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. 2025 Feb 28;13:e62758. doi: 10.2196/62758

Table 1.

Characteristics of the empirical research on mental health CAsa for youth (N=39).

Dimensions and codes Value, n (%) Key trends
Research phase Most of the empirical research involved development and summative evaluation; less work involved formative evaluation to (re)design mental health CAs with youth

Design 15 (38)

Development 29 (74)

Formative evaluation 15 (38)

Summative evaluation 36 (92)
Research design Most of the research involved user testing or experiments to evaluate mental health CAs

User testing 18 (46)

Experiment 18 (46)
Research participants and duration Most commonly, the research on mental health CAs was conducted with <100 participants who are adolescents and young adults without mental health conditions for <4 wk

Participant age (y)


Adolescents (12-18) 16 (41)


Young adults (18-30) 14 (36)


Youth (14-25) 9 (23)

Participant group


General population 21 (54)


At-risk population 18 (46)

Number of participants


<100 28 (72)


100-200 6 (15)


>200 2 (5)

Duration of CA interaction


1 time 6 (15)


<4 wk 12 (31)


4-8 wk 5 (13)


9-16 wk 1 (3)

Research ethics Research ethics such as institutional review and consent were addressed in most research; however, only a few research studies addressed data privacy and safety of youth participants


Consent 26 (67)


Institutional review 26 (67)


Data confidentiality 8 (20)


Safety 4 (10)

aCA: conversational agent.