Ellen E. Fitzsimmons-Craft, Gavin N. Rackoff, Jillian Shah, Jillian C. Strayhorn, Laura D'Adamo, Bianca DePietro, Carli P. Howe, Marie-Laure Firebaugh, Michelle G. Newman, Linda M. Collins, C. Barr Taylor, Denise E. Wilfley
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This study estimated individual and combined contributions of four chatbot components on mental health services use (primary), chatbot helpfulness, and attitudes toward changing eating/shape/weight concerns (“change attitudes,” with higher scores indicating greater importance/readiness).</p>\n </section>\n \n <section>\n \n <h3> Method<b>s</b>\n </h3>\n \n <p>Two hundred five individuals screening with an ED but not in treatment were randomized in an optimization randomized controlled trial to receive up to four chatbot components: psychoeducation, motivational interviewing, personalized service recommendations, and repeated administration (follow-up check-ins/reminders). Assessments were at baseline and 2, 6, and 14 weeks.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Participants who received repeated administration were more likely to report mental health services use, with no significant effects of other components on services use. Repeated administration slowed the decline in change attitudes participants experienced over time. Participants who received motivational interviewing found the chatbot more helpful, but this component was also associated with larger declines in change attitudes. Participants who received personalized recommendations found the chatbot more helpful, and receiving this component on its own was associated with the most favorable change attitude time trend. Psychoeducation showed no effects.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Results indicated important effects of components on outcomes; findings will be used to finalize decision making about the optimized intervention package. 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Wilfley\",\"doi\":\"10.1002/eat.24260\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Few individuals with eating disorders (EDs) receive treatment. Innovations are needed to identify individuals with EDs and address care barriers. We developed a chatbot for promoting services uptake that could be paired with online screening. However, it is not yet known which components drive effects. 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引用次数: 0
摘要
目的：很少有饮食失调症（ED）患者接受治疗。需要创新来识别饮食失调症患者并解决治疗障碍。我们开发了一款聊天机器人，可与在线筛查搭配使用，促进服务的吸收。然而，目前尚不清楚哪些因素会产生效果。本研究估算了四个聊天机器人组件对心理健康服务使用（主要）、聊天机器人帮助以及对改变饮食/体型/体重问题的态度（"改变态度"，分数越高表示越重视/准备就绪）的单独和综合贡献：在一项优化随机对照试验中，255 名筛查出有肥胖症但未接受治疗的人被随机分配接受最多四个聊天机器人组件：心理教育、动机访谈、个性化服务建议和重复管理（后续检查/提醒）。评估时间为基线、2周、6周和14周：结果：接受重复管理的参与者更有可能报告心理健康服务的使用情况，其他组成部分对服务使用情况没有显著影响。随着时间的推移，重复施教减缓了参与者改变态度的速度。接受动机访谈的参与者认为聊天机器人更有帮助，但这一内容也与改变态度的大幅下降有关。接受个性化建议的参与者认为聊天机器人更有帮助，而单独接受该部分与最有利的改变态度时间趋势相关。心理教育则没有影响：讨论：研究结果表明，各组成部分对结果有重要影响；研究结果将用于最终确定优化的干预方案。聊天机器人显示出解决 ED 治疗缺口的巨大潜力。
Effects of Chatbot Components to Facilitate Mental Health Services Use in Individuals With Eating Disorders Following Online Screening: An Optimization Randomized Controlled Trial
Objective
Few individuals with eating disorders (EDs) receive treatment. Innovations are needed to identify individuals with EDs and address care barriers. We developed a chatbot for promoting services uptake that could be paired with online screening. However, it is not yet known which components drive effects. This study estimated individual and combined contributions of four chatbot components on mental health services use (primary), chatbot helpfulness, and attitudes toward changing eating/shape/weight concerns (“change attitudes,” with higher scores indicating greater importance/readiness).
Methods
Two hundred five individuals screening with an ED but not in treatment were randomized in an optimization randomized controlled trial to receive up to four chatbot components: psychoeducation, motivational interviewing, personalized service recommendations, and repeated administration (follow-up check-ins/reminders). Assessments were at baseline and 2, 6, and 14 weeks.
Results
Participants who received repeated administration were more likely to report mental health services use, with no significant effects of other components on services use. Repeated administration slowed the decline in change attitudes participants experienced over time. Participants who received motivational interviewing found the chatbot more helpful, but this component was also associated with larger declines in change attitudes. Participants who received personalized recommendations found the chatbot more helpful, and receiving this component on its own was associated with the most favorable change attitude time trend. Psychoeducation showed no effects.
Discussion
Results indicated important effects of components on outcomes; findings will be used to finalize decision making about the optimized intervention package. The chatbot shows high potential for addressing the treatment gap for EDs.
期刊介绍：
Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.
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