Background and Aim: Loneliness is a common problem in older adults and contributes to poor health. This scoping review aimed to synthesize and report evidence on the effectiveness of interventions using social robots or computer agents to reduce loneliness in older adults and to explore intervention strategies. Methods: The review adhered to the Arksey and O'Malley process for conducting scoping reviews. The SCOPUS, PUBMED, Web of Science, EMBASE, CINAHL, PsycINFO, ACM Digital Library and IEEE Xplore databases were searched in November, 2020. A two-step selection process identified eligible research. Information was extracted from papers and entered into an Excel coding sheet and summarised. Quality assessments were conducted using the Mixed Methods Appraisal Tool. Results: Twenty-nine studies were included, of which most were of moderate to high quality. Eighteen were observational and 11 were experimental. Twenty-four used robots, four used computer agents and one study used both. The majority of results showed that robots or computer agents positively impacted at least one loneliness outcome measure. Some unintended negative consequences on social outcomes were reported, such as sadness when the robot was removed. Overall, the interventions helped to combat loneliness by acting as a direct companion (69%), a catalyst for social interaction (41%), facilitating remote communication with others (10%) and reminding users of upcoming social engagements (3%). Conclusion: Evidence to date suggests that robots can help combat loneliness in older adults, but there is insufficient research on computer agents. Common strategies for reducing loneliness include direct companionship and enabling social interactions. Future research could investigate other strategies used in human interventions (eg, addressing maladaptive social cognition and improving social skills), and the effects of design features on efficacy. It is recommended that more robust experimental and mixed methods research be conducted, using a combination of validated self-report, observational, and interview measures of loneliness.

Embodied conversational agents (ECAs) are increasingly used in healthcare and other settings to improve self-management and provide companionship. Their ability to form close relationships with people is important for enhancing effectiveness and engagement. Several studies have looked at enhancing relationships with ECAs through design features focused on behaviours, appearance, or language. However, this evidence is yet to be systematically synthesized. This systematic review evaluates the effect of different design features on relationship quality with ECAs. A systematic search was conducted on electronic databases EMBASE, PsychInfo, PubMed, MEDLINE, Cochrane Library, SCOPUS, and Web of Science in January-February 2019. 43 studies were included for review that evaluated the effect of a design feature on relationship quality and social perceptions or behaviours towards an ECA. Results synthesize effective design features and lay a scientific framework for improving relationships with ECAs in healthcare and other applications. Risk of bias for included studies was generally low, however there were some limitations in the research quality pertaining to outcome measurement and the reporting of statistics. Further research is needed to understand how to make ECAs effective and engaging for all consumers.

Background Loneliness is a growing public health issue that has been exacerbated in vulnerable groups during the COVID-19 pandemic. Computer agents are capable of delivering psychological therapies through the internet; however, there is limited research on their acceptability to date. Objective The objectives of this study were to evaluate (1) the feasibility and acceptability of a remote loneliness and stress intervention with digital human delivery to at-risk adults and (2) the feasibility of the study methods in preparation for a randomized controlled trial. Methods A parallel randomized pilot trial with a mixed design was conducted. Participants were adults aged 18 to 69 years with an underlying medical condition or aged 70 years or older with a Mini-Mental State Examination score of >24 (ie, at greater risk of developing severe COVID-19). Participants took part from their place of residence (independent living retirement village, 20; community dwelling, 7; nursing home, 3). Participants were randomly allocated to the intervention or waitlist control group that received the intervention 1 week later. The intervention involved completing cognitive behavioral and positive psychology exercises with a digital human facilitator on a website for at least 15 minutes per day over 1 week. The exercises targeted loneliness, stress, and psychological well-being. Feasibility was evaluated using dropout rates and behavioral observation data. Acceptability was evaluated from behavioral engagement data, the Friendship Questionnaire (adapted), self-report items, and qualitative questions. Psychological measures were administered to evaluate the feasibility of the trial methods and included the UCLA Loneliness Scale, the 4-item Perceived Stress Scale, a 1-item COVID-19 distress measure, the Flourishing Scale, and the Scale of Positive and Negative Experiences. Results The study recruited 30 participants (15 per group). Participants were 22 older adults and 8 younger adults with a health condition. Six participants dropped out of the study. Thus, the data of 24 participants were analyzed (intervention group, 12; waitlist group, 12). The digital human intervention and trial methods were generally found to be feasible and acceptable in younger and older adults living independently, based on intervention completion, and behavioral, qualitative, and some self-report data. The intervention and trial methods were less feasible to nursing home residents who required caregiver assistance. Acceptability could be improved with additional content, tailoring to the population, and changes to the digital human’s design. Conclusions Digital humans are a promising and novel technological solution for providing at-risk adults with access to remote psychological support during the COVID-19 pandemic. Research should further examine design techniques to improve their acceptability in this application and investiga...

Many psychological phenomena occur in small time windows, measured in minutes or hours. However, most computational linguistic techniques look at data on the order of weeks, months, or years. We explore micropatterns in sequences of messages occurring over a short time window for their prevalence and power for quantifying psychological phenomena, specifically, patterns in affect. We examine affective micropatterns in social media posts from users with anxiety, eating disorders, panic attacks, schizophrenia, suicidality, and matched controls.

Depression is a global mental health condition that affects all cultures. Despite this, the way depression is expressed varies by culture. Uptake of machine learning technology for diagnosing mental health conditions means that increasingly more depression classifiers are created from online language data. Yet, culture is rarely considered as a factor affecting online language in this literature. This study explores cultural differences in online language data of users with depression. Written language data from 1,593 users with self-reported depression from the online peer support community 7 Cups of Tea was analyzed using the Linguistic Inquiry and Word Count (LIWC), topic modeling, data visualization, and other techniques. We compared the language of users identifying as White, Black or African American, Hispanic or Latino, and Asian or Pacific Islander. Exploratory analyses revealed crosscultural differences in depression expression in online language data, particularly in relation to emotion expression, cognition, and functioning. The results have important implications for avoiding depression misclassification from machine-driven assessments when used in a clinical setting, and for avoiding inadvertent cultural biases in this line of research more broadly.