ArticleJournal of medical Internet research2021
Development of a Positive Body Image Chatbot (KIT) With Young People and Parents/Carers: Qualitative Focus Group Study.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Use of generative artificial intelligence (AI) in psychiatry and mental health care: a systematic review.Acta neuropsychiatrica · 2024Pooled it
- Attrition in Conversational Agent-Delivered Mental Health Interventions: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2024Pooled it
- The impacts of COVID-19 on eating disorders and disordered eating: A mixed studies systematic review and implications.Frontiers in psychology · 2022Pooled it
- The Effectiveness of a Chatbot Single-Session Intervention for People on Waitlists for Eating Disorder Treatment: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Using Chatbot Technology to Improve Brazilian Adolescents' Body Image and Mental Health at Scale: Randomized Controlled Trial.JMIR mHealth and uHealth · 2023Trial
- Body Image and Eating Disorder Education Chatbot, JEM, in Australia and Canada: First 6-Month Real-World Survey Evaluation.JMIR human factors · 2026Article
- Current Landscape of Mental Health Conversational Agents From a Trauma-Informed Care Lens: Scoping Review.JMIR mental health · 2026Article
- Empowering mental health professionals in asynchronous online psychotherapy with GenAI.International journal of mental health systems · 2026Article
- Navigating the complexity of AI adoption in psychotherapy by identifying key facilitators and barriers.Npj mental health research · 2026Article
- Leveraging Technology to Enhance Eating Disorder Treatment Outcomes.The Psychiatric clinics of North America · 2026Review
- Trauma-informed conversational agents for mental health: understanding user perspectives and experiences.Frontiers in digital health · 2026Article
- Artificial intelligence in child nutrition and eating behavior: from prediction to gastronomic mediation.Frontiers in nutrition · 2026Review
- Exploring Body Image Awareness With a Large Language Model-Based Conversational Agent: Qualitative Study With Young Adults.Journal of medical Internet research · 2025Article
- Digital Conversational Agents for the Mental Health of Treatment-Seeking Youth: Scoping Review.JMIR mental health · 2025Article
- Charting the evolution of artificial intelligence mental health chatbots from rule-based systems to large language models: a systematic review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Effect of ChatGPT use on eating disorders and body image.World journal of psychiatry · 2025Review
- Establishment of an international Consortium for Research in Eating Disorders (CoRe-ED): Analysis of early-stage participant involvement and expectations.Journal of eating disorders · 2025Article
- Perceived Barriers and Facilitators of Use of Artificial Intelligence in Eating Disorder Care: A Commentary on Linardon et al. (2025).The International journal of eating disorders · 2025Article
- An online educational resource addressing eating disorders during the menopause transition: a brief evaluation study.Journal of eating disorders · 2025Article
- Co-design of a single session intervention chatbot for people on waitlists for eating disorder treatment: a qualitative interview and workshop study.Journal of eating disorders · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBody image and eating disorders represent a significant public health concern; however, many affected individuals never access appropriate treatment. Conversational agents or chatbots reflect a unique opportunity to target those affected online by providing psychoeducation and coping skills, thus filling the gap in service provision.
objectiveA world-first body image chatbot called "KIT" was designed. The aim of this study was to assess preliminary acceptability and feasibility via the collection of qualitative feedback from young people and parents/carers regarding the content, structure, and design of the chatbot, in accordance with an agile methodology strategy. The chatbot was developed in collaboration with Australia's national eating disorder support organization, the Butterfly Foundation.
methodsA conversation decision tree was designed that offered psychoeducational information on body image and eating disorders, as well as evidence-based coping strategies. A version of KIT was built as a research prototype to deliver these conversations. Six focus groups were conducted using online semistructured interviews to seek feedback on the KIT prototype. This included four groups of people seeking help for themselves (n=17; age 13-18 years) and two groups of parents/carers (n=8; age 46-57 years). Participants provided feedback on the cartoon chatbot character design, as well as the content, structure, and design of the chatbot webchat.
resultsThematic analyses identified the following three main themes from the six focus groups: (1) chatbot character and design, (2) content presentation, and (3) flow. Overall, the participants provided positive feedback regarding KIT, with both young people and parents/carers generally providing similar reflections. The participants approved of KIT's character and engagement. Specific suggestions were made regarding the brevity and tone to increase KIT's interactivity.
conclusionsFocus groups provided overall positive qualitative feedback regarding the content, structure, and design of the body image chatbot. Incorporating the feedback of lived experience from both individuals and parents/carers allowed the refinement of KIT in the development phase as per an iterative agile methodology. Further research is required to evaluate KIT's efficacy.
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