70/100

Moderate evidence

Trace: a gain and a problemPublished recordHealthThe Trace

Chatbot‐Delivered Interventions for Improving Mental Health Among Young People: A Systematic Review and Meta‐Analysis

Truvace record
TRV-2026-2736raw data (JSON)
Version
v1Published
First published
Evidence type
Systematic review or meta-analysis
Sources
1 sourcePeer-reviewed
sha256
8e042d54c2c2…check it

BACKGROUND: The characteristics, application, and effectiveness of chatbots in improving the mental health of young people have yet to be confirmed through systematic review and meta-analysis. AIM: This systematic review aims to evaluate the effectiveness of chatbot-delivered interventions for improving mental health among young people, identify factors influencing effectiveness, and examine feasibility and acceptability. METHODS: To identify eligible interventional studies, we systematically searched 11 databas…

59Gain side

How the two sides scoreClose call

58Problem side

The gain

A meta-analysis of 11 randomized trials found chatbot-delivered interventions reduced psychological distress in people aged 10 to 24 by a small-to-moderate margin (Hedges' g = -0.28, 95% CI -0.46 to -0.10) compared with control conditions.

The problem

The same meta-analysis of seven randomized trials found chatbot interventions produced no statistically significant improvement in young people's psychological well-being (g = 0.13, 95% CI -0.16 to 0.41), and the evidence was rated low certainty.

A fixed formula sets both scores from the evidence and its sources. Reader votes don’t move them.

What the scores mean

G is the gain side, out of 100. It goes up when the gain is specific, when it measurably helped people and when the sources behind it are strong.

P is the problem side, out of 100. It goes up when the problem is specific, when it measurably hurt people and when the sources behind it are strong.

What this doesn’t fix

Most studies were in nonclinical populations in educational settings and developed countries, the trials carried risk of bias and substantial heterogeneity, and too few studies existed to assess long-term effects.

Sources

1 on file
  1. Peer-reviewed2025-07-15

What the review found when it combined the studies

These are the review’s own pooled results, copied from its abstract. Truvace did not recalculate them.

  • Psychological well-being in young people with chatbot-delivered interventions compared with control conditions

    Hedges' g 0.13 (95% CI -0.16 to 0.41)

    search to September 2024

    The review’s own words
    The meta-analysis indicated that chatbot-delivered interventions significantly reduced distress (Hedge's g = -0.28, 95% CI [-0.46, -0.10]), but did not have a significant effect on psychological well-being (Hedge's g = 0.13, 95% CI [-0.16, 0.41]).
  • Psychological distress with AI-based chatbots compared with control

    Hedges' g −0.36 (95% CI −0.58 to −0.14)

    8 studies · search to September 2024

    The review’s own words
    while AI‐based chatbots ( g = −0.36, 95% CI [−0.58, −0.14], n = 8) exhibited a stronger effect compared to rule‐based chatbots ( g = −0.09, 95% CI [−0.39, 0.20], n = 4)
  • Psychological distress in clinical or subclinical young people with chatbot-delivered interventions

    Hedges' g −0.34 (95% CI −0.57 to −0.10)

    5 studies · search to September 2024

    The review’s own words
    Regarding psychological distress, a statistically significant reduction was observed in the clinical/subclinical population ( g = −0.34, 95% CI [−0.57, −0.10], n = 5)
  • Psychological distress in young people with chatbot-delivered interventions compared with control conditions

    Hedges' g -0.28 (95% CI -0.46 to -0.10)

    11 studies · search to September 2024

    The review’s own words
    The meta-analysis indicated that chatbot-delivered interventions significantly reduced distress (Hedge's g = -0.28, 95% CI [-0.46, -0.10]), but did not have a significant effect on psychological well-being (Hedge's g = 0.13, 95% CI [-0.16, 0.41]).

Code checks every number above against the review’s text before it is shown. The short labels are an AI model’s reading of that text, so the review’s own sentence sits under each one. A pooled figure is only as strong as the studies behind it. How Truvace uses pooled results

Cite this record

v1

Truvace Impact Record TRV-2026-2736, v1: “Chatbot‐Delivered Interventions for Improving Mental Health Among Young People: A Systematic Review and Meta‐Analysis.” Truvace, 2026-11-12. /record/TRV-2026-2736 (accessed on the day you copy it). sha256 8e042d54c2c2712b…

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  1. Publishedv18e042d54c2c2…

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