JMIR Pediatrics and Parenting,
Journal Year:
2024,
Volume and Issue:
7, P. e56807 - e56807
Published: Nov. 14, 2024
Background
The
42
days
after
delivery
(“fourth
trimester”)
are
a
high-risk
period
for
birthing
individuals
and
newborns,
especially
those
who
racially
ethnically
marginalized
due
to
structural
racism.
Objective
To
fill
gap
in
the
critical
“fourth
trimester,”
we
developed
2
ruled-based
chatbots—one
one
newborn
caregivers—that
provided
trusted
information
about
postbirth
warning
signs
care
connected
patients
with
health
providers.
Methods
A
total
of
4370
received
chatbot
outreach
between
September
1,
2022,
December
31,
2023,
3497
postpartum
November
16,
2023.
We
conducted
surveys
interviews
English
Spanish
understand
acceptability
usability
identify
areas
improvement.
sampled
from
hospital
discharge
lists
that
distributed
chatbot,
stratified
by
prenatal
location,
age,
type
insurance,
racial
ethnic
group.
analyzed
quantitative
results
using
descriptive
analyses
SPSS
(IBM
Corp)
qualitative
deductive
coding
Dedoose
(SocioCultural
Research
Consultants).
Results
Overall,
2748
(63%)
opened
messaging,
2244
(64%)
messaging.
100
engaged
survey
feedback;
those,
40%
(n=40)
identified
as
Black,
27%
(n=27)
Hispanic/Latina,
18%
(n=18)
completed
Spanish.
Payer
distribution
was
55%
(n=55)
public
39%
(n=39)
commercial
2%
(n=2)
uninsured
individuals.
majority
surveyed
participants
indicated
messaging
timely
easy
use
(n=80,
80%)
found
reminders
schedule
visit
(n=59,
59%)
(n=66,
66%)
useful.
Across
23
(n=14,
61%
Black;
n=4,
17%
Hispanic/Latina;
n=2,
9%
Spanish;
n=11,
48%
insurance),
78%
interviewees
chatbot.
Interviewees
positive
feedback
on
content
recommendations
improving
messages.
Conclusions
Chatbots
promising
strategy
reach
caregivers
recovery
care,
but
intentional
engagement
strategies
needed
optimize
interaction.
Future
work
should
measure
chatbot’s
impact
outcomes
reduce
disparities.
JMIR Mental Health,
Journal Year:
2024,
Volume and Issue:
11, P. e56529 - e56529
Published: April 23, 2024
Recent
breakthroughs
in
artificial
intelligence
(AI)
language
models
have
elevated
the
vision
of
using
conversational
AI
support
for
mental
health,
with
a
growing
body
literature
indicating
varying
degrees
efficacy.
In
this
paper,
we
ask
when,
therapy,
it
will
be
easier
to
replace
humans
and,
conversely,
what
instances,
human
connection
still
more
valued.
We
suggest
that
empathy
lies
at
heart
answer
question.
First,
define
different
aspects
and
outline
potential
empathic
capabilities
versus
AI.
Next,
consider
determines
when
these
are
needed
most
both
from
perspective
therapeutic
methodology
patient
objectives.
Ultimately,
our
goal
is
prompt
further
investigation
dialogue,
urging
practitioners
scholars
engaged
AI-mediated
therapy
keep
questions
considerations
mind
investigating
implementation
health.
JMIR Mental Health,
Journal Year:
2025,
Volume and Issue:
12, P. e69294 - e69294
Published: Jan. 17, 2025
Abstract
Background
Mental
health
disorders
significantly
impact
global
populations,
prompting
the
rise
of
digital
mental
interventions,
such
as
artificial
intelligence
(AI)-powered
chatbots,
to
address
gaps
in
access
care.
This
review
explores
potential
for
a
“digital
therapeutic
alliance
(DTA),”
emphasizing
empathy,
engagement,
and
alignment
with
traditional
principles
enhance
user
outcomes.
Objective
The
primary
objective
this
was
identify
key
concepts
underlying
DTA
AI-driven
psychotherapeutic
interventions
health.
secondary
propose
an
initial
definition
based
on
these
identified
concepts.
Methods
PRISMA
(Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses)
scoping
reviews
Tavares
de
Souza’s
integrative
methodology
were
followed,
encompassing
systematic
literature
searches
Medline,
Web
Science,
PsycNet,
Google
Scholar.
Data
from
eligible
studies
extracted
analyzed
using
Horvath
et
al’s
conceptual
framework
alliance,
focusing
goal
alignment,
task
agreement,
bond,
quality
assessed
Newcastle-Ottawa
Scale
Cochrane
Risk
Bias
Tool.
Results
A
total
28
pool
1294
articles
after
excluding
duplicates
ineligible
studies.
These
informed
development
DTA,
elements
facilitators
barriers
affecting
primarily
focused
AI-powered
psychotherapy,
other
tools.
Conclusions
findings
provide
foundational
concept
report
its
replicate
mechanisms
trust,
collaboration
While
shows
promise
enhancing
accessibility
engagement
care,
further
research
innovation
are
needed
challenges
personalization,
ethical
concerns,
long-term
impact.
Healthcare,
Journal Year:
2025,
Volume and Issue:
13(4), P. 363 - 363
Published: Feb. 8, 2025
Background:
Interactive
conversational
agents
(chatbots)
simulate
human
conversation
using
natural
language
processing
and
artificial
intelligence.
They
enable
dynamic
interactions
are
used
in
various
fields,
including
education
healthcare.
Objective:
This
systematic
review
aims
to
identify
synthesize
studies
on
chatbots
for
women
expectant
parents
the
preconception,
pregnancy,
postnatal
period
through
12
months
postpartum.
Methods:
We
searched
six
electronic
bibliographic
databases
(MEDLINE
(Ovid),
CINAHL
(EBSCO),
Embase,
Web
of
Science,
Inspec,
IEEE
Xplore)
a
pre-defined
search
strategy.
included
sources
if
they
focused
preconception
period,
pregnant
their
partners,
mothers,
fathers/coparents
babies
up
old.
Two
reviewers
independently
screened
all
disagreements
were
resolved
by
third
reviewer.
extracted
validated
data
from
into
standardized
form
conducted
quality
appraisal.
Results:
Twelve
met
inclusion
criteria.
Seven
USA,
with
others
Brazil,
South
Korea,
Singapore,
Japan.
The
reported
high
user
satisfaction,
improved
health
intentions
behaviors,
increased
knowledge,
better
prevention
risks.
Chatbots
also
facilitated
access
information
professionals.
Conclusion:
provide
an
overview
interactive
perinatal
applications.
Digital
interventions
have
positive
impact
attitudes,
use
services.
Interventions
may
be
more
effective
than
those
methods
such
as
individual
or
group
face-to-face
delivery.
Counselling and Psychotherapy Research,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 29, 2024
Abstract
Background
Given
the
growing
potential
of
artificial
intelligence
(AI)
to
enhance
therapeutic
interventions
and
work
with
a
large
number
people,
it
is
crucial
understand
AI's
differences,
advantages
limitations
compared
human
therapists.
Methodology
This
study
an
AI
chatbot's
psychotherapists'
capabilities
in
responding
mental
health
enquiries
online
forum.
One
hundred
fifty
questions
from
Reddit
forum,
where
qualified
therapists
provide
support,
were
selected.
Each
question
received
two
responses:
one
therapist
generated
by
AI.
These
300
responses
coded
based
on
empathy
indices
psychological
intervention
types.
Results
The
results
indicated
that
scored
significantly
higher
perspective‐taking
(
V
=
12,957,
p
<
.001,
r
.53)
empathic
concern
17,400,
.60).
was
more
likely
use
supportive
(42.2%
vs.
21.8%)
slightly
aim
for
insight‐driven
change
(6.41%
4.57%).
In
contrast,
inclined
advice
information
(47.84%
39.81%),
explore
dysfunctional
patterns
(19.95%
10.29%)
ask
clarifying
(4.09%
0.97%).
A
chi‐squared
test
confirmed
significant
differences
between
types
used
(χ
2
[8,
N
300]
67.80,
.001).
Discussion
findings
highlight
basic
perceived
especially
administrative
tasks
training.
However,
study's
scope
limited
single
interactions,
without
consideration
nuanced
communication
available
through
speech,
facial
expressions
body
language.
Jurnal Parenting dan Anak,
Journal Year:
2025,
Volume and Issue:
2(2), P. 15 - 15
Published: March 6, 2025
This
study
examines
the
impact
of
Artificial
Intelligence
(AI)
on
family
communication,
parental
roles,
and
children's
respect
for
parents
in
Southeast
Asia.
Using
a
narrative
review
method,
we
systematically
analyzed
peer-reviewed
articles
published
between
2019
2024
from
databases
such
as
Scopus,
Web
Science,
Google
Scholar.
The
findings
indicate
that
AI
enhances
connectivity
within
families
by
facilitating
real-time
communication
personalized
parenting
support.
However,
it
also
poses
challenges,
particularly
undermining
authority
reducing
face-to-face
interactions.
Socioeconomic
cultural
factors
significantly
influence
adoption,
with
higher-income
benefiting
more
AI-driven
tools.
highlights
need
digital
literacy
programs
ethical
policies
to
mitigate
these
challenges.
Future
research
should
explore
long-term
effects
dynamics
develop
frameworks
integrate
traditional
approaches.
BMJ Open,
Journal Year:
2025,
Volume and Issue:
15(4), P. e091531 - e091531
Published: April 1, 2025
Introduction
Perinatal
depression
and
anxiety
(PDA)
is
associated
with
a
high
risk
of
maternal
mortality.
Existing
data
shows
that
95%
mortality
in
low-
middle-income
countries
(LMICs)
due
to
resource
constraints
negligence
addressing
perinatal
mental
health
(PMH).
Research
conducted
more
developed
has
demonstrated
the
potential
artificial
intelligence
(AI)
assist
predicting,
identifying,
diagnosing
treating
PDA.
However,
there
limited
knowledge
regarding
utilisation
AI
LMICs
where
PDA
disproportionately
affects
women.
Therefore,
this
study
aims
investigate
role
among
pregnant
women
mothers
LMICs.
Methods
analysis
This
systematic
review
will
use
patient
public
involvement
(PPI)
approach
systematically
diagnosing,
The
combine
secondary
evidence
from
academic
databases
primary
focus
group
discussions
workshop
webinar
comprehensively
analyse
all
relevant
published
reported
on
period
between
January
2010
May
2024.
To
gather
necessary
data,
reputable
interdisciplinary
field
be
used,
including
ACM
Digital
Library,
CINAHL,
MEDLINE,
PsycINFO,
Scopus
Web
Science.
extracted
following
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
(PRISMA)
framework,
ensuring
transparency
comprehensiveness
reporting
findings.
Finally,
studies
synthesised
using
integrative
synthesis
approach.
Ethics
dissemination
Given
PPI
employed
by
which
involves
multi-stakeholders
lived
experience,
ethical
approvals
have
been
sought
University
Ghana
Alberta.
Additionally,
during
process,
ensure
articles
included
uphold
standards,
only
peer-reviewed
journals/databases
review.
findings
disseminated
through
workshops,
webinars,
conferences,
publications,
social
media
platforms
available
researchers.
PROSPERO
registration
number
(10/06/24)
CRD42024549455.
Iranian Journal of Psychiatry,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 29, 2024
Objective:
This
review
identifies
the
characteristic
features
of
artificial
intelligence
(AI)
chatbots
and
their
therapeutic
effect;
assesses
efficacy
in
treatment
depression,
anxiety,
other
mental
health
disorders;
establishes
levels
user
engagement
satisfaction.
Method
:
Searches
were
conducted
on
PubMed,
Embase,
MEDLINE,
CENTRAL,
CINAHL,
PsycINFO,
Google
Scholar
databases
using
a
set
keywords
such
as,
not
limited
to,
AI
cognitive
behavioral
therapy
(AI
CBT),
Youper,
Wysa,
Woebot,
related
terms.
We
included
studies
that
empirical,
peer-reviewed,
between
January
2017
June
2024,
primarily
focused
regarding
interventions
outcomes.
Data
then
extracted
analyzed
both
qualitative
quantitative
methods
concerning
outcome.
Results:
Our
identified
large
improvements
across
three
symptoms
health,
as
supported
by
10
studies:
five
four
one
Youper.
Woebot
showed
remarkable
reductions
depression
anxiety
with
high
engagement;
Wysa
demonstrated
similar
improvements,
especially
users
chronic
pain
or
maternal
challenges;
Youper
also
presented
significant
symptom
reduction,
including
48%
decrease
43%
anxiety.
Common
benefits
all
alliance
rate
satisfaction
among
users.
have
discussed
studies'
limitations;
is,
study
design
shortcomings
lack
sample
diversity.
Conclusion:
CBT
chatbots,
but
to
are
highly
promising
because
availability
effectiveness
support.
They
provide
useful
complement
standard
when
professional
help
is
unavailable,
offer
constant
tailored
interventions.
However,
it
necessary
further
investigate
potential
impact
long-term
intervention
models
explore
how
they
may
be
integrated
into
holistic
care
systems.
Information,
Journal Year:
2024,
Volume and Issue:
16(1), P. 11 - 11
Published: Dec. 29, 2024
Anxiety
disorders
are
among
the
most
prevalent
mental
health
conditions
globally,
causing
significant
personal
and
societal
burdens.
Traditional
therapies,
while
effective,
often
face
barriers
such
as
limited
accessibility,
high
costs,
stigma
associated
with
seeking
care.
The
emergence
of
artificial
intelligence
(AI)
chatbots
offers
a
novel
solution
by
providing
accessible,
cost-effective,
immediate
support
for
individuals
experiencing
anxiety.
This
comprehensive
review
examines
evolution,
efficacy,
advantages,
limitations,
challenges,
future
perspectives
AI
in
treatment
anxiety
disorders.
A
methodologically
rigorous
literature
search
was
conducted
across
multiple
databases,
focusing
on
publications
from
2010
to
2024
that
evaluated
chatbot
interventions
targeting
symptoms.
Empirical
studies
demonstrate
can
effectively
reduce
symptoms
delivering
therapeutic
like
cognitive-behavioral
therapy
through
interactive
personalized
dialogues.
advantages
include
increased
accessibility
without
geographical
or
temporal
reduced
an
anonymity
encourages
openness
reduces
stigma.
However,
limitations
persist,
lack
human
empathy,
ethical
privacy
concerns
related
data
security,
technical
challenges
understanding
complex
emotions.
key
identified
involve
enhancing
emotional
chatbots,
integrating
them
traditional
therapy,
establishing
robust
frameworks
ensure
user
safety
protection.
Future
research
should
focus
improving
capabilities,
personalization,
cultural
adaptation,
engagement.
In
conclusion,
represent
promising
adjunct
treating
disorders,
offering
scalable
complement
services.
Balancing
technological
innovation
responsibility
is
crucial
maximize
their
potential
benefits.