25], Prochaska et al [31], and To et al [32] (4/9, 44%).
10.2196/15771
PMC6887813
PMC10007007
Results
Among the non-RCT studies, the studies by Maher et al [22] and Brar Prayaga et al [30] reported the highest compliance (5/9, 56%), followed closely by the studies by Masaki et al [25], Prochaska et al [31], and To et al [32] (4/9, 44%).
10.2196/12694
PMC6399570
PMC10007007
Results
Among the non-RCT studies, the studies by Maher et al [22] and Brar Prayaga et al [30] reported the highest compliance (5/9, 56%), followed closely by the studies by Masaki et al [25], Prochaska et al [31], and To et al [32] (4/9, 44%).
10.2196/24850
PMC8074987
PMC10007007
Results
Among the non-RCT studies, the studies by Maher et al [22] and Brar Prayaga et al [30] reported the highest compliance (5/9, 56%), followed closely by the studies by Masaki et al [25], Prochaska et al [31], and To et al [32] (4/9, 44%).
10.2196/28577
PMC8665384
PMC10007007
Results
Chaix et al [26] reported compliance on only 33% (3/9) of the factors, followed by the studies by Stein and Brooks [28] and Crutzen et al [29] (2/9, 22%).
10.2196/12856
PMC6521209
PMC10007007
Results
Chaix et al [26] reported compliance on only 33% (3/9) of the factors, followed by the studies by Stein and Brooks [28] and Crutzen et al [29] (2/9, 22%).
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
The remaining studies, that is, the studies by Stephens et al [6], Calvaresi et al [27], and Galvão Gomes da Silva et al [5], were complaint on only 11% (1/9) of the factors.
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The AI component of the chatbots was evaluated to demonstrate AI’s impact on health outcomes (Multimedia Appendix 3 [5,6,21-33]).
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The AI component of the chatbots was evaluated to demonstrate AI’s impact on health outcomes (Multimedia Appendix 3 [5,6,21-33]).
10.2196/15085
PMC7267999
PMC10007007
Results
The AI component of the chatbots was evaluated to demonstrate AI’s impact on health outcomes (Multimedia Appendix 3 [5,6,21-33]).
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Out of the 15 studies, 7 (47%) studies [5,21,22,28,29,32,33] targeted healthy lifestyles, and 5 (33%) studies [21,22,28,32,33] assessed the efficacy of AI chatbots in promoting healthy lifestyles through (1) physical activity levels, (2) healthy diet, (3) blood pressure, and (4) BMI.
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
Out of the 15 studies, 7 (47%) studies [5,21,22,28,29,32,33] targeted healthy lifestyles, and 5 (33%) studies [21,22,28,32,33] assessed the efficacy of AI chatbots in promoting healthy lifestyles through (1) physical activity levels, (2) healthy diet, (3) blood pressure, and (4) BMI.
10.2196/15085
PMC7267999
PMC10007007
Results
Out of the 15 studies, 7 (47%) studies [5,21,22,28,29,32,33] targeted healthy lifestyles, and 5 (33%) studies [21,22,28,32,33] assessed the efficacy of AI chatbots in promoting healthy lifestyles through (1) physical activity levels, (2) healthy diet, (3) blood pressure, and (4) BMI.
10.2196/17558
PMC7382010
PMC10007007
Results
Out of the 15 studies, 7 (47%) studies [5,21,22,28,29,32,33] targeted healthy lifestyles, and 5 (33%) studies [21,22,28,32,33] assessed the efficacy of AI chatbots in promoting healthy lifestyles through (1) physical activity levels, (2) healthy diet, (3) blood pressure, and (4) BMI.
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
Out of the 15 studies, 7 (47%) studies [5,21,22,28,29,32,33] targeted healthy lifestyles, and 5 (33%) studies [21,22,28,32,33] assessed the efficacy of AI chatbots in promoting healthy lifestyles through (1) physical activity levels, (2) healthy diet, (3) blood pressure, and (4) BMI.
10.2196/28577
PMC8665384
PMC10007007
Results
Out of the 15 studies, 7 (47%) studies [5,21,22,28,29,32,33] targeted healthy lifestyles, and 5 (33%) studies [21,22,28,32,33] assessed the efficacy of AI chatbots in promoting healthy lifestyles through (1) physical activity levels, (2) healthy diet, (3) blood pressure, and (4) BMI.
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
First, 80% (4/5) of studies [33] reported an increase in physical activity.
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Stein and Brooks [28] reported that the increase in physical activity led to an average weight loss of 2.38% in 75.7% of the users (n=53).
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
Maher et al [22] reported an increase in physical activity by 109.8 minutes (P=.005) and a decrease in the average weight and waist circumference by 1.3 kg (P=.01) and 2.1 cm (P=.003), respectively.
10.2196/17558
PMC7382010
PMC10007007
Results
Piao et al [21] reported significant between-group differences in the Self-Report Habit Index when controlled for intrinsic reward via chatbot enables app (P=.008).
10.2196/15085
PMC7267999
PMC10007007
Results
To et al [32] reported that the participants recorded more steps (P<.01) and more total physical activity (3.58 times higher; P<.001).
10.2196/28577
PMC8665384
PMC10007007
Results
However, only Bickmore et al [33] reported no significant differences among the conditions in the International Physical Activity Questionnaire (P=.37).
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Second, 20% (3/15) of studies [22,28,33] reported an improvement in diet.
10.2196/17558
PMC7382010
PMC10007007
Results
Second, 20% (3/15) of studies [22,28,33] reported an improvement in diet.
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
Second, 20% (3/15) of studies [22,28,33] reported an improvement in diet.
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Stein and Brooks [28] reported that the percentage of healthy meals increased by 31% and the percentage of unhealthy meals decreased by 54%.
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
Maher et al [22] reported an increase in the mean of Mediterranean diet (healthy meal) scores by 5.7 points (P<.001).
10.2196/17558
PMC7382010
PMC10007007
Results
Bickmore et al [33] reported that the group with only diet-related intervention consumed significantly more fruits and vegetables than the groups which received only physical activity intervention or both physical activity and diet intervention (P=.005); however, there were no significant differences among different groups for weight (P=.37).
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Third, Maher et al [22] assessed blood pressure level after intervention as a secondary outcome; however, the mean improvement in systolic blood pressure (-0.2 mmHg; P=.90) and diastolic blood pressure (−1.0 mmHg; P=.54) were not significant.
10.2196/17558
PMC7382010
PMC10007007
Results
Fourth, only To et al [32] reported that the decrease in BMI was not significant (95% CI −0.37 to 0.11).
10.2196/28577
PMC8665384
PMC10007007
Results
Out of the 15 studies, 4 (27%) studies [23-25,27] assessed the efficacy of AI chatbots in smoking cessation.
10.2196/17530
PMC7215523
PMC10007007
Results
Out of the 15 studies, 4 (27%) studies [23-25,27] assessed the efficacy of AI chatbots in smoking cessation.
10.2196/12694
PMC6399570
PMC10007007
Results
Perski et al [24] reported that the intervention group had 2.44 times greater odds of abstinence at the 1-month follow-up than the control group (P<.001).
10.1177/2055207619880676
PMC6775545
PMC10007007
Results
Masaki et al [25] reported that the overall continuous abstinence rate results (76%, 12 weeks; 64%, 24 weeks; and 58%, 52 weeks) were better than the results of the outpatient clinic (calculated through the national survey) and the varenicline (medication for smoking cessation) phase 3 trial in the United States and Japan.
10.2196/12694
PMC6399570
PMC10007007
Results
Masaki et al [25] reported a decrease in social nicotine dependence (mean −6.7, SD 5.2), tobacco craving (mean −0.6, SD 1.5), and withdrawal symptoms (mean −6.4, SD 5.8), their secondary outcomes.
10.2196/12694
PMC6399570
PMC10007007
Results
Carrasco-Hernandez et al [23] reported that smoking abstinence (exhaled carbon monoxide and urine cotinine test) was 2.15 times (P=.02) higher in the intervention group than in the control group.
10.2196/17530
PMC7215523
PMC10007007
Results
Out of the 15 studies, only 1 (7%) study [31] aimed at reducing problematic substance use.
10.2196/24850
PMC8074987
PMC10007007
Results
Prochaska et al [31] reported a significant increase in the confidence to resist urges to use substances (mean score change +16.9, SD 21.4; P<.001) and a significant decrease in the following: substance use occasions (mean change −9.3, SD 14.1; P<.001) and the scores of Alcohol Use Disorders Identification Test-Concise (mean change −1.3, SD 2.6; P<.001), 10-item Drug Abuse Screening Test (mean change −1.2, SD 2.0; P<.001), Patient Health Questionnaire-8 item (mean change 2.1, SD 5.2; P=.005), Generalized Anxiety Disorder-7 (mean change 2.3, SD 4.7; P=.001), and cravings scale (68.6% vs 47.1% moderate to extreme; P=.01).
10.2196/24850
PMC8074987
PMC10007007
Results
Out of the 15 studies, 3 (20%) studies [6,26,30] targeted medication or treatment adherence, but only 2 (67%) of these studies [26,30] reported the efficacy of AI chatbots in increasing treatment or medication adherence through timely and personalized reminders.
10.2196/12856
PMC6521209
PMC10007007
Results
Out of the 15 studies, 3 (20%) studies [6,26,30] targeted medication or treatment adherence, but only 2 (67%) of these studies [26,30] reported the efficacy of AI chatbots in increasing treatment or medication adherence through timely and personalized reminders.
10.2196/15771
PMC6887813
PMC10007007
Results
Brar Prayaga et al [30] reported that out of the total refill reminders (n=273,356), 17.4% (n=47,552) resulted in actual refill requests.
10.2196/15771
PMC6887813
PMC10007007
Results
Chaix et al [26] reported that the average medication adherence rate improved by more than 20% in 4 weeks (P=.40) through the prescription reminder feature.
10.2196/12856
PMC6521209
PMC10007007
Results
Only one study conducted a qualitative analysis, that is, the study by Galvão Gomes da Silva et al [5].
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The outcomes of the selected studies are reported in Multimedia Appendix 4 [5,6,21-33].
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The outcomes of the selected studies are reported in Multimedia Appendix 4 [5,6,21-33].
10.2196/15085
PMC7267999
PMC10007007
Results
The outcomes of the selected studies are reported in Multimedia Appendix 4 [5,6,21-33].
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Out of the 15 studies, 11 (73%) reported the feasibility of AI chatbots in terms of (1) safety [22] (ie, no adverse events were reported), (2) messages exchanged with the chatbot [6,26,29,31,32], (3) retention rate [22,26], and (4) duration of engagement.
10.2196/17558
PMC7382010
PMC10007007
Results
Out of the 15 studies, 11 (73%) reported the feasibility of AI chatbots in terms of (1) safety [22] (ie, no adverse events were reported), (2) messages exchanged with the chatbot [6,26,29,31,32], (3) retention rate [22,26], and (4) duration of engagement.
10.2196/12856
PMC6521209
PMC10007007
Results
Out of the 15 studies, 11 (73%) reported the feasibility of AI chatbots in terms of (1) safety [22] (ie, no adverse events were reported), (2) messages exchanged with the chatbot [6,26,29,31,32], (3) retention rate [22,26], and (4) duration of engagement.
10.2196/24850
PMC8074987
PMC10007007
Results
Out of the 15 studies, 11 (73%) reported the feasibility of AI chatbots in terms of (1) safety [22] (ie, no adverse events were reported), (2) messages exchanged with the chatbot [6,26,29,31,32], (3) retention rate [22,26], and (4) duration of engagement.
10.2196/28577
PMC8665384
PMC10007007
Results
Only 7% (1/15) of studies [22] reported the chatbot’s safety in terms of the absence of adverse events.
10.2196/17558
PMC7382010
PMC10007007
Results
Many studies reported the total number of messages exchanged with the chatbot (5/15, 33%) [6,26,29,31,32]; however, only 7% (1/15) of studies reported the exact proportion of user-initiated conversations (approximately 30%) [6], which depicted the participants’ level of interest in having health-related conversations with the chatbot.
10.2196/12856
PMC6521209
PMC10007007
Results
Many studies reported the total number of messages exchanged with the chatbot (5/15, 33%) [6,26,29,31,32]; however, only 7% (1/15) of studies reported the exact proportion of user-initiated conversations (approximately 30%) [6], which depicted the participants’ level of interest in having health-related conversations with the chatbot.
10.2196/24850
PMC8074987
PMC10007007
Results
Many studies reported the total number of messages exchanged with the chatbot (5/15, 33%) [6,26,29,31,32]; however, only 7% (1/15) of studies reported the exact proportion of user-initiated conversations (approximately 30%) [6], which depicted the participants’ level of interest in having health-related conversations with the chatbot.
10.2196/28577
PMC8665384
PMC10007007
Results
Few studies [22,23,26] reported variability in engagement and retention rate across study durations.
10.2196/17558
PMC7382010
PMC10007007
Results
Few studies [22,23,26] reported variability in engagement and retention rate across study durations.
10.2196/17530
PMC7215523
PMC10007007
Results
Few studies [22,23,26] reported variability in engagement and retention rate across study durations.
10.2196/12856
PMC6521209
PMC10007007
Results
Overall, 7% (1/15) of studies reported a gradual decrease in the retention rate (users who sent at least 1 message per month for over 8 months)—from 72% (second month) to 31% (eighth month) [26].
10.2196/12856
PMC6521209
PMC10007007
Results
Similarly, another study reported that engagement was highest at the first month and reduced gradually, becoming lowest at the 12th month [23].
10.2196/17530
PMC7215523
PMC10007007
Results
Similarly, another study [22] reported a decrease in check-ins by 20% midprogram, followed by an increase to 70% in the final week.
10.2196/17558
PMC7382010
PMC10007007
Results
It was also interesting to note that in one of the studies (7%), the engagement rate decreased over time but increased at the end [22].
10.2196/17558
PMC7382010
PMC10007007
Results
In the case of satisfaction, 7% (1/15) of studies reported that approximately one-quarter of the participants liked the messages [32], and another (7%) reported that the satisfaction of the participants with the web-based agent was above average [33].
10.2196/28577
PMC8665384
PMC10007007
Results
In the case of satisfaction, 7% (1/15) of studies reported that approximately one-quarter of the participants liked the messages [32], and another (7%) reported that the satisfaction of the participants with the web-based agent was above average [33].
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
In 7% (1/15) of studies, only one-third of the participants reported the desire to use the chatbot in the future [32], and in another study (7%), on average, the participants reported a below-average desire to continue with the agent in the future [33].
10.2196/28577
PMC8665384
PMC10007007
Results
In 7% (1/15) of studies, only one-third of the participants reported the desire to use the chatbot in the future [32], and in another study (7%), on average, the participants reported a below-average desire to continue with the agent in the future [33].
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
Similarly, another study (7%) reported that the participants liked the chatbot’s advice one-third of the times [25].
10.2196/12694
PMC6399570
PMC10007007
Results
Only 7% (1/15) of studies [26] reported high user satisfaction (93.95%).
10.2196/12856
PMC6521209
PMC10007007
Results
Overall, 20% (3/15) of studies reported that the AI platforms offered a nonjudgmental safe space for users to share detailed and sensitive information [5,26,29].
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
Overall, 20% (3/15) of studies reported that the AI platforms offered a nonjudgmental safe space for users to share detailed and sensitive information [5,26,29].
10.2196/12856
PMC6521209
PMC10007007
Results
The participants reported that the chatbots provided a personal space and time to think and respond uninterruptedly [5]; to share personal and intimate information such as sexuality, which they could not share with their physician directly [26]; and to ask questions regarding sex, drugs, and alcohol as they considered chatbots to be more anonymous and faster than information lines and search engines [29].
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The participants reported that the chatbots provided a personal space and time to think and respond uninterruptedly [5]; to share personal and intimate information such as sexuality, which they could not share with their physician directly [26]; and to ask questions regarding sex, drugs, and alcohol as they considered chatbots to be more anonymous and faster than information lines and search engines [29].
10.2196/12856
PMC6521209
PMC10007007
Results
Masaki et al [25] reported the number of calls made to the AI nurse to seek assistance for smoking impulses or side effects (mean 1.7 times, SD 2.4), demonstrating the need for AI chatbot at a critical time.
10.2196/12694
PMC6399570
PMC10007007
Results
In 7% (1/15) of studies [32], most participants reported technical issues in using the chatbot (82.3%), one of the reasons being that they stopped receiving the chatbot messages during the study period (84.1%).
10.2196/28577
PMC8665384
PMC10007007
Results
The chatbot intervention characteristics are summarized in Multimedia Appendix 5 [5,6,21-33].
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The chatbot intervention characteristics are summarized in Multimedia Appendix 5 [5,6,21-33].
10.2196/15085
PMC7267999
PMC10007007
Results
The chatbot intervention characteristics are summarized in Multimedia Appendix 5 [5,6,21-33].
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
The cognitive behavioral therapy (CBT) was used in Tess [6], Lark Health Coach (HCAI) [28], and Woebot [31] to devise strategies that enhance self-efficacy and sustain behavior change.
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
The cognitive behavioral therapy (CBT) was used in Tess [6], Lark Health Coach (HCAI) [28], and Woebot [31] to devise strategies that enhance self-efficacy and sustain behavior change.
10.2196/24850
PMC8074987
PMC10007007
Results
Similarly, in Woebot [31], CBT was clubbed with motivational interviewing and dialectical behavior therapy to provide emotional support and personalized psychoeducation to resist substance misuse.
10.2196/24850
PMC8074987
PMC10007007
Results
The theory of motivational interviewing was also used to devise interview questions addressed by NAO [5] (the social robot) and the motivation reinforcement messages provided by Bickmore et al’s [33] Chat1.
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
The theory of motivational interviewing was also used to devise interview questions addressed by NAO [5] (the social robot) and the motivation reinforcement messages provided by Bickmore et al’s [33] Chat1.
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
In HCAI [28], CBT was clubbed with the Diabetes Prevention Program’s curriculum to develop content for conversations on weight loss.
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
The Mohr’s Model of Supportive Accountability, which states that the inclusion of human support in digital interventions increases engagement, was used to mimic human support in Smoke Free app (SFA) [24] to increase accountability and belongingness.
10.1177/2055207619880676
PMC6775545
PMC10007007
Results
Furthermore, SFA’s [24] behavior change techniques were coded against a 44-item taxonomy of behavior change techniques in individual behavioral support for smoking cessation.
10.1177/2055207619880676
PMC6775545
PMC10007007
Results
The transtheoretical model (TTM) of behavior change was used by Carrasco-Hernandez et al [23] to determine message frequency for the AI chatbot.
10.2196/17530
PMC7215523
PMC10007007
Results
Similarly, TTM was used in Bickmore et al’s [33] Chat1 to design the behavioral monitoring process, which included reviewing progress, identifying barriers, and solving problems.
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
The Capability, Opportunity, Motivation, Behavior model, the core of the Behavior Change Wheel, a behavioral system focusing on 3 components—capability, opportunity, and motivation—was used in To et al’s [32] Ida to set goals, monitor behavior, reinforce behavior change through motivational messages.
10.2196/28577
PMC8665384
PMC10007007
Results
Social cognitive theory was also used in Ida [32] to facilitate therapeutic dialog actions (ie, talk therapy) and homework sessions outside the agent counseling sessions.
10.2196/28577
PMC8665384
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.2196/17558
PMC7382010
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.1177/2055207619880676
PMC6775545
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.2196/jmir.7737
PMC5958282
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.2196/diabetes.8590
PMC6238835
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.2196/28577
PMC8665384
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.1016/j.pec.2013.05.011
PMC3727973
PMC10007007
Results
These chatbots targeted healthy lifestyles (7/8, 88%; HLCC, Paola [22], SFA [24], NAO [5], HCAI [28], Ida [32], and Chat1 [33]) and the reduction of substance misuse (1/8, 12%; Woebot [31]).
10.2196/24850
PMC8074987
PMC10007007
Results
The chatbots that targeted healthy lifestyles (5/11, 45%; HLCC, Paola [22], HCAI [28], Ida [32], and Chat1 [33]) enabled behavioral monitoring by consistently providing feedback through performance content and pictures, weekly check-ins, and data-based inputs on performance.
10.2196/17558
PMC7382010