Investigating the Key Success Factors of Chatbot-Based Positive Psychology Intervention with Retrieval- and Generative Pre-Trained Transformer (GPT)-Based Chatbots
Abstract
Technologically assisted methods have been extensively utilized in positive psychology interventions (PPIs), which aim to elevate the happiness levels of the widespread and diverse general public, a population that traditional methodologies struggle to comprehend and impact. Nevertheless, the literature provides insufficient insights into the effectiveness of chatbot-based PPIs (Chat-PPIs). This study endeavors to fill this void by employing both retrieval-based and generative pre-trained transformer (GPT)-based chatbots and executing three randomized controlled trials involving 326 participants to investigate the hypothesized effectiveness mechanisms. The statistical analysis affirms the effectiveness of Chat-PPI. Moreover, our results indicate that personalized PPI recommendations, adaptive multi-round dialogues, and real-time feedback significantly augment the efficacy of Chat-PPI. Besides exploring and confirming the mechanisms behind Chat-PPI, this study also endorses the use of generative chatbots, which, although less controllable, provide more natural interaction that can boost the efficacy of Chat-PPI.
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Emerging primary studies suggest that GenAI mental health chatbots can improve engagement and adherence by supporting between-session cognitive behavioral therapy tasks and delivering positive psychology interventions, such as gratitude or self-reflection exercises.
“Emerging primary studies suggest that GenAI mental health chatbots can improve engagement and adherence by supporting between-session cognitive behavioral therapy tasks [23] and delivering positive psychology interventions, such as gratitude or self-reflection exercises [24].”
From Generative AI Mental Health Chatbots as Therapeutic Tools: Systematic Review and Meta-Analysis of Their Role in Reducing Mental Health Issues (2025) · cites this paper as [24]
One study incorporated NLP alongside GPT-3.5.
“one incorporated NLP alongside GPT-3.5 [24]”
From Generative AI Mental Health Chatbots as Therapeutic Tools: Systematic Review and Meta-Analysis of Their Role in Reducing Mental Health Issues (2025) · cites this paper as [24]
Among the 26 studies, 1 study measured only positive well-being, 1 had chatbot designs in the control group, 3 did not report sufficient data, and 8 were not randomized trials, leaving 14 RCTs eligible for meta-analysis.
“Among the 26 studies, 1 study measured only positive well-being instead of mental health issues [29], 1 study had chatbot designs in the control group [24], 3 studies did not report sufficient data for calculating pooled effect size, and 8 studies were not randomized trials, leaving a total of 14 RCTs eligible for meta-analysis to estimate the effectiveness of GenAI chatbot on mental health issues”
From Generative AI Mental Health Chatbots as Therapeutic Tools: Systematic Review and Meta-Analysis of Their Role in Reducing Mental Health Issues (2025) · cites this paper as [24]
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
Training language models to follow instructions with human feedback
Ouyang, L., Wu, J., Jiang, X., Almeida, D., Wainwright, C. L., Mishkin, P., Zhang, C., Agarwal, S., Slama, K., Ray, A., et al. (2022) · arXiv · doi:10.48550/arxiv.2203.02155 · Cited by 4,208 · see citing works
Fitzpatrick, K. K., Darcy, A., & Vierhile, M. (2017) · JMIR Mental Health · doi:10.2196/mental.7785 · Cited by 2,730 · cited 2× · see citing works
“…supports the utility of chatbots in psychological interventions, specifically in addressing issues like anxiety (Greer et al., 2019; Lim et al., 2022), depression (Fitzpatrick et al., 2017), stress (Medeiros et al., 2019), acrophobia (Abd-Alrazaq et al., 2020) and loneliness (Ta et al., 2020).”
Ayers, J. W., Poliak, A., Dredze, M., Leas, E. C., Zhu, Z., Kelley, J. B., Faix, D. J., Goodman, A. M., Longhurst, C. A., Hogarth, M., et al. (2023) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2023.1838 · Cited by 2,613 · see citing works
ChatGPT: five priorities for research
van Dis, E. A. M., Bollen, J., Zuidema, W., van Rooij, R., & Bockting, C. L. (2023) · Nature · doi:10.1038/d41586-023-00288-7 · Cited by 1,842 · cited 1× · see citing works
“However, the existing literature has not adequately supported the safety of chatbots (Van Dis et al., 2023), limiting their usage in psychological interventions.”
Benefits, Limits, and Risks of GPT-4 as an AI Chatbot for Medicine
Lee, P., Bubeck, S., & Petro, J. (2023) · New England Journal of Medicine · doi:10.1056/nejmsr2214184 · Cited by 1,738 · see citing works
AI-based chatbots in customer service and their effects on user compliance
Adam, M., Wessel, M., & Benlian, A. (2021) · Electronic Markets · doi:10.1007/s12525-020-00414-7 · Cited by 1,195 · cited 1× · see citing works
“Our results echo previous studies suggesting that anthropomorphic and interactive chatbots can alleviate the monotony associated with long-term repeated interventions, thus fostering sustained user engagement (Adam et al., 2021).”
Boehm, J. K., & Kubzansky, L. D. (2012) · Psychological Bulletin · doi:10.1037/a0027448 · Cited by 909 · see citing works
Why Johnny Can’t Prompt: How Non-AI Experts Try (and Fail) to Design LLM Prompts
Zamfirescu-Pereira, J. D., Wong, R. Y., Hartmann, B., & Yang, Q. (2023) · Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3544548.3581388 · Cited by 893 · cited 1× · see citing works
“Also, steering GPT’s output via prompt engineering is intuitive (Zamfirescu-Pereira et al., 2023), making it easy for individuals with limited technical know-how to design and implement such tools.”
Emmons, R. A., & McCullough, M. E. (2003) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.84.2.377 · Cited by 716 · see citing works
The benefits and challenges of chatgpt: An overview
Deng, J., & Lin, Y. (2023) · Frontiers in Computing and Intelligent Systems · doi:10.54097/fcis.v2i2.4465 · Cited by 611 · see citing works
Chaves, A. P., & Gerosa, M. A. (2021) · International Journal of Human–Computer Interaction · doi:10.1080/10447318.2020.1841438 · Cited by 572 · see citing works
Abd-Alrazaq, A. A., Rababeh, A., Alajlani, M., Bewick, B. M., & Househ, M. (2020) · Journal of Medical Internet Research · doi:10.2196/16021 · Cited by 503 · cited 2× · see citing works
“…supports the utility of chatbots in psychological interventions, specifically in addressing issues like anxiety (Greer et al., 2019; Lim et al., 2022), depression (Fitzpatrick et al., 2017), stress (Medeiros et al., 2019), acrophobia (Abd-Alrazaq et al., 2020) and loneliness (Ta et al., 2020).”
User Experiences of Social Support From Companion Chatbots in Everyday Contexts: Thematic Analysis
Ta, V., Griffith, C., Boatfield, C., Wang, X., Civitello, M., Bader, H., DeCero, E., & Loggarakis, A. (2020) · Journal of Medical Internet Research · doi:10.2196/16235 · Cited by 461 · cited 1× · see citing works
“…supports the utility of chatbots in psychological interventions, specifically in addressing issues like anxiety (Greer et al., 2019; Lim et al., 2022), depression (Fitzpatrick et al., 2017), stress (Medeiros et al., 2019), acrophobia (Abd-Alrazaq et al., 2020) and loneliness (Ta et al., 2020).”
Artificially intelligent chatbots in digital mental health interventions: a review
Boucher, E. M., Harake, N. R., Ward, H. E., Stoeckl, S. E., Vargas, J., Minkel, J., Parks, A. C., & Zilca, R. (2021) · Expert Review of Medical Devices · doi:10.1080/17434440.2021.2013200 · Cited by 440 · see citing works
Howells, A., Ivtzan, I., & Eiroa-Orosa, F. J. (2016) · Journal of Happiness Studies · doi:10.1007/s10902-014-9589-1 · Cited by 407 · see citing works
Ly, K. H., Ly, A.-M., & Andersson, G. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.10.002 · Cited by 368 · see citing works
Liu, H., Peng, H., Song, X., Xu, C., & Zhang, M. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100495 · Cited by 296 · cited 1× · see citing works
“Previous research has highlighted that dialogue and interaction design are critical factors in chatbot effectiveness and usability (Fitzpatrick et al., 2017; Liu et al., 2022).”
Nicolescu, L., & Tudorache, M. T. (2022) · Electronics · doi:10.3390/electronics11101579 · Cited by 280 · see citing works
A peculiar prevalence of <i>p</i> values just below .05
Masicampo, E. J., & Lalande, D. R. (2012) · Quarterly Journal of Experimental Psychology · doi:10.1080/17470218.2012.711335 · Cited by 266 · see citing works
Greer, S., Ramo, D., Chang, Y.-J., Fu, M., Moskowitz, J., & Haritatos, J. (2019) · JMIR mHealth and uHealth · doi:10.2196/15018 · Cited by 265 · see citing works
Disseminating Self-Help: Positive Psychology Exercises in an Online Trial
Schueller, S. M., & Parks, A. C. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1850 · Cited by 246 · cited 1× · see citing works
“However, such programs often administer a range of PPIs to participants without adequately differentiating their distinct effects, contexts, and durations (Schueller & Parks, 2012).”
Low statistical power in biomedical science: a review of three human research domains
Dumas-Mallet, E., Button, K. S., Boraud, T., Gonon, F., & Munafò, M. R. (2017) · Royal Society Open Science · doi:10.1098/rsos.160254 · Cited by 208 · see citing works
Koydemir, S., Sökmez, A. B., & Schütz, A. (2021) · Applied Research in Quality of Life · doi:10.1007/s11482-019-09788-z · Cited by 190 · see citing works
Lim, S. M., Shiau, C. W. C., Cheng, L. J., & Lau, Y. (2022) · Behavior Therapy · doi:10.1016/j.beth.2021.09.007 · Cited by 163 · see citing works
Realizing the Potential of Behavioral Intervention Technologies
Schueller, S. M., Muñoz, R. F., & Mohr, D. C. (2013) · Current Directions in Psychological Science · doi:10.1177/0963721413495872 · Cited by 152 · see citing works
Layous, K., Chancellor, J., Lyubomirsky, S., Wang, L., & Doraiswamy, P. M. (2011) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2011.0139 · Cited by 148 · cited 1× · see citing works
“Positive emotions are also vital as psychological assets in preventing mental health disorders and can improve conditions for those already suffering (Layous et al., 2011).”
The Experience of Novelty and the Novelty of Experience
Skavronskaya, L., Moyle, B., & Scott, N. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00322 · Cited by 103 · cited 1× · see citing works
“Secondly, the novelty of technologies, defined as a stimulus that is unknown or unfamiliar to an individual (Skavronskaya et al., 2020), can potentially compromise experimental results.”
Mirnig, A. G., Gärtner, M., Meschtscherjakov, A., & Tscheligi, M. (2020) · Proceedings of the Conference on Mensch und Computer · doi:10.1145/3404983.3405593 · Cited by 10 · see citing works
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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 · see citing works
Zhang, Q., Zhang, R., Xiong, Y., Sui, Y., Tong, C., & Lin, F.-H. (2025) · Journal of Medical Internet Research · doi:10.2196/78238 · Cited by 56 · see citing works
“Emerging primary studies suggest that GenAI mental health chatbots can improve engagement and adherence by supporting between-session cognitive behavioral therapy tasks [23] and delivering positive psychology interventions, such as gratitude or self-reflection exercises [24].”
Influential
- Authors
- Liu, I., Liu, F., Xiao, Y., Huang, Y., Wu, S., & Ni, S.
- Affiliations
- Beijing Normal University (CN)
- Tsinghua Shenzhen International Graduate School (CN)
- Corresponding author
- Ni, Shiguang
- Venue
- International Journal of Human–Computer Interaction
- Publisher
- Informa UK Limited
- Published
- 2024-01-08
- Volume
- 41
- Issue
- 1
- Pages
- 341-352
- ISSN
- 1044-7318 (ISSN-L)
- 1532-7590
- OpenAlex
- W4390668567
- Cited by
- 44
- References
- 29
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 11
- FWCI
- 17.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Human-Computer Interaction (publishedVersion)
- Funders
- Beijing Normal University at Zhuhai Researcher Activation Fund (Grant No., 1)
- Shenzhen Key Laboratory of Next Generation Interactive Media Innovative Technology (Grant No., 4)
- Chinese National Social Science Foundation (Grant No., 42)
- Shenzhen Key Research Base of Humanities and Social Sciences for People’s Well-being Benchmarking Study (Grant No., 03)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Keywords
- retrieval-based chatbots, success factors, personalized recommendation, adaptive dialogue, real-time feedback, happiness, chatbots
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