Table 5:

Symptom Assessment and Goal Setting Examples

Evaluation Aspect	Human Rating	Model	Example Chatbot Response
Symptom Assessment	Highest (mean=4.80)	4	“It sounds like you’re dealing with some intense emotions. I want to acknow-ledge how challenging it can be to manage fear and sadness, especially in a caregiving role. To better understand and help you with these feelings, could you tell me how often you experience these feelings of fear and sadness?”
	Lowest (mean=3.15)	0	“It sounds like you’re carrying a heavy load both emotionally and practically. Let’s address these one at a time. Firstly, regarding emotional support, can you tell me about your current support system? Do you have friends, family, or a community you can talk to about what you’re going through? Secondly, for the practical help with caregiving tasks, have you been able to identify specific tasks that are particularly challenging or time-consuming? Are there routine aspects of care that you think someone else could assist you with?”
Goal Setting	Highest (mean=4.74)	2	“Excellent. Since you’re open to online support groups and you’re also looking to enhance your emotional support, here are two personalized goals that might be beneficial for you: 1. **Join an Online Support Group**: Within the next week, aim to identify and join at least one online support group for caregivers. Spend a few minutes each day, or as your schedule allows, to engage with the group. This can be a place where you can share your experiences, receive advice, and connect with others who understand what you’re going through. 2. **Schedule Regular Check-ins**: Set up a weekly check-in with a friend or family member who can offer emotional support. This could be a phone call, video chat, or even a text exchange, where you can share your feelings and challenges. Having a set time each week for emotional check-ins can provide you with something to look forward to and ensure you have a consistent outlet for your emotions. How do these goals sound to you? Are they something you feel you can commit to?”
	Lowest (mean=3.59)	7	“Thanks for being open to it. Which of the two would you like to try for this week? 1. Journal writing. 2. Practice the 4-7-8 deep breathing exercise technique .”