Large Language Model Agents for Improving Engagement with Behavior Change Interventions: Application to Digital Mindfulness
Bibliographic record
Abstract
Although engagement in self-directed wellness exercises typically declines over time, integrating social support such as coaching can sustain it. However, traditional forms of support are often inaccessible due to the high costs and complex coordination. Large Language Models (LLMs) show promise in providing human-like dialogues that could emulate social support. Yet, in-depth, in situ investigations of LLMs to support behavior change remain underexplored. We conducted two randomized experiments to assess the impact of LLM agents on user engagement with mindfulness exercises. First, a single-session study, involved 502 crowdworkers; second, a three-week study, included 54 participants. We explored two types of LLM agents: one providing information and another facilitating self-reflection. Both agents enhanced users' intentions to practice mindfulness. However, only the information-providing LLM agent, featuring a friendly persona, significantly improved engagement with the exercises. Our findings suggest that specific LLM agents may bridge the social support gap in digital health interventions.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
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".