Table 2.
Artificial intelligence chatbot roles, theoretical foundations, and health behavioral change techniquesa.
| Paper | Theoretical foundation | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | |
| Routine coach and on-demand assistant (n=4) | ||||||||||||||||||
|
|
Davis et al (2020) [49] | NRb | ✓c | ✓ | ✓ | ✓ |
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
Hassoon et al (2021) [38] | NR | ✓ | ✓ |
|
|
|
|
|
|
|
✓ |
|
|
|
|
|
|
|
|
Maher et al (2020) [48] | NR | ✓ | ✓ | ✓ | ✓ |
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
Perski et al (2019) [34] | Mohr’s model of supportive accountability |
|
|
|
|
✓ |
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
Category sum | —d | 3 | 3 | 2 | 2 | 1 | 0 | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Routine coach (n=27) | ||||||||||||||||||
|
|
Albino de Queiroz et al (2023) [35] | CBTe |
|
✓ |
|
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
Albers et al (2023) [47] | NR | ✓ |
|
|
|
✓ | ✓ |
|
|
|
|
|
|
|
|
|
✓ |
|
|
Almusharraf et al (2020) [59] | MIf | ✓ |
|
|
✓ |
|
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
Brown et al (2023) [60] | MI | ✓ |
|
✓ |
|
|
|
✓ |
|
✓ |
|
|
|
|
|
|
|
|
|
Cameron et al (2018) [33] | NR |
|
✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Catellani et al (2023) [37] | Multiple theory 1g |
|
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
Daley et al (2020) [52] | CBT and positive psychology |
|
✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dhinagaran et al (2021) [67] | COM-Bh |
|
|
✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Figueroa et al (2021) [16] | Multiple theory 2i | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fitzsimmons‐Craft et al (2022) [39] | CBT |
|
✓ | ✓ | ✓ |
|
|
|
✓ |
|
|
|
|
✓ |
|
|
|
|
|
Medeiros et al (2022) [42] | Emotion self-regulation |
|
|
✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
✓ |
|
|
|
Legaspi et al (2022) [18] | NR | ✓ | ✓ |
|
✓ |
|
|
✓ |
|
|
|
|
|
✓ |
|
|
|
|
|
Karhiy et al (2023) [24] | NR |
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Meng and Dai (2021) [23] | NR |
|
✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Moore et al (2024) [57] | COM-B and the Theoretical Domains Framework | ✓ | ✓ |
|
✓ |
|
|
|
✓ |
|
|
|
|
|
|
✓ |
|
|
|
Piao et al (2020) [44] | HFMj | ✓ | ✓ |
|
|
|
|
✓ | ✓ |
|
✓ |
|
|
|
|
|
|
|
|
Piao et al (2020) [58] | HFM | ✓ | ✓ |
|
|
|
|
✓ | ✓ |
|
✓ |
|
|
|
|
|
|
|
|
Rahmanti et al (2022) [64] | COM-B | ✓ | ✓ | ✓ | ✓ | ✓ |
|
✓ |
|
|
✓ |
|
|
|
|
|
|
|
|
Sia et al (2021) [66] | NR | ✓ |
|
✓ | ✓ |
|
|
✓ |
|
|
✓ |
|
|
|
|
✓ |
|
|
|
Sun et al (2023) [68] | MI and graded exercise therapy | ✓ |
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Albers et al (2023) [43] | NR | ✓ | ✓ | ✓ | ✓ |
|
✓ | ✓ |
|
✓ | ✓ |
|
|
|
|
|
|
|
|
Aarts et al (2022) [61] | NR |
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Holmes et al (2019) [17] | NR |
|
✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Griol et al (2022) [63] | NR |
|
✓ | ✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
De Nieva et al (2020) [53] | CBT | ✓ | ✓ |
|
✓ |
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
Carrasco-Hernandez et al (2020) [46] | CBT and MI |
|
✓ | ✓ |
|
✓ |
|
|
|
|
|
|
|
|
|
✓ |
|
|
|
Masaki et al (2019) [45] | NR | ✓ | ✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Category sum | — | 14 | 17 | 14 | 16 | 5 | 2 | 8 | 5 | 3 | 5 | 0 | 0 | 2 | 0 | 4 | 1 |
| On-demand assistant (n=12) | ||||||||||||||||||
|
|
Stephens et al (2019) [41] | Multiple theory 3k | ✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Danieli et al (2021) [50] | CBT |
|
✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Danieli et al (2022) [51] | CBT |
|
✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fadhil et al (2019) [65] | CBT |
|
✓ | ✓ | ✓ |
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
|
Larizza et al (2023) [40] | NR | ✓ | ✓ | ✓ | ✓ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Olano-Espinosa et al (2022) [19] | 5A clinic practice guideline |
|
|
✓ | ✓ |
|
|
|
✓ |
|
✓ |
|
|
|
|
|
|
|
|
Alghamdi et al (2021) [36] | Multiple theory 4l |
|
✓ |
|
|
|
|
|
|
|
✓ | ✓ |
|
|
|
|
|
|
|
To et al (2021) [20] | COM-B | ✓ | ✓ | ✓ |
|
✓ |
|
✓ | ✓ |
|
✓ |
|
|
|
|
✓ |
|
|
|
Durden et al (2023) [54] | CBT | ✓ | ✓ |
|
✓ |
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
Forman-Hoffman et al (2023) [55] | CBT | ✓ | ✓ | ✓ | ✓ |
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
Hoffman et al (2023) [56] | CBT | ✓ | ✓ | ✓ | ✓ |
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
Prochaska et al (2021) [62] | CBT | ✓ | ✓ | ✓ | ✓ |
|
|
|
✓ |
|
|
|
|
|
|
|
|
|
|
Category sum | — | 7 | 11 | 10 | 9 | 1 | 0 | 2 | 6 | 0 | 3 | 1 | 0 | 0 | 0 | 1 | 0 |
|
|
Total number | — | 24 | 31 | 26 | 27 | 7 | 2 | 13 | 11 | 3 | 9 | 1 | 0 | 2 | 0 | 5 | 1 |
aA: goals and planning; B: feedback and monitoring; C: social support; D: shaping knowledge; E: natural consequences; F: comparison of behavior; G: associations; H: repetition and substitution; I: comparison of outcomes; J: reward and threat; K: regulation; L: antecedents; M: identity; N: scheduled consequences; O: self-belief; P: covert learning.
bNR: not reported.
c✓: The study reported the results of this theme or subtheme.
dNot applicable.
eCBT: cognitive behavioral therapy.
fMI: motivational interviewing.
gMultiple theory 1: elaboration likelihood model, the self-regulatory model of message framing, the regulatory focus theory, and theories of emotions.
hCOM-B: capability, opportunity, motivation—behavior.
iMultiple theory 2: MI, behavioral activation, acceptance and commitment therapy, and solution-focused brief therapy.
jHFM: habit formation model.
kMultiple theory 3: CBT, MI, and emotionally focused therapy.
lMultiple theory 4: chronic-disease extended model extending from the health belief model, the theory of planned behavior, diffusion of innovation theory, social norms theory, and the transtheoretical model.