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“A Great Way to Start the Conversation”: Evidence for the Use of an Adolescent Mental Health Chatbot Navigator for Youth at Risk of HIV and Other STIs
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“Importantly, the think-aloud usability testing methodology employed in this study generated detailed design insights, including the importance of avoiding binary gender assumptions in interface language and the need for clear pathways to human support when the chatbot's capabilities are exceeded.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Sanabria et al., 2023
In the citing paper
“Participants valued the anonymity of the chatbot interaction and responded particularly well to its conversational, non-clinical tone.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Sanabria et al., 2023
In the citing paper
“A similar co-design ethos shaped the development of Tabatha-YYC, a chatbot navigator for mental health resources tested with 20 young people aged 16-24 recruited through services for youth at risk of HIV and sexually transmitted infections, 60% of whom identified as heterosexual (Sanabria et al., 2023).”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Sanabria et al., 2023
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Cites
Age at onset of mental disorders worldwide: Large-scale meta-analysis of 192 epidemiological studies
Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., Salazar de Pablo, G., Il Shin, J., Kirkbride, J. B., Jones, P., Kim, J. H., et al. (2022) · Molecular Psychiatry · doi:10.1038/s41380-021-01161-7 · Cited by 3,835
Racine, N., McArthur, B. A., Cooke, J. E., Eirich, R., Zhu, J., & Madigan, S. (2021) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2021.2482 · Cited by 2,805 · cited 1×
“Over 25% of youth are experiencing mental health challenges, yet > 50% of those needing mental health support go without care (Ghafari et al., 2022; Ma et al., 2021; Racine et al., 2021).”
BackgroundFitzpatrick, K. K., Darcy, A., & Vierhile, M. (2017) · JMIR Mental Health · doi:10.2196/mental.7785 · Cited by 2,730 · cited 2×
“…having access to smartphones, chat-bots are increasingly used to deliver age-tailored information and interventions on sensitive and stigmatized topics like depression and anxiety or sexual health, as in Planned Parenthood’s “Roo” chatbot (Belanger, 2019; Fitzpatrick et al., 2017; Schaeffer, 2019).”
BackgroundMethodLink, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.12.1621 · Cited by 1,254
Measuring the self-stigma associated with seeking psychological help
Vogel, D. L., Wade, N. G., & Haake, S. (2006) · Journal of Counseling Psychology · doi:10.1037/0022-0167.53.3.325 · Cited by 1,190 · cited 1×
“The self-stigma of seeking help was used to measure label avoidance, the construct that an individual avoids seeking out treatment due to the stigma surrounding mental illness (Vogel et al., 2006).”
MethodChatbots and Conversational Agents in Mental Health: A Review of the Psychiatric Landscape
Vaidyam, A. N., Wisniewski, H., Halamka, J. D., Kashavan, M. S., & Torous, J. B. (2019) · The Canadian Journal of Psychiatry · doi:10.1177/0706743719828977 · Cited by 1,048
Orientations to seeking professional help: development and research utility of an attitude scale
Fischer, E. H., & Turner, J. I. (1970) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0029636 · Cited by 973
Perceptions and opinions of patients about mental health chatbots: scoping review
Abd-Alrazaq, A. A., Alajlani, M., Ali, N., Denecke, K., Bewick, B. M., & Househ, M. (2021) · Journal of Medical Internet Research · doi:10.2196/17828 · Cited by 301
Hauser-Ulrich, S., Künzli, H., Meier-Peterhans, D., & Kowatsch, T. (2020) · JMIR mHealth and uHealth · doi:10.2196/15806 · Cited by 210
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Cited by
Sorted by citations
Hua, Y., Siddals, S., Ma, Z., Galatzer‐Levy, I., Xia, W., Hau, C., Na, H., Flathers, M., Linardon, J., Ayubcha, C., et al. (2025) · World Psychiatry · doi:10.1002/wps.21352 · Cited by 117
Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review
Shekarchi, R., Eleuteri, S., Saladino, V., Calaresi, D., Giordano, F., & Prunas, A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.2002054
Metadata
- Authors
- Sanabria, G., Greene, K. Y., Tran, J. T., Gilyard, S., DiGiovanni, L., Emmanuel, P. J., Sanders, L. J., Kosyluk, K., & Galea, J. T.
- Venue
- Journal of Technology in Behavioral Science
- Published
- 2023-05-11
- Volume
- 8
- Issue
- 4
- Pages
- 382-391
- ISSN
- 2366-5963
- PMC
- PMC10172071
- Cited by
- 25
- References
- 9
- Language
- en
- Licence
- Funders
- University of South Florida (Internal Grant)
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