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HealthLINE: A messaging chatbot for supporting chronic disease self-management.

Yi-Fan Wang1, Mei-Hua Hsu2, Max Yue-Feng Wang3

  • 1Institute of Information and Decision Sciences, National Taipei University of Business, Taipei City.

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|November 7, 2025
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Summary

A new chatbot, HealthLINE, improved health behavior adherence and reduced blood pressure in adults with hypertension or diabetes. This digital tool offers a scalable approach to chronic disease management via familiar messaging platforms.

Keywords:
LINE chatbotbehavior changedigital healthhealth promotionmobile intervention

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Area of Science:

  • Digital Health
  • Health Informatics
  • Chronic Disease Management

Background:

  • Chronic diseases like hypertension and diabetes necessitate continuous lifestyle management.
  • Traditional health education faces limitations in accessibility and resources.
  • Digital health tools, such as chatbots on messaging platforms, offer scalable support for self-management.

Purpose of the Study:

  • To design, implement, and evaluate HealthLINE, a LINE-based chatbot.
  • To support self-management in individuals with hypertension or diabetes.

Main Methods:

  • An 8-week action research study involving 40 adults with hypertension or type 2 diabetes.
  • Participants used the HealthLINE chatbot for medication reminders, diet/exercise logging, health education, and emotional support.
  • Assessed health behavior adherence, system acceptance (Technology Acceptance Model), and physiological indicators (systolic blood pressure, fasting glucose) pre- and post-intervention.

Main Results:

  • High system acceptance with perceived usefulness (M=4.3) and ease of use (M=4.5).
  • Significant improvement in health behavior adherence (p<0.01) and doubled exercise frequency (p<0.05).
  • Systolic blood pressure decreased by 6.5 mmHg (p=0.04); fasting glucose showed a non-significant reduction.

Conclusions:

  • The HealthLINE chatbot effectively enhanced health behavior adherence and user engagement.
  • Positive effects on physiological outcomes suggest a practical, scalable approach to chronic disease management.
  • Further validation through longer-term trials with control groups is recommended.