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Chatbot-Delivered Interventions for Improving Mental Health Among Young People: A Systematic Review and Meta-Analysis
Jiaying Li1, Yan Li1, Yule Hu1
1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Worldviews on Evidence-Based Nursing
|July 15, 2025
Summary
Chatbot interventions effectively reduce psychological distress in young people, though their impact on overall well-being is not significant. These digital tools show promise in supplementing mental health care.
Area of Science:
- Digital Health
- Mental Health Technology
- Adolescent Psychology
Background:
- The effectiveness of chatbots for youth mental health requires systematic evaluation.
- Limited evidence exists on factors influencing chatbot intervention success.
Purpose of the Study:
- To systematically review chatbot interventions for youth mental health.
- To assess effectiveness, influencing factors, feasibility, and acceptability.
Main Methods:
- Systematic search of 11 databases (Jan 2014-Sep 2024).
- Meta-analysis and subgroup analyses of 13 randomized controlled trials.
- Narrative synthesis for feasibility and acceptability.
Main Results:
- Chatbots significantly reduced psychological distress (Hedge's g = -0.28).
- No significant effect on psychological well-being was found.
- Effectiveness varied by sample type, platform, and interaction mode.
Conclusions:
- Chatbot interventions positively impact youth psychological distress.
- Chatbots can supplement existing mental health services.
- Recommendations include using instant messengers and enhancing interaction quality.
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