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Peer-Reviewed Publication
JMIR Form Res2026;10e90644.April 14, 2026Journal Article

User Experience and Early Clinical Outcomes of a Mental Wellness Chatbot for Depression and Anxiety: Pilot Evaluation Mixed Methods Study.

Scott Graupensperger1, Emily J Ward1, Graham Baum1, Kate H Bentley1, Emily R Dworkin1, Millard Brown1, Adam Chekroud1,2, Matt Hawrilenko1
1Spring Health, 60 Madison Ave, New York, NY, 10010, United States, 1 855-629-0554.
2Psychiatry, School of Medicine, Yale University, New Haven, CT, United States.

Abstract

BACKGROUND: Artificial intelligence-powered conversational agents (ie, chatbots) are increasingly popular outlets for users seeking psychological support, yet little is known about how users experience early-stage prototypes or which therapeutic processes contribute to clinical improvement. A transparent evaluation of emerging chatbot prototypes is needed to clarify if, how, and why artificial int…

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