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Effects of a Chatbot-Based Intervention on Stress and Health-Related Parameters in a Stressed Sample: Randomized
Christine Schillings1, Echo Meißner2, Benjamin Erb2
1Department of Clinical and Health Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.
JMIR Mental Health
|May 28, 2024
Summary
A 3-week chatbot intervention showed potential for improving mindfulness and emotion regulation in stressed individuals. While not reducing perceived stress, the digital tool enhanced well-being and interoceptive sensibility.
Area of Science:
- Digital health interventions
- Mental health technology
- Psychological interventions
Background:
- Rising stress levels and mental health disorders necessitate innovative interventions.
- Chatbot-based approaches offer promising digital solutions for health improvement.
- Research on mental health chatbot interventions remains limited.
Purpose of the Study:
- To evaluate the efficacy of a 3-week chatbot intervention (ELME) in reducing stress.
- To assess the impact of the chatbot on various health-related parameters in a stressed population.
- To investigate improvements in mindfulness, interoception, well-being, and emotion regulation.
Main Methods:
- A multicenter, two-armed randomized controlled trial involving 118 individuals with medium to high stress.
- Intervention group received daily chatbot sessions (stress, mindfulness, interoception) for 3 weeks.
- Outcomes included perceived stress, mindfulness, interoception, well-being, and emotion regulation, assessed at multiple time points.
Main Results:
- No significant reduction in perceived or momentary stress was observed.
- Mindfulness and reappraisal significantly increased in the intervention group.
- Subjective well-being and momentary interoceptive sensibility improved in both groups over time.
Conclusions:
- The chatbot intervention shows potential for enhancing mindfulness and emotion regulation in stressed individuals.
- Further research should explore longer intervention durations and specific participant subgroups for stress reduction.
- Future digital mental health interventions should leverage findings on rule-based and AI-based chatbots.
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