Evidence map›Paper›PMID 41606546›Full record

ArticleBMC public health2026

Addressing loneliness by AI chatbot: a qualitative study of empty-nest elderly.

Fengbo Jiao, Meiyu Li, Min Liu, Quan Zhang

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fengbo Jiao *School of International Affairs and Public Administration, Ocean University of China, No.238, Songling Road, Qingdao, 266100, People's Republic of China.
Meiyu Li *School of Economics and Management, China University of Petroleum (East China), No.66, West Changjiang Road, Qingdao, 266580, People's Republic of China.
Min LiuSchool of International Affairs and Public Administration, Ocean University of China, No.238, Songling Road, Qingdao, 266100, People's Republic of China. bestman85@126.com.
Quan ZhangSchool of International Affairs and Public Administration, Ocean University of China, No.238, Songling Road, Qingdao, 266100, People's Republic of China. waltawhite@163.com.

Funding

National Social Science Fund of China 25BSH015
6 · The paper itself

Abstract

backgroundLoneliness among empty-nest older adults is a growing public health concern with complex psychosocial consequences. AI chatbots are increasingly integrated into daily life, yet little is known about how empty-nest older adults incorporate these agents into their daily interactions to address loneliness.

objectivesThis study examines how empty-nest older adults engage with AI chatbots in routine communication to mitigate loneliness, emphasizing patterns of engagement rather than assessing effectiveness.

methodsSemistructured interviews were conducted to collect data. A total of 18 participants were included in this study. Interview transcriptions were coded and analysed using thematic analysis.

resultsParticipants engaged with the chatbot as a versatile communicative resource that provided a safe outlet for self-expression and narrative voice, fostered experiences of emotional care and empathy, and enabled cognitively and emotionally stimulating recreational interactions. It also supported imaginative role-playing that restored agency and social scripts, served as a source of informal counseling, and facilitated reconnection with both offline and online social networks. Together, these modes represented diverse, experience-based strategies through which the chatbot was woven into daily efforts to manage loneliness.

conclusionsThe findings advance conceptualizations of gerontechnology as a communicative practice and suggest that policy, design, and service frameworks should treat AI companions as socially embedded tools requiring ethical, accessible, and context-sensitive integration. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

LonelinessAgedAged, 80 and overCommunicationFemaleHumansIntelligent SystemsInterviews as TopicMaleQualitative ResearchAI chatbotEmpty-nest elderlyGerontechnologyLonelinessSocial isolation

Identifiers

PMID41606546
PMCPMC12922247

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.