Table 3.
Computational considerations of mental health CAsa for youth (N=39).
| Dimensions and codes | Value, n (%) | Key trends | ||||
| System characteristics | Most of the mental health CAs were prototypes built upon existing mobile chat apps | |||||
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Maturity of device |
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Prototype | 26 (67) |
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Fully functioning system | 7 (18) |
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Existing system | 8 (20) |
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Concept | 1 (3) |
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Delivery channel |
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Mobile | 16 (41) |
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Web | 11 (28) |
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Desktop | 6 (15) |
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| Communication mode | All CAs supported text-based input (free text along with quick options) with a few that supported voice input; all supported textual output, with many of them supporting visualized output such as image and video | |||||
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Input mode | |||||
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Text | 39 (100) |
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Text+speech | 2 (5) |
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Free text+options | 19 (49) |
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Free text | 13 (33) |
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Quick options | 5 (13) |
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Output mode | |||||
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Text | 39 (100) |
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Image | 21 (54) |
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Video | 12 (31) |
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Audio | 7 (18) |
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Game | 6 (15) |
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AIb technique | Free-textual inputs were processed via NLPc, while prewritten content was delivered via rule-based programming | ||||
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NLP | 19 (49) |
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Rule based | 15 (38) |
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Content delivery | Most mental health content was delivered in flexible ways; in some cases, prewritten content was delivered in a structured manner | ||||
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Flexible | 25 (64) |
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Structured | 8 (20) |
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Semistructured | 3 (8) |
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Knowledge base | Mental health content was built upon evidence-based expert knowledge of cognitive and behavioral therapy and positive psychology | ||||
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CBTd | 19 (49) |
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Positive psychology | 7 (18) |
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Other therapeutic content | 7 (18) |
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Clinical expert knowledge | 6 (15) |
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aCA: conversational agent.
bAI: artificial intelligence.
cNLP: natural language processing.
dCBT: cognitive behavioral therapy.