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Use of automated conversational agents in improving young population mental health: a scoping review
npj Digital Medicine ( IF 15.2 ) Pub Date : 2024-03-19 , DOI: 10.1038/s41746-024-01072-1
Raluca Balan , Anca Dobrean , Costina R. Poetar

Automated conversational agents (CAs) emerged as a promising solution in mental health interventions among young people. Therefore, the objective of this scoping review is to examine the current state of research into fully automated CAs mediated interventions for the emotional component of mental health among young people. Selected databases were searched in March 2023. Included studies were primary research, reporting on development, feasibility/usability, or evaluation of fully automated CAs as a tool to improve the emotional component of mental health among young population. Twenty-five studies were included (N = 1707). Most automated CAs applications were standalone preventions targeting anxiety and depression. Automated CAs were predominantly AI-based chatbots, using text as the main communication channel. Overall, the results of the current scoping review showed that automated CAs mediated interventions for emotional problems are acceptable, engaging and with high usability. However, the results for clinical efficacy are far less conclusive, since almost half of evaluation studies reported no significant effect on emotional mental health outcomes. Based on these findings, it can be concluded that there is a pressing need to improve the existing automated CAs applications to increase their efficacy as well as conducting more rigorous methodological research in this area.



中文翻译:

使用自动对话代理改善年轻人心理健康:范围界定审查

自动对话代理(CA)成为年轻人心理健康干预的一个有前途的解决方案。因此,本次范围审查的目的是考察全自动 CA 介导的年轻人心理健康情绪成分干预措施的研究现状。选定的数据库于 2023 年 3 月进行了检索。纳入的研究包括初步研究、开发报告、可行性/可用性或对全自动 CA 作为改善年轻人心理健康情绪成分的工具的评估。纳入 25 项研究 ( N  = 1707)。大多数自动化 CA 应用程序都是针对焦虑和抑郁的独立预防措施。自动化 CA 主要是基于人工智能的聊天机器人,使用文本作为主要通信渠道。总体而言,当前范围界定审查的结果表明,自动化 CA 介导的情绪问题干预措施是可以接受的、有吸引力的且具有高可用性。然而,临床疗效的结果远没有那么确定,因为几乎一半的评估研究报告对情绪心理健康结果没有显着影响。基于这些发现,可以得出结论,迫切需要改进现有的自动化 CA 应用程序以提高其效率,并在该领域进行更严格的方法学研究。

更新日期:2024-03-21
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