Abbas Edalat, Ruoyu Hu, Zeena Patel, Neophytos Polydorou, Frank Ryan, Dasha Nicholls
{"title":"Self-initiated humour protocol: a pilot study with an AI agent.","authors":"Abbas Edalat, Ruoyu Hu, Zeena Patel, Neophytos Polydorou, Frank Ryan, Dasha Nicholls","doi":"10.3389/fdgth.2025.1530131","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Non-hostile humour and laughter have been known for therapeutic benefits in an individual's mental health and wellbeing. To this end, we evaluated the Self-Initiated Humour Protocol (SIHP), a new type of self-administrable laughter intervention that utilises spontaneous and self-induced laughter. Rooted in the core principles of the Self-Attachment Technique-in which an individual creates an affectional bond with their childhood self as represented by their childhood photo or personalised childhood avatar-SIHP provides an algorithmic framework for individuals to learn to laugh in a non-hostile manner and develop a sense of humour in all possible life contexts. This allows SIHP to be self-administered by interacting with an AI agent.</p><p><strong>Methods: </strong>An 8-week intervention was conducted with N = 27 adult participants. Exclusion criteria: severe depression or anxiety (PHQ-9 and GAD-7 scores above 15). Participants' measurements were collected in the areas of wellbeing, use of different humour styles, emotional self-regulation, self-compassion and psychological capital, and analysed to understand any changes over time. Measurements were taken immediately before, after the intervention, and at the 3-month follow-up. Throughout the intervention, participants were required to practise SIHP 20 min a day with the aid of an emotionally intelligent chatbot and their personalised child avatar in virtual reality (VR).</p><p><strong>Results: </strong>Analysis of results at the 3-month follow-up showed significant improvements in the primary outcome of wellbeing with large effect size ( <math><mi>r</mi> <mo>=</mo> <mn>0.92</mn></math> ), as well as a range of secondary outcomes with large effect sizes, self-compassion ( <math><mi>r</mi> <mo>=</mo> <mn>0.93</mn></math> ), use of self-enhancing humour ( <math><mi>d</mi> <mo>=</mo> <mn>0.80</mn></math> ), and emotion regulation ( <math><mi>d</mi> <mo>=</mo> <mn>0.87</mn></math> ); the results also showed improvement to participant's psychological capital with moderate effect size ( <math><mi>d</mi> <mo>=</mo> <mn>0.56</mn></math> ).</p><p><strong>Discussion: </strong>This study shows the potential for the practice of SIHP as supported by an emotionally intelligent chatbot and personalised child avatar to have medium-term positive effects, which should be validated through future randomised trials.</p>","PeriodicalId":73078,"journal":{"name":"Frontiers in digital health","volume":"7 ","pages":"1530131"},"PeriodicalIF":3.2000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965911/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in digital health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fdgth.2025.1530131","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Non-hostile humour and laughter have been known for therapeutic benefits in an individual's mental health and wellbeing. To this end, we evaluated the Self-Initiated Humour Protocol (SIHP), a new type of self-administrable laughter intervention that utilises spontaneous and self-induced laughter. Rooted in the core principles of the Self-Attachment Technique-in which an individual creates an affectional bond with their childhood self as represented by their childhood photo or personalised childhood avatar-SIHP provides an algorithmic framework for individuals to learn to laugh in a non-hostile manner and develop a sense of humour in all possible life contexts. This allows SIHP to be self-administered by interacting with an AI agent.
Methods: An 8-week intervention was conducted with N = 27 adult participants. Exclusion criteria: severe depression or anxiety (PHQ-9 and GAD-7 scores above 15). Participants' measurements were collected in the areas of wellbeing, use of different humour styles, emotional self-regulation, self-compassion and psychological capital, and analysed to understand any changes over time. Measurements were taken immediately before, after the intervention, and at the 3-month follow-up. Throughout the intervention, participants were required to practise SIHP 20 min a day with the aid of an emotionally intelligent chatbot and their personalised child avatar in virtual reality (VR).
Results: Analysis of results at the 3-month follow-up showed significant improvements in the primary outcome of wellbeing with large effect size ( ), as well as a range of secondary outcomes with large effect sizes, self-compassion ( ), use of self-enhancing humour ( ), and emotion regulation ( ); the results also showed improvement to participant's psychological capital with moderate effect size ( ).
Discussion: This study shows the potential for the practice of SIHP as supported by an emotionally intelligent chatbot and personalised child avatar to have medium-term positive effects, which should be validated through future randomised trials.