PDF(Pubmed)
Abstract：
BACKGROUND: Adolescence is a critical developmental period to prevent and treat the emergence of mental health problems. Smartphone-based conversational agents can deliver psychologically driven intervention and support, thus increasing psychological well-being over time.
OBJECTIVE: The objective of the study was to test the potential of an automated conversational agent named Kai.ai to deliver a self-help program based on Acceptance Commitment Therapy tools for adolescents, aimed to increase their well-being.
METHODS: Participants were 10,387 adolescents, aged 14-18 years, who used Kai.ai on one of the top messaging apps (eg, iMessage and WhatsApp). Users\' well-being levels were assessed between 2 and 5 times using the 5-item World Health Organization Well-being Index questionnaire over their engagement with the service.
RESULTS: Users engaged with the conversational agent an average of 45.39 (SD 46.77) days. The average well-being score at time point 1 was 39.28 (SD 18.17), indicating that, on average, users experienced reduced well-being. Latent growth curve modeling indicated that participants\' well-being significantly increased over time (β=2.49; P<.001) and reached a clinically acceptable well-being average score (above 50).
CONCLUSIONS: Mobile-based conversational agents have the potential to deliver engaging and effective Acceptance Commitment Therapy interventions.
OBJECTIVE: The objective of the study was to test the potential of an automated conversational agent named Kai.ai to deliver a self-help program based on Acceptance Commitment Therapy tools for adolescents, aimed to increase their well-being.
METHODS: Participants were 10,387 adolescents, aged 14-18 years, who used Kai.ai on one of the top messaging apps (eg, iMessage and WhatsApp). Users\' well-being levels were assessed between 2 and 5 times using the 5-item World Health Organization Well-being Index questionnaire over their engagement with the service.
RESULTS: Users engaged with the conversational agent an average of 45.39 (SD 46.77) days. The average well-being score at time point 1 was 39.28 (SD 18.17), indicating that, on average, users experienced reduced well-being. Latent growth curve modeling indicated that participants\' well-being significantly increased over time (β=2.49; P<.001) and reached a clinically acceptable well-being average score (above 50).
CONCLUSIONS: Mobile-based conversational agents have the potential to deliver engaging and effective Acceptance Commitment Therapy interventions.
摘要：
背景：青春期是预防和治疗心理健康问题出现的关键时期。基于智能手机的对话代理可以提供心理驱动的干预和支持，从而随着时间的推移增加心理健康。
目的：本研究的目的是测试一个名为Kai的自动会话代理的潜力。AI为青少年提供基于接受承诺治疗工具的自助计划，旨在增加他们的福祉。
方法：参与者为10387名青少年，14-18岁,谁用了Kai.AI在其中一个顶级消息应用程序上(例如，iMessage和WhatsApp）。使用5项世界卫生组织福祉指数问卷，对用户的福祉水平进行了2到5次评估，以评估他们对服务的参与度。
结果：用户与对话代理的平均时间为45.39（SD46.77）天。时间点1的平均幸福感评分为39.28（SD18.17），表明,平均而言,用户体验到的幸福感降低。潜在生长曲线模型表明，参与者的幸福感随着时间的推移显着增加（β=2.49；P<.001），并达到临床可接受的幸福感平均得分（高于50）。
结论：基于移动的对话代理有潜力提供有吸引力和有效的接受承诺治疗干预措施。
目的：本研究的目的是测试一个名为Kai的自动会话代理的潜力。AI为青少年提供基于接受承诺治疗工具的自助计划，旨在增加他们的福祉。
方法：参与者为10387名青少年，14-18岁,谁用了Kai.AI在其中一个顶级消息应用程序上(例如，iMessage和WhatsApp）。使用5项世界卫生组织福祉指数问卷，对用户的福祉水平进行了2到5次评估，以评估他们对服务的参与度。
结果：用户与对话代理的平均时间为45.39（SD46.77）天。时间点1的平均幸福感评分为39.28（SD18.17），表明,平均而言,用户体验到的幸福感降低。潜在生长曲线模型表明，参与者的幸福感随着时间的推移显着增加（β=2.49；P<.001），并达到临床可接受的幸福感平均得分（高于50）。
结论：基于移动的对话代理有潜力提供有吸引力和有效的接受承诺治疗干预措施。
