source_paper
string | source_section
string | premise
string | target_doi
string | target_paper
string |
|---|---|---|---|---|
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/diabetes.8590
|
PMC6238835
|
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.
|
10.2196/28577
|
PMC8665384
|
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.
|
10.1016/j.pec.2013.05.011
|
PMC3727973
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (3/11, 27%; DigiQuit [23], SFA [24], and SMAG [27]) offered data-driven feedback on health indicators through web-based diaries and graphs.
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (3/11, 27%; DigiQuit [23], SFA [24], and SMAG [27]) offered data-driven feedback on health indicators through web-based diaries and graphs.
|
10.1177/2055207619880676
|
PMC6775545
|
PMC10007007
|
Results
|
The chatbots that targeted medication or treatment adherence (2/11, 18%; Vik [26] and mPulse [30]) offered timely reminders to take medications or refill medicines.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
The chatbots that targeted medication or treatment adherence (2/11, 18%; Vik [26] and mPulse [30]) offered timely reminders to take medications or refill medicines.
|
10.2196/15771
|
PMC6887813
|
PMC10007007
|
Results
|
The chatbot that targeted the reduction in substance misuse performed mood tracking and regular check-ins to maintain accountability (1/11, 9%; Woebot [31]).
|
10.2196/24850
|
PMC8074987
|
PMC10007007
|
Results
|
The chatbots that targeted healthy lifestyles (3/8, 38%) offered educational sessions on the benefits of physical activity (Ida [32]) and healthy diet (Paola [22]) and information on sex, drugs, and alcohol (Bzz [29]).
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
The chatbots that targeted healthy lifestyles (3/8, 38%) offered educational sessions on the benefits of physical activity (Ida [32]) and healthy diet (Paola [22]) and information on sex, drugs, and alcohol (Bzz [29]).
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (4/8, 50%; DigiQuit [23]; SFA [24]; CureApp Smoking Cessation [CASC], [25]; and SMAG [27]) educated users on the benefits of being a nonsmoker, implications of abrupt cessation, and alternatives to smoking.
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (4/8, 50%; DigiQuit [23]; SFA [24]; CureApp Smoking Cessation [CASC], [25]; and SMAG [27]) educated users on the benefits of being a nonsmoker, implications of abrupt cessation, and alternatives to smoking.
|
10.1177/2055207619880676
|
PMC6775545
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (4/8, 50%; DigiQuit [23]; SFA [24]; CureApp Smoking Cessation [CASC], [25]; and SMAG [27]) educated users on the benefits of being a nonsmoker, implications of abrupt cessation, and alternatives to smoking.
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
The chatbot that targeted medication or treatment adherence (1/8, 12%; Vik [26]) offered information on the health issue (breast cancer) for which the users were taking medication.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
The chatbots that targeted healthy lifestyles (3/8, 38%) offered feedback on behaviors (HLCC and Ida [32]) and reinforced optimism to change behaviors through planning and imagining change (NAO [5] and Ida [32]).
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
The chatbots that targeted healthy lifestyles (3/8, 38%) offered feedback on behaviors (HLCC and Ida [32]) and reinforced optimism to change behaviors through planning and imagining change (NAO [5] and Ida [32]).
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (4/8, 50%) reinforced motivation through personalized messages based on TTM (DigiQuit [23]), scoreboards and trackers of milestones (SFA [24]), and motivational messages (CASC [25] and SMAG [27]).
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (4/8, 50%) reinforced motivation through personalized messages based on TTM (DigiQuit [23]), scoreboards and trackers of milestones (SFA [24]), and motivational messages (CASC [25] and SMAG [27]).
|
10.1177/2055207619880676
|
PMC6775545
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (4/8, 50%) reinforced motivation through personalized messages based on TTM (DigiQuit [23]), scoreboards and trackers of milestones (SFA [24]), and motivational messages (CASC [25] and SMAG [27]).
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
The chatbot that targeted reduction in substance misuse focused on motivation and engagement through individualized weekly reports to foster reflection (Woebot [31]).
|
10.2196/24850
|
PMC8074987
|
PMC10007007
|
Results
|
Among the interventions that targeted healthy lifestyles, Tess [6] offered empathetic health counseling or compassionate care through ML-driven emotional algorithms; NAO [5], the social robot, expressed empathy through humanized robot interaction, and HCAI [28] mimicked health professionals’ empathetic health counseling.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
Among the interventions that targeted healthy lifestyles, Tess [6] offered empathetic health counseling or compassionate care through ML-driven emotional algorithms; NAO [5], the social robot, expressed empathy through humanized robot interaction, and HCAI [28] mimicked health professionals’ empathetic health counseling.
|
10.2196/diabetes.8590
|
PMC6238835
|
PMC10007007
|
Results
|
The intervention that targeted reduction in substance misuse, Woebot [31], offered empathic responses by tailoring to users stated mood.
|
10.2196/24850
|
PMC8074987
|
PMC10007007
|
Results
|
Sixth, 7% (1/15) of studies (CASC [25]) delivered provider-recommendation system services.
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
CASC [25] offered advice and counseling support to physicians.
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
The chatbots that targeted healthy lifestyles (4/7, 57%; Paola [22], Tess [6], HCAI [28], and Bzz [29]) offered on-demand support, unlimited conversations, and answers to infinite number of questions.
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
The chatbots that targeted healthy lifestyles (4/7, 57%; Paola [22], Tess [6], HCAI [28], and Bzz [29]) offered on-demand support, unlimited conversations, and answers to infinite number of questions.
|
10.2196/diabetes.8590
|
PMC6238835
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (3/7, 43%) offered on-demand emergency support via an AI nurse (CASC [25]), support during periods of high cravings (SMAG [27]), and unlimited availability for conversations (SFA [24]).
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
The chatbots that targeted smoking cessation (3/7, 43%) offered on-demand emergency support via an AI nurse (CASC [25]), support during periods of high cravings (SMAG [27]), and unlimited availability for conversations (SFA [24]).
|
10.1177/2055207619880676
|
PMC6775545
|
PMC10007007
|
Results
|
Chat1 [33] offered homework assignments, whereas Woebot [31] required mindfulness exercises, gratitude journaling, or reflecting upon patterns and lessons already covered.
|
10.1016/j.pec.2013.05.011
|
PMC3727973
|
PMC10007007
|
Results
|
Chat1 [33] offered homework assignments, whereas Woebot [31] required mindfulness exercises, gratitude journaling, or reflecting upon patterns and lessons already covered.
|
10.2196/24850
|
PMC8074987
|
PMC10007007
|
Results
|
ML-driven emotional algorithms were used in Tess [6] and HCAI [28] to provide empathetic counseling or compassionate care (emotion-based response).
|
10.2196/diabetes.8590
|
PMC6238835
|
PMC10007007
|
Results
|
NLP and ML techniques were used in Paola [22], Vik [26], Ida [32], and Woebot [31] to identify and categorize user intents and entities by analyzing unstructured messages.
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
NLP and ML techniques were used in Paola [22], Vik [26], Ida [32], and Woebot [31] to identify and categorize user intents and entities by analyzing unstructured messages.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
NLP and ML techniques were used in Paola [22], Vik [26], Ida [32], and Woebot [31] to identify and categorize user intents and entities by analyzing unstructured messages.
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
NLP and ML techniques were used in Paola [22], Vik [26], Ida [32], and Woebot [31] to identify and categorize user intents and entities by analyzing unstructured messages.
|
10.2196/24850
|
PMC8074987
|
PMC10007007
|
Results
|
Bickmore et al’s [33] Chat1 used procedural and epistemological knowledge–based AI algorithms that facilitated therapeutic dialog actions (talk therapy).
|
10.1016/j.pec.2013.05.011
|
PMC3727973
|
PMC10007007
|
Results
|
A hybrid technique combining NLP and conversational AI or ML was adopted by mPulse [30] to ensure smooth, continuous, and uninterrupted conversations.
|
10.2196/15771
|
PMC6887813
|
PMC10007007
|
Results
|
Hybrid Health Recommender System was adopted by Carrasco-Hernandez et al’s [23] AI chatbot to personalize messages based on user demographics, content (interest of the user), and utility (ratings on each message by the user).
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Results
|
Face-tracking technology was integrated into NAO [5] (the social robot) to track participants’ faces to humanize the interaction experience.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
All chatbots except NAO [5] (14/15, 93%) used text-based communication with the users, among which 2 (14%; Tess [6] and Vik [26]) chatbots also used voice-based communication.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
All chatbots except NAO [5] (14/15, 93%) used text-based communication with the users, among which 2 (14%; Tess [6] and Vik [26]) chatbots also used voice-based communication.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
NAO [5] used only voice-based communication, as it was deployed via a social robot.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
Out of the 13 chatbots that reported the frequency of engagement, all chatbots, except NAO [5], interacted with the users daily.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
NAO [5] interacted only once because it was delivered in person through a social robot.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
Vik [26], SMAG [27], Tess [6], and Ida [32] were integrated into Facebook (Meta Platforms, Inc) Messenger.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
Vik [26], SMAG [27], Tess [6], and Ida [32] were integrated into Facebook (Meta Platforms, Inc) Messenger.
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
HLCC [21] was integrated with KakaoTalk (Kakao Corp), a popular messenger app in South Korea, and mPulse [30] was integrated with mobile SMS.
|
10.2196/15085
|
PMC7267999
|
PMC10007007
|
Results
|
HLCC [21] was integrated with KakaoTalk (Kakao Corp), a popular messenger app in South Korea, and mPulse [30] was integrated with mobile SMS.
|
10.2196/15771
|
PMC6887813
|
PMC10007007
|
Results
|
All chatbots except NAO [5], Ida [32], and Chat1 [33] (12/15, 80%) were deployed through smartphones, among which 3 (27%; Vik [26], SMAG [27], and Bzz [29]) chatbots were also deployed through computers.
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
All chatbots except NAO [5], Ida [32], and Chat1 [33] (12/15, 80%) were deployed through smartphones, among which 3 (27%; Vik [26], SMAG [27], and Bzz [29]) chatbots were also deployed through computers.
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
All chatbots except NAO [5], Ida [32], and Chat1 [33] (12/15, 80%) were deployed through smartphones, among which 3 (27%; Vik [26], SMAG [27], and Bzz [29]) chatbots were also deployed through computers.
|
10.1016/j.pec.2013.05.011
|
PMC3727973
|
PMC10007007
|
Results
|
All chatbots except NAO [5], Ida [32], and Chat1 [33] (12/15, 80%) were deployed through smartphones, among which 3 (27%; Vik [26], SMAG [27], and Bzz [29]) chatbots were also deployed through computers.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
Chat1 [33] was deployed only through computers.
|
10.1016/j.pec.2013.05.011
|
PMC3727973
|
PMC10007007
|
Results
|
NAO [5] was deployed through a social robot, and Ida [32] was deployed through Fitbit Flex 1 (Fitbit LLC).
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Results
|
NAO [5] was deployed through a social robot, and Ida [32] was deployed through Fitbit Flex 1 (Fitbit LLC).
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
Three chatbots (HLCC, Paola [22], and Ida [32]) integrated an existing AI-driven conversational platform, that is, the Watson conversation tool (HLCC and Paola [22]) and Dialogflow, an advanced Google ML algorithm (Ida [32]).
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
Three chatbots (HLCC, Paola [22], and Ida [32]) integrated an existing AI-driven conversational platform, that is, the Watson conversation tool (HLCC and Paola [22]) and Dialogflow, an advanced Google ML algorithm (Ida [32]).
|
10.2196/28577
|
PMC8665384
|
PMC10007007
|
Results
|
Paola [22] measured the baseline level of physical activity and Mediterranean diet; SFA [24] measured time to first cigarette and cigarettes per day; CASC [25] measured demographics, motivation levels for smoking cessation, number of cigarettes smoked per day, and years of smoking; SMAG [27] measured demographics and type of smoking dependence; and Tess [6] used electronic health records.
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
Paola [22] measured the baseline level of physical activity and Mediterranean diet; SFA [24] measured time to first cigarette and cigarettes per day; CASC [25] measured demographics, motivation levels for smoking cessation, number of cigarettes smoked per day, and years of smoking; SMAG [27] measured demographics and type of smoking dependence; and Tess [6] used electronic health records.
|
10.1177/2055207619880676
|
PMC6775545
|
PMC10007007
|
Results
|
Paola [22] measured the baseline level of physical activity and Mediterranean diet; SFA [24] measured time to first cigarette and cigarettes per day; CASC [25] measured demographics, motivation levels for smoking cessation, number of cigarettes smoked per day, and years of smoking; SMAG [27] measured demographics and type of smoking dependence; and Tess [6] used electronic health records.
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
HLCC [21] asked the users (office workers) to set realistic stair climbing goals, Paola [22] enabled the users to set dietary goals and daily step target every week based on the previous week’s outcomes, and SFA [24] asked the users to set the target quit date for smoking.
|
10.2196/15085
|
PMC7267999
|
PMC10007007
|
Results
|
HLCC [21] asked the users (office workers) to set realistic stair climbing goals, Paola [22] enabled the users to set dietary goals and daily step target every week based on the previous week’s outcomes, and SFA [24] asked the users to set the target quit date for smoking.
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
HLCC [21] asked the users (office workers) to set realistic stair climbing goals, Paola [22] enabled the users to set dietary goals and daily step target every week based on the previous week’s outcomes, and SFA [24] asked the users to set the target quit date for smoking.
|
10.1177/2055207619880676
|
PMC6775545
|
PMC10007007
|
Results
|
DigiQuit [23] collected feedback on the message content and timing, Tess [6] collected data on the usefulness of the message, and Vik [26] collected data on the relevance of the reminders.
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Results
|
DigiQuit [23] collected feedback on the message content and timing, Tess [6] collected data on the usefulness of the message, and Vik [26] collected data on the relevance of the reminders.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
HLCC [21] collected performance content and pictures; Paola [22] collected data on daily steps and dietary patterns; Vik [26] collected data on medication adherence levels; SMAG [27] monitored the users’ smoking levels along with information on location, alone or accompanied, ongoing activity, and mood to create smoking profiles for them; and HCAI [28] gathered data automatically through sensors on phones and integrated devices such as wearables and self-reported information such as on dietary consumption.
|
10.2196/15085
|
PMC7267999
|
PMC10007007
|
Results
|
HLCC [21] collected performance content and pictures; Paola [22] collected data on daily steps and dietary patterns; Vik [26] collected data on medication adherence levels; SMAG [27] monitored the users’ smoking levels along with information on location, alone or accompanied, ongoing activity, and mood to create smoking profiles for them; and HCAI [28] gathered data automatically through sensors on phones and integrated devices such as wearables and self-reported information such as on dietary consumption.
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Results
|
HLCC [21] collected performance content and pictures; Paola [22] collected data on daily steps and dietary patterns; Vik [26] collected data on medication adherence levels; SMAG [27] monitored the users’ smoking levels along with information on location, alone or accompanied, ongoing activity, and mood to create smoking profiles for them; and HCAI [28] gathered data automatically through sensors on phones and integrated devices such as wearables and self-reported information such as on dietary consumption.
|
10.2196/12856
|
PMC6521209
|
PMC10007007
|
Results
|
HLCC [21] collected performance content and pictures; Paola [22] collected data on daily steps and dietary patterns; Vik [26] collected data on medication adherence levels; SMAG [27] monitored the users’ smoking levels along with information on location, alone or accompanied, ongoing activity, and mood to create smoking profiles for them; and HCAI [28] gathered data automatically through sensors on phones and integrated devices such as wearables and self-reported information such as on dietary consumption.
|
10.2196/diabetes.8590
|
PMC6238835
|
PMC10007007
|
Results
|
Tess [6] used clinical scripts targeted at behavior change, CASC [25] used national guidelines on counseling support, and HCAI [28] used content from the Diabetes Prevention Program’s curriculum.
|
10.2196/12694
|
PMC6399570
|
PMC10007007
|
Results
|
Tess [6] used clinical scripts targeted at behavior change, CASC [25] used national guidelines on counseling support, and HCAI [28] used content from the Diabetes Prevention Program’s curriculum.
|
10.2196/diabetes.8590
|
PMC6238835
|
PMC10007007
|
Discussion
|
These findings are consistent with previous systematic reviews that reported the use of AI chatbots for improvement in physical activity levels and improvement in medication adherence [2,5], treatment adherence [14], adherence to self-management practices [1], smoking cessation [12], and reduction in substance abuse [12].
|
10.1186/s12966-021-01224-6
|
PMC8665320
|
PMC10007007
|
Discussion
|
These findings are consistent with previous systematic reviews that reported the use of AI chatbots for improvement in physical activity levels and improvement in medication adherence [2,5], treatment adherence [14], adherence to self-management practices [1], smoking cessation [12], and reduction in substance abuse [12].
|
10.2196/jmir.7737
|
PMC5958282
|
PMC10007007
|
Discussion
|
These findings are consistent with previous systematic reviews that reported the use of AI chatbots for improvement in physical activity levels and improvement in medication adherence [2,5], treatment adherence [14], adherence to self-management practices [1], smoking cessation [12], and reduction in substance abuse [12].
|
10.2196/20701
|
PMC7522733
|
PMC10007007
|
Discussion
|
These findings are consistent with previous systematic reviews that reported the use of AI chatbots for improvement in physical activity levels and improvement in medication adherence [2,5], treatment adherence [14], adherence to self-management practices [1], smoking cessation [12], and reduction in substance abuse [12].
|
10.1093/jamia/ocy072
|
PMC6118869
|
PMC10007007
|
Discussion
|
These findings are consistent with previous systematic reviews that reported the use of AI chatbots for improvement in physical activity levels and improvement in medication adherence [2,5], treatment adherence [14], adherence to self-management practices [1], smoking cessation [12], and reduction in substance abuse [12].
|
10.2196/jmir.6553
|
PMC5442350
|
PMC10007007
|
Discussion
|
In the case of feasibility, evidence on the safety of chatbots was quite less because only 7% (1/15) of studies reported safety [22].
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Discussion
|
Some of the previous systematic reviews reported feasibility in the form of engagement with AI chatbots; however, the feasibility metrics differed across studies, and there was strong evidence regarding decrease in engagement rates over time [11,13,14].
|
10.2196/jmir.7023
|
PMC5595406
|
PMC10007007
|
Discussion
|
Some of the previous systematic reviews reported feasibility in the form of engagement with AI chatbots; however, the feasibility metrics differed across studies, and there was strong evidence regarding decrease in engagement rates over time [11,13,14].
|
10.2196/jmir.7351
|
PMC5709656
|
PMC10007007
|
Discussion
|
Some of the previous systematic reviews reported feasibility in the form of engagement with AI chatbots; however, the feasibility metrics differed across studies, and there was strong evidence regarding decrease in engagement rates over time [11,13,14].
|
10.2196/20701
|
PMC7522733
|
PMC10007007
|
Discussion
|
These findings are partially aligned with previous systematic reviews that reported acceptability [11,13,14] and on-demand availability, accessibility, and satisfaction [7].
|
10.2196/jmir.7023
|
PMC5595406
|
PMC10007007
|
Discussion
|
These findings are partially aligned with previous systematic reviews that reported acceptability [11,13,14] and on-demand availability, accessibility, and satisfaction [7].
|
10.2196/jmir.7351
|
PMC5709656
|
PMC10007007
|
Discussion
|
These findings are partially aligned with previous systematic reviews that reported acceptability [11,13,14] and on-demand availability, accessibility, and satisfaction [7].
|
10.2196/20701
|
PMC7522733
|
PMC10007007
|
Discussion
|
These findings are partially aligned with previous systematic reviews that reported acceptability [11,13,14] and on-demand availability, accessibility, and satisfaction [7].
|
10.2196/20346
|
PMC7644372
|
PMC10007007
|
Discussion
|
These findings are partially aligned with previous systematic reviews on AI chatbots that reported that chatbots provided helpful information and were easy to use [7].
|
10.2196/20346
|
PMC7644372
|
PMC10007007
|
Discussion
|
Overall, our mixed results regarding feasibility, acceptability, and usability are partially aligned with the findings of the existing systematic reviews that reported heterogeneity in these secondary outcome measures and results across studies [1,2,7,9-11].
|
10.1093/jamia/ocy072
|
PMC6118869
|
PMC10007007
|
Discussion
|
Overall, our mixed results regarding feasibility, acceptability, and usability are partially aligned with the findings of the existing systematic reviews that reported heterogeneity in these secondary outcome measures and results across studies [1,2,7,9-11].
|
10.1186/s12966-021-01224-6
|
PMC8665320
|
PMC10007007
|
Discussion
|
Overall, our mixed results regarding feasibility, acceptability, and usability are partially aligned with the findings of the existing systematic reviews that reported heterogeneity in these secondary outcome measures and results across studies [1,2,7,9-11].
|
10.2196/20346
|
PMC7644372
|
PMC10007007
|
Discussion
|
Overall, our mixed results regarding feasibility, acceptability, and usability are partially aligned with the findings of the existing systematic reviews that reported heterogeneity in these secondary outcome measures and results across studies [1,2,7,9-11].
|
10.2196/16021
|
PMC7385637
|
PMC10007007
|
Discussion
|
Overall, our mixed results regarding feasibility, acceptability, and usability are partially aligned with the findings of the existing systematic reviews that reported heterogeneity in these secondary outcome measures and results across studies [1,2,7,9-11].
|
10.2196/jmir.7023
|
PMC5595406
|
PMC10007007
|
Discussion
|
Previous systematic reviews also reported that the use of CBT [2,11], habit formation model, emotionally focused therapy, and motivational interviewing [2] for designing behavior change strategies for AI chatbots contributed to better engagement, user motivation, and health behavior outcomes.
|
10.1186/s12966-021-01224-6
|
PMC8665320
|
PMC10007007
|
Discussion
|
Previous systematic reviews also reported that the use of CBT [2,11], habit formation model, emotionally focused therapy, and motivational interviewing [2] for designing behavior change strategies for AI chatbots contributed to better engagement, user motivation, and health behavior outcomes.
|
10.2196/jmir.7023
|
PMC5595406
|
PMC10007007
|
Discussion
|
This finding is consistent with previous systematic reviews that reported the need for greater personalization in AI chatbots through feedback on user performance, accountability, encouragement, and deep interest in the user’s situation [13].
|
10.2196/jmir.7351
|
PMC5709656
|
PMC10007007
|
Discussion
|
Similarly, Milne-Ives et al [8] reported a need for greater interactivity or relational skills, empathetic conversations, and a sense of personal connection with the user through compassionate responses.
|
10.2196/14166
|
PMC6914342
|
PMC10007007
|
Discussion
|
The need for greater interactivity can also be associated with the fluctuations in user engagement found in 13% (2/15) of studies [22,23].
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Discussion
|
The need for greater interactivity can also be associated with the fluctuations in user engagement found in 13% (2/15) of studies [22,23].
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Discussion
|
In one of these studies, the engagement rates decreased gradually as the intervention progressed [23], and in the other study, the engagement rates decreased significantly by midprogram but increased to 70% in the final week, that is, the 12th week [22].
|
10.2196/17530
|
PMC7215523
|
PMC10007007
|
Discussion
|
In one of these studies, the engagement rates decreased gradually as the intervention progressed [23], and in the other study, the engagement rates decreased significantly by midprogram but increased to 70% in the final week, that is, the 12th week [22].
|
10.2196/17558
|
PMC7382010
|
PMC10007007
|
Discussion
|
As specified in the AI chatbot design literature, user engagement is dependent on the chatbot’s ability to understand the user’s background, build a relation, be persuasive, and offer quick feedback [34].
|
10.2196/22845
|
PMC7557439
|
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