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. 2026 Jan 28;28:e79677. doi: 10.2196/79677

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.