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Record W4408329109 · doi:10.1080/0144929x.2025.2477754

AI-human interactions in healthcare: exploring users’ post-adoption behaviors of AI mental health chatbots

2025· article· en· W4408329109 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBehaviour and Information Technology · 2025
Typearticle
Languageen
FieldPsychology
TopicDigital Mental Health Interventions
Canadian institutionsMcMaster University
Fundersnot available
KeywordsMental healthcareMental healthHealth careMental health carePsychologyHuman healthHuman–computer interactionComputer scienceMedicinePsychiatryPolitical scienceEnvironmental health

Abstract

fetched live from OpenAlex

The rise in mental health challenges has spurred innovative technological solutions, including AI-based chatbots for mental care management. This study explores how individuals engage with these chatbots for health decision-making, examining relationships between utilitarian and hedonic values, satisfaction with well-being outcomes, IT identity, social norms, and post-adoption behaviours. Using IT identity theory and a quantitative approach, we surveyed 309 current users of AI-based chatbots in the US. Structural equation modeling (SEM) was employed to analyse the data. Results show that both utilitarian and hedonic values positively influence user satisfaction with well-being outcomes. Satisfaction, in turn, shapes IT identity, reflecting personalised engagement with technology. IT identity positively influences behavioural intentions, including exploring new features, word of mouth, and continued use of AI chatbots. The study reveals mixed moderating effects of social norms, with significant moderation for word of mouth but not for behavioural intentions. Mediation effects of satisfaction in the relationships between values and IT identity provide insights into how technology becomes integral to individual identities and well-being routines. This research contributes to both theoretical understanding and practical applications of AI chatbots in mental health and well-being. It offers a robust framework for future research and interventions in AI-enabled healthcare.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.680
Threshold uncertainty score0.666

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0000.002
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.038
GPT teacher head0.400
Teacher spread0.362 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it