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Record W4411614867 · doi:10.1080/18387357.2025.2522425

Digital Conversational Agents for youth with multiple mental health conditions: a qualitative descriptive study of youth perspectives on the acceptability, potential benefits, and challenges

2025· article· en· W4411614867 on OpenAlexafffund
Lisa D. Hawke, Jingyi Hou, Jamie Gibson, Thalia Phi, Brian Ritchie, Gillian Strudwick, Louise Gallagher

Bibliographic record

VenueAdvances in Mental Health · 2025
Typearticle
Languageen
FieldPsychology
TopicDigital Mental Health Interventions
Canadian institutionsHospital for Sick ChildrenUniversity of TorontoSickKids FoundationCentre for Addiction and Mental Health
FundersOntario Brain Institute
KeywordsMental healthPsychologyQualitative researchApplied psychologyMedical educationMedicinePsychotherapistSociology

Abstract

fetched live from OpenAlex

Objective This qualitative descriptive study aimed to understand the perspectives of youth with multiple mental health conditions on the acceptability, benefits and challenges of digital conversational agents (i.e. ‘Conversational Agents’) for use in mental health care.Methods A total of 28 youth participated in one of six focus groups. Focus groups followed a semi-structured interview guide. Discussions were audio-recorded, transcribed verbatim, and analyzed using codebook thematic analysis. Polling questions were added to understand proportions of participants on discrete questions. Youth engagement was conducted throughout.Results Three themes were generated from the data: (1) Participants expressed a general initial willingness to use Conversational Agents for youth mental health support, with caution; (2) Participants recognised a wide range of practical benefits; and (3) The acceptability of was mitigated by significant risks and concerns.Discussion Conversational Agents hold potential as acceptable supportive tools for youth with multiple mental health conditions. However, caution should be exercised in developing tools that meet the needs of young people in terms of mental health support and ethical requirements..

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.

How this classification was reachedexpand

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)0.001
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: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.100
Threshold uncertainty score0.817

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
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 head0.099
GPT teacher head0.441
Teacher spread0.342 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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