This paper is in the following e-collection/theme issue:

Digital Mental Health Interventions, e-Mental Health and Cyberpsychology (2111) Emotional, Social, Psychological Support for Cancer (250) Chatbots and Conversational Agents (740) Clinical Communication, Electronic Consultation and Telehealth (758) Web-based and Mobile Health Interventions (4018)

Published on in Vol 25 (2023)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/43051, first published .
A Multilingual Digital Mental Health and Well-Being Chatbot (ChatPal): Pre-Post Multicenter Intervention Study

A Multilingual Digital Mental Health and Well-Being Chatbot (ChatPal): Pre-Post Multicenter Intervention Study

A Multilingual Digital Mental Health and Well-Being Chatbot (ChatPal): Pre-Post Multicenter Intervention Study

Authors of this article:

Courtney Potts1 Author Orcid Image ;   Frida Lindström2 Author Orcid Image ;   Raymond Bond3 Author Orcid Image ;   Maurice Mulvenna3 Author Orcid Image ;   Frederick Booth4 Author Orcid Image ;   Edel Ennis1 Author Orcid Image ;   Karolina Parding2 Author Orcid Image ;   Catrine Kostenius5 Author Orcid Image ;   Thomas Broderick6 Author Orcid Image ;   Kyle Boyd7 Author Orcid Image ;   Anna-Kaisa Vartiainen8 Author Orcid Image ;   Heidi Nieminen9 Author Orcid Image ;   Con Burns6 Author Orcid Image ;   Andrea Bickerdike6 Author Orcid Image ;   Lauri Kuosmanen9 Author Orcid Image ;   Indika Dhanapala10 Author Orcid Image ;   Alex Vakaloudis10 Author Orcid Image ;   Brian Cahill10 Author Orcid Image ;   Marion MacInnes11 Author Orcid Image ;   Martin Malcolm12 Author Orcid Image ;   Siobhan O'Neill1 Author Orcid Image
Article Authors Cited by (39) Tweetations (12) Metrics

Journals

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  2. Mitsea E, Drigas A, Skianis C. Digitally Assisted Mindfulness in Training Self-Regulation Skills for Sustainable Mental Health: A Systematic Review. Behavioral Sciences 2023;13(12):1008 View
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  4. Embaye J, de Wit M, Snoek F. A Self-Guided Web-Based App (MyDiaMate) for Enhancing Mental Health in Adults With Type 1 Diabetes: Insights From a Real-World Study in the Netherlands. JMIR Diabetes 2024;9:e52923 View
  5. Laymouna M, Ma Y, Lessard D, Schuster T, Engler K, Lebouché B. Roles, Users, Benefits, and Limitations of Chatbots in Health Care: Rapid Review. Journal of Medical Internet Research 2024;26:e56930 View
  6. Dinesh D, Rao M, Sinha C. Language adaptations of mental health interventions: User interaction comparisons with an AI-enabled conversational agent (Wysa) in English and Spanish. DIGITAL HEALTH 2024;10 View
  7. Kostenius C, Lindstrom F, Potts C, Pekkari N. Young peoples’ reflections about using a chatbot to promote their mental wellbeing in northern periphery areas - a qualitative study. International Journal of Circumpolar Health 2024;83(1) View
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  9. Akpan I, Kobara Y, Owolabi J, Akpan A, Offodile O. Conversational and generative artificial intelligence and human–chatbot interaction in education and research. International Transactions in Operational Research 2025;32(3):1251 View
  10. Indah Permatasari R, Parama Artha D, Satria Wiratama B, Wulandari H, Sato H, El Wahed A, Frutos R, Wibawa T, Prabandari R, Hasanbasri M, Ramadona A, Rauf A, Wiratama B, Maula A. Overview of chatbot usage on mental health: A scoping review. BIO Web of Conferences 2024;132:05002 View
  11. Rządeczka M, Sterna A, Stolińska J, Kaczyńska P, Moskalewicz M. The Efficacy of Conversational AI in Rectifying the Theory-of-Mind and Autonomy Biases: Comparative Analysis. JMIR Mental Health 2025;12:e64396 View
  12. Taiwo O, Al‐Bander B. Emotion‐aware psychological first aid: Integrating BERT‐based emotional distress detection with Psychological First Aid‐Generative Pre‐Trained Transformer chatbot for mental health support. Cognitive Computation and Systems 2025;7(1) View
  13. Cilar Budler L, Stiglic G. Ethical approval and informed consent in mental health research: a scoping review. AI & SOCIETY 2025;40(8):6571 View
  14. McCarren L, Kuoppamäki S. Voice-guided digital mindfulness among older adults: A qualitative study on design preferences, routines, and well-being (Preprint). JMIR Human Factors 2024 View
  15. Hipgrave L, Goldie J, Dennis S, Coleman A. Balancing risks and benefits: clinicians’ perspectives on the use of generative AI chatbots in mental healthcare. Frontiers in Digital Health 2025;7 View
  16. KUMAR S, Kumar A, Amba Prasanna A. Case Study: Augmented Reality Enabled Mental Health Chatbot. Global Clinical Engineering Journal 2025;7(2):49 View
  17. Algumaei A, Yaacob N, Doheir M, Al-Andoli M, Algumaie M. Symmetric Therapeutic Frameworks and Ethical Dimensions in AI-Based Mental Health Chatbots (2020–2025): A Systematic Review of Design Patterns, Cultural Balance, and Structural Symmetry. Symmetry 2025;17(7):1082 View
  18. Bucher A, Egger S, Vashkite I, Wu W, Schwabe G. “It’s Not Only Attention We Need”: Systematic Review of Large Language Models in Mental Health Care. JMIR Mental Health 2025;12:e78410 View
  19. Hua Y, Siddals S, Ma Z, Galatzer‐Levy I, Xia W, Hau C, Na H, Flathers M, Linardon J, Ayubcha C, Torous J. Charting the evolution of artificial intelligence mental health chatbots from rule‐based systems to large language models: a systematic review. World Psychiatry 2025;24(3):383 View
  20. Tomasz Ufniarski , Maria Ufniarska , Aleksandra Piech , Karolina Pasierb , Karol Poplicha , Martyna Grodzińska , Bartłomiej Siuzdak , Justyna Moszkowicz , Piotr Sobkiewicz , Patrycja Kardasz , Marta Jutrzenka , Patrycja Ucieklak . LARGE LANGUAGE MODEL BASED CHATBOTS – A CHANCE FOR CLOSING THE MENTAL HEALTH TREATMENT GAP OR A THREAT TO THE PUBLIC HEALTH? A NARRATIVE REVIEW. International Journal of Innovative Technologies in Social Science 2025;3(3(47)) View
  21. Alexander D, Alexander B, Martin T, Christoph J. The role of prompt, voice, and personality factors in the acceptance and evaluation of AI-generated mindfulness exercises. Scientific Reports 2025;15(1) View
  22. Wang Y, Farb N. An Exploratory Study of Chatbot-Based Mindfulness for Mental Health Support. Mindfulness 2025;16(11):3143 View
  23. Kuhail M, Al-Shamaileh O, Farooq S, Shahin H, Abdelzaher F, Thomas J, Kaura N. A Systematic Review on Mental Health Chatbots: Trends, Design Principles, Evaluation Methods, and Future Research Agenda. Human Behavior and Emerging Technologies 2025;2025(1) View
  24. Almeida K, Farias Y, Souza J. IMPACTO DA INTELIGÊNCIA ARTIFICIAL NA SAÚDE MENTAL DE JOVENS ADULTOS: BENEFÍCIOS, DESAFIOS E PERSPECTIVAS. REVISTA FOCO 2025;18(11):e10733 View

Books/Policy Documents

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Conference Proceedings

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