Experiment shows self-clone chatbots improve user engagement in mental health support, suggesting new AI application strategies.
Mental health conversational agents have the potential to deliver valuable therapeutic impact, but low user engagement remains a critical barrier hindering their efficacy. Existing therapeutic approaches have leveraged clients' internal dialogues (e.g., journaling, talking to an empty chair) to enhance engagement through accountable, self-sourced support. Inspired by these, we designed novel AI-driven self-clone chatbots that replicate users' support strategies and conversational patterns to improve therapeutic engagement through externalized meaningful self-conversation. Validated through a semi-controlled experiment (N=180), significantly higher emotional and cognitive engagement was demonstrated with self-clone chatbots than a chatbot with a generic counselor persona. Our findings highlight self-clone believability as a mediator and emphasize the balance required in maintaining convincing self-representation while creating positive interactions. This study contributes to AI-based mental health interventions by introducing and evaluating self-clones as a promising approach to increasing user engagement, while exploring implications for their application in mental health care.
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Shirvani et al. (2025) studied this question.
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