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Intelligent Conversational Agents in Mental Healthcare Services: A Thematic Analysis of User Perceptions
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Background: The emerging Artificial Intelligence (AI) based Conversational Agents (CA) capable of delivering evidence-based psychotherapy presents a unique opportunity to solve longstanding issues such as social stigma and demand-supply imbalance associated with traditional mental health care services. However, the emerging literature points to several socio-ethical challenges which may act as inhibitors to the adoption in the minds of the consumers. We also observe a paucity of research focusing on determinants of adoption and use of AI-based CAs in mental healthcare. In this setting, this study aims to understand the factors influencing the adoption and use of Intelligent CAs in mental healthcare by examining the perceptions of actual users. Method: The study followed a qualitative approach based on netnography and used a rigorous iterative thematic analysis of publicly available user reviews of popular mental health chatbots to develop a comprehensive framework of factors influencing the user’s decision to adopt mental healthcare CA. Results: We developed a comprehensive thematic map comprising of four main themes, namely, perceived risk, perceived benefits, trust, and perceived anthropomorphism, along with its 12 constituent subthemes that provides a visualization of the factors that govern the user’s adoption and use of mental healthcare CA. Conclusions: Insights from our research could guide future research on mental healthcare CA use behavior. Additionally, it could also aid designers in framing better design decisions that meet consumer expectations. Our research could also guide healthcare policymakers and regulators in integrating this technology into formal healthcare delivery systems. Available at: https://aisel.aisnet.org/pajais/vol12/iss2/1/
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“Trust in technology has previously been seen in the light of the technology's functionality, ability to provide help and operational reliability and the technology provider's integrity, benevolence and competence-including privacy aspects (McKnight et al., 2011;Prakash and Das, 2020;Ta et al., 2020).”
From My Chatbot Companion - a Study of Human-Chatbot Relationships (2021) · cites this paper as Prakash and Das, 2020
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“Previous research has demonstrated discontinued usage of a chatbot due to perceived weaknesses in data protection (Prakash and Das, 2020).”
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S., N. L. (2017) · doi:10.1177/1609406917733847 · Cited by 14,051
Whiteford, H. A., Ferrari, A. J., Degenhardt, L., Feigin, V., & Vos, T. (2015) · PLOS ONE · doi:10.1371/journal.pone.0116820 · Cited by 1,175
Go, E., & Sundar, S. S. (2019) · Computers in Human Behavior · doi:10.1016/j.chb.2019.01.020 · Cited by 1,089
Predicting the intentions to use chatbots for travel and tourism
Melián-González, S., Gutiérrez-Taño, D., & Bulchand-Gidumal, J. (2021) · Current Issues in Tourism · doi:10.1080/13683500.2019.1706457 · Cited by 406
Martinez-Martin, N., & Kreitmair, K. (2018) · JMIR Mental Health · doi:10.2196/mental.9423 · Cited by 221
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My Chatbot Companion - a Study of Human-Chatbot Relationships
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Metadata
- Authors
- Prakash, A., & Das, S.
- Affiliations
- Indian Institute of Technology Kharagpur (IN)
- Corresponding author
- Ashish Prakash
- ORCID
- Ashish Prakash
- Venue
- Pacific Asia journal of the Association for Information Systems
- Publisher
- Association for Information Systems
- Published
- 2020-06-30
- Volume
- 12
- ISSN
- 1943-7536 (ISSN-L)
- 1943-7544
- OpenAlex
- W3037258793
- Cited by
- 26
- References
- 5
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 8
- Type
- paratext
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pacific Asia journal of the Association for Information Systems (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Social Sciences › Business, Management and Accounting › Marketing › AI in Service Interactions
- Keywords
- chatbots, mental health chatbots, artificial intelligence adoption, technology adoption factors, user perception, risk perception, perceived benefits, trust, anthropomorphism, evidence-based psychotherapy, access to mental health care, online reviews
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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