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Active, not recruitingNCT05794308Updated Sep 13, 2023

A Relational Artificial Intelligence (AI) Chatbot for App-Based Physical Activity Promotion

An interventional study of Non-Relational Chatbot Physical Activity Intervention and Relational Chatbot Physical Activity Intervention in Behavior, Health, sponsored by University of California, Davis. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-13.

Sponsored by University of California, Davis · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Oct 2024, 2 years ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to empirically test the theoretical mechanisms of relational perceptions in the context of building and testing a relational artificial intelligence (AI) chatbot for improving physical activity (PA) behaviors among a sedentary adult population in the U.S.

The aim of the study is to build and experimentally test relational capacities of AI chatbot in inducing positive human-AI relationship and leading to higher PA behavior change intention. During the 7-day intervention, the relational chatbot will educate participants on physical activity using 5 types of relational messages during a PA intervention including 1) social dialogue, 2) empathy, 3) self-disclosure, 4) meta-relational communication, and 5) humor. On the other hand, the non-relational chatbot will only deliver PA intervention messages, without relational cues. Relational chatbot condition will be compared to the non-relational chatbot condition to assess its effectiveness.

The objective of this study is to test the efficacy of the mobile app intervention leveraging chatbots in increasing participants' relationship perception and physical activity behavior change.

Read the detailed description

Despite the recognition of the importance of communication for relationship and trust building in healthcare programs (Ward, 2018), theoretical work and empirical testing of relational capacities in AI chatbot designed for changing health behaviors is lacking in previous research. In our systematic review of AI chatbot-based interventions on PA, diet, and weight loss outcomes, it was found that although majority of studies programmed AI chatbots to engage in relational communication behaviors (e.g., personalized greetings, showing empathy and compassion), none of these studies tested whether AI chatbot's relational capacities contributed to human-AI trust and relationship building (Oh et al., 2021). Beyond knowing some chatbots were perceived to be useful and friendly, we do not know theoretical mechanisms for what relational conversational strategies contribute to higher quality relationship perception and behavior outcomes.

By developing an AI chatbot that provides access to informational, motivational, and socio-emotional aspects of care will open new opportunities for delivering accessible interventions to improve sedentary population's PA behaviors. More broadly, the test of the AI Chatbot Behavior Change Model (Zhang et al., 2020) will provide the first empirical evidence on the model's utility and working mechanisms accounting for how relational AI chatbot can change health behaviors. If successful, the theoretical model and design of the relational chatbot will be able to generalize to related behavior change fields.

This field experiment will randomly assign participants to relational chatbot condition or non-relational (control) chatbot condition. Both conditions will involve an information component addressing physical activity education sessions.

The objective of this study is to test the efficacy of the mobile app intervention leveraging chatbots in increasing participants' relationship perception and physical activity behavior change.

02

Conditions studied

  • Behavior, Health
03

In context

Lead sponsor

University of California, Davis is the lead sponsor of 798 studies on the registry; 146 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 43 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Living in the United States
  • Adults (18 years or older)
  • Able to speak and read English
  • Physically inactive at work and/or during leisure time
  • Having internet access to use the chatbot
  • Smartphone users

Exclusion criteria

Exclusion Criteria:

  • Adults unable to consent
  • Individuals who are not yet adults (infants, children, teenagers)
  • Prisoners
  • Pregnant women
  • Physically active individuals who are meeting physical activity guidelines
  • Individuals who have participated in a physical activity intervention in the past 12 months
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
140 participants (estimated)

Study arms

  • Active comparator
    Non-Relational Chatbot Physical Activity Intervention

    Participants are randomly assigned to a non-relational chatbot in a mobile app. The chatbot will provide physical activity education sessions. The chatbot will not engage in relational conversation behaviors.

    Behavioral: Non-Relational Chatbot Physical Activity Intervention

  • Experimental
    Relational Chatbot Physical Activity Intervention

    Participants are randomly assigned to a relational chatbot in a mobile app. The chatbot will provide physical activity education sessions. The chatbot will engage in relational conversation behaviors.

    Behavioral: Relational Chatbot Physical Activity Intervention

Interventions

  • BehavioralNon-Relational Chatbot Physical Activity Intervention

    Mobile app-based intervention. Participants will engage in a daily chat with a physical activity promotion chatbot. The chatbot does not, or only minimally, provide relational behavioral cues. Participants will view their progress of daily step counts.

  • BehavioralRelational Chatbot Physical Activity Intervention

    Mobile app-based intervention. Participants will engage in a daily chat with a physical activity promotion chatbot. The chatbot provides relational behavioral cues. Participants will view their progress of daily step counts.

06

What researchers measure

Primary outcomes

  1. Relationship perception

    12-item measure based on Therapeutic Alliance Scale as an indication of relationship between participants and the chatbot. Ranges from 1 = "strongly disagree" to 5 = "strongly agree."

    Time frame: 1 week

  2. Changes in physical activity behavior

    6-item measure based on 2008 Physical Activity Guidelines for Americans. Record the types of physical activities, days, and minutes.

    Time frame: Baseline and 1 week

  3. Physical activity behavior (step counts)

    Step counts across 7 days (1 week) of intervention.

    Time frame: Daily, 1 week

Secondary outcomes

  1. Chatbot usability

    13-item measure of usability of the chatbot based on chatbot usability questionnaire (CUQ). Ranges from 1 = "strongly disagree" to 5 = "strongly agree."

    Time frame: 1 week

  2. Chatbot perception

    17-item measure of the perceived warmth and competence of the chatbot. Ranges from 1 = "strongly disagree" to 5 = "strongly agree."

    Time frame: 1 week

07

Study locations

1 site
  • University of California, Davis
    Davis, California 95616, United States
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05794308
Lead sponsor
University of California, Davis
Responsible party
Sponsor
First posted
Apr 3, 2023
Start date
Apr 5, 2023
Primary completion
Oct 1, 2024 (estimated)
Completion
Dec 1, 2024 (estimated)
Last update
Sep 13, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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