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More than a chatbot: a practical framework to harness artificial intelligence across key components to boost digital therapeutics quality.

作者信息

Baumel Amit

机构信息

Department of Community Mental Health, University of Haifa, Haifa, Israel.

出版信息

Front Digit Health. 2025 Apr 24;7:1541676. doi: 10.3389/fdgth.2025.1541676. eCollection 2025.


DOI:10.3389/fdgth.2025.1541676
PMID:40343211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058690/
Abstract

The rapid advancement of Artificial Intelligence (AI)-powered large language models has highlighted the potential of AI-based chatbots to create a new era for digital therapeutics (DTx)-digital behavioral and mental health interventions. However, fully realizing AI-potential requires a clear understanding of how DTx function, what drives their effectiveness, and how AI can be integrated strategically. This paper presents a practical framework for harnessing AI to enhance the quality of DTx by dismantling them into five key components: Therapeutic Units, Decision Maker, Narrator, Supporter, and Therapist. Each represents an aspect of intervention delivery where AI can be applied. AI can personalize Therapeutic Units by dynamically adapting content to individual contexts, achieving a level of customization not possible with manual methods. An AI-enhanced Decision Maker can recommend and sequence therapeutic pathways based on real-time data and adaptive algorithms, eliminating the reliance on predefined decision trees or exhaustive logic-driven ruling. AI can also transform the Narrator by generating personalized narratives that unify intervention activities into cohesive experiences. As a Supporter, AI can mimic remotely administered human support, automating technical assistance, adherence encouragement, and clinical guidance at scale. Lastly, AI enables the creation of a Therapist to deliver real-time, interactive, and tailored therapeutic dialogues, adapting dynamically to user feedback and progress in ways that were previously impractical before. This framework provides a structured method to integrate AI-driven improvements, while also enabling to focus on a specific component during the optimization process.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39ec/12058690/24d5238453ab/fdgth-07-1541676-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39ec/12058690/24d5238453ab/fdgth-07-1541676-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39ec/12058690/24d5238453ab/fdgth-07-1541676-g001.jpg

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本文引用的文献

[1]
Automated, tailored adaptive mobile messaging to reduce alcohol consumption in help-seeking adults: A randomized controlled trial.

Addiction. 2024-3

[2]
The impact of therapeutic persuasiveness on engagement and outcomes in unguided interventions: A randomized pilot trial of a digital parent training program for child behavior problems.

Internet Interv. 2023-10-4

[3]
Digital therapeutics in the clinic.

Bioeng Transl Med. 2023-5-3

[4]
Personalization strategies in digital mental health interventions: a systematic review and conceptual framework for depressive symptoms.

Front Digit Health. 2023-5-22

[5]
A new era in Internet interventions: The advent of Chat-GPT and AI-assisted therapist guidance.

Internet Interv. 2023-4-11

[6]
Enhancing the conversational agent with an emotional support system for mental health digital therapeutics.

Front Psychiatry. 2023-4-17

[7]
Artificial Intelligence-Based Chatbots for Promoting Health Behavioral Changes: Systematic Review.

J Med Internet Res. 2023-2-24

[8]
An Evaluation Service for Digital Public Health Interventions: User-Centered Design Approach.

J Med Internet Res. 2021-9-8

[9]
Effort-Optimized Intervention Model: Framework for Building and Analyzing Digital Interventions That Require Minimal Effort for Health-Related Gains.

J Med Internet Res. 2021-3-12

[10]
Digital Micro Interventions for Behavioral and Mental Health Gains: Core Components and Conceptualization of Digital Micro Intervention Care.

J Med Internet Res. 2020-10-29

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