2021
DOI: 10.2196/27868
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Evidence of Human-Level Bonds Established With a Digital Conversational Agent: Cross-sectional, Retrospective Observational Study

Abstract: Background There are far more patients in mental distress than there is time available for mental health professionals to support them. Although digital tools may help mitigate this issue, critics have suggested that technological solutions that lack human empathy will prevent a bond or therapeutic alliance from being formed, thereby narrowing these solutions’ efficacy. Objective We aimed to investigate whether users of a cognitive behavioral therapy (C… Show more

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Cited by 96 publications
(77 citation statements)
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References 22 publications
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“…However, in the field of functional diversity such as Tess [28] a chatbot for mental health that pretends to be a therapist, exists, but does not work on social skills; as well as Chatbot COVID-19 from Semantics bots [29], which is very useful for people with visual impairment as it provides information about COVID-19, but does not train the user in the development of social skills. O Woebot [30] is a chatbot to provide cognitive behavioural therapy. However, no work has been found in which a conversational bot and the platforms that support them are used in the context of the scope of this research, so futher development of technological solutions is needed and, also for this reason, the use of these platforms in these contexts is considered to be innovative.…”
Section: Conversational Bot As a Technological Solution For The Improvement Of Social Skills In People With Intellectual Disabilitiesmentioning
confidence: 99%
“…However, in the field of functional diversity such as Tess [28] a chatbot for mental health that pretends to be a therapist, exists, but does not work on social skills; as well as Chatbot COVID-19 from Semantics bots [29], which is very useful for people with visual impairment as it provides information about COVID-19, but does not train the user in the development of social skills. O Woebot [30] is a chatbot to provide cognitive behavioural therapy. However, no work has been found in which a conversational bot and the platforms that support them are used in the context of the scope of this research, so futher development of technological solutions is needed and, also for this reason, the use of these platforms in these contexts is considered to be innovative.…”
Section: Conversational Bot As a Technological Solution For The Improvement Of Social Skills In People With Intellectual Disabilitiesmentioning
confidence: 99%
“…Woebot is a chatbot designed to guide and reframe users' negative cognitive thoughts into positive ones. Through continuous interaction, users can establish bonds with Woebot in three to five days [21]. Of the experimental subjects, 85% were willing to interact with Woebot daily, and 22% of depression symptoms were reduced after 2 weeks [22].…”
Section: Chatbotsmentioning
confidence: 99%
“…Woebot TM is another mobile-based conversational agent that aids in monitoring symptoms of depression and anxiety by simulating human support (Fitzpatrick et al, 2017). These conversational agents challenge the perception that digital therapeutics are ineffective in establishing therapeutic relationships with its users (Darcy et al, 2021).…”
Section: N R E V I E Wmentioning
confidence: 99%
“…These systems are a leap toward more inclusive and personalized medicine (Darcy et al, 2021;Somashekhar et al, 2017). Depression, schizophrenia, and suicidal ideation are among the mental illnesses that can be predicted using variables like Electronic Health Records, mood rating scales, brain imaging data, novel monitoring systems, and social media platforms (Graham et al, 2019).…”
Section: N R E V I E Wmentioning
confidence: 99%