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Design Features of Embodied Conversational Agents in eHealth

A Literature Review

Bibliographic Data

ID21642332
AuthorsSilke ter Stal (0000-0001-9458-717X, Roessingh Research and Development, corresponding author), Lean L Kramer (0000-0002-1409-2853, Wageningen University & Research), Monique Tabak (0000-0001-5082-1112, Roessingh Research and Development), Harm op den Akker (0000-0001-6312-6063, Roessingh Research and Development), Hermie Hermens (0000-0002-3065-3876, Roessingh Research and Development)
Year2020
Volume138
Pages102409
Publication date2020-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Human-Computer Studies (JOURNAL)
Journal identifiersISSN: 1071-5819 • E-ISSN: 1095-9300
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.ijhcs.2020.102409
OpenAlexW3005092074
LanguageEN
Citations received19
References cited32

Embodied conversational agents (ECAs) are gaining interest to elicit user engagement and stimulate actual use of eHealth applications. In this literature review, we identify the researched design features for ECAs in eHealth, the outcome variables that were used to measure the effect of these design features and what the found effects for each variable were. Searches were performed in Scopus, ACM Digital Library, PsychINFO, Pubmed and IEEE Xplore Digital Library, resulting in 1284 identified articles of which 33 articles were included. The agents speech and/or textual output and its facial and gaze expressions were the most common design features. Little research was performed on the agent's looks. The measured effect of these design features was often on the perception of the agent's and user’s characteristics, relation with the agent, system usage, intention to use, usability and behaviour change. Results show that emotion and relational behaviour seem to positively affect the perception of the agents characteristics and that relational behaviour also seems to positively affect the relation with the agent, usability and intention to use. However, these design features do not necessarily lead to behaviour change. This review showed that consensus on design features of ECAs in eHealth is far from established. Follow-up research should include more research on the effects of all design features, especially research on the effects in a long-term, daily life setting, and replication of studies on the effects of design features performed in other contexts than eHealth

Dialog box · Dialog system · Digital library · eHealth · Embodied cognition · Health care · Human–computer interaction · MEDLINE · Perception · Scopus · Usability · World Wide Web · AI in Service Interactions · Computer Science · Digital Mental Health Interventions · Psychology · Social Robot Interaction and HRI · Artificial Intelligence

  • Why Would I Befriend a Bot? Assessing Factors Influencing the Usage of Social Chatbots for Digital Natives

    Open Access•Mohammad Amin Kuhail, Jihene Mrabet et al.•Human Behavior and Emerging…•2025

  • Development of a digital biomarker and intervention for subclinical depression

    Open Access•Gisbert Wilhelm Teepe, Yanick Xavier Lukic et al.•BMC Psychology•2023

  • User Requirements Analysis of an Embodied Conversational Agent for Coaching Older Adults to Choose Active and Healthy Ageing Behaviors during the Transition to Retirement

    Open Access•Sara Santini, Vera Stara et al.•International Journal of…•2021

  • Toward the Integration of Technology-Based Interventions in the Care Pathway for People with Dementia

    Open Access•Vera Stara, Benjamin Vera et al.•International Journal of…•2021

  • Short and Long-Term Innovations on Dietary Behavior Assessment and Coaching

    Open Access•Desiree A Lucassen, Marlou Lasschuijt et al.•International Journal of…•2021

  • U.S. and Japanese Consumer Attitudes Toward Tailored and Targeted Communication with Human and Chatbot Agents

    Sophia Mueller, Tom Kelleher et al.•Journal of Interactive Advertising•2024

  • Investigating the use of speech-based conversational agents for life coaching

    Open Access•Laura Aymerich-Franch, Iliana Ferrer•International Journal of…•2022

  • The human side of human-chatbot interaction

    Open Access•Amon Rapp, Lorenzo Curti et al.•International Journal of…•2021

  • Imagining future digital assistants at work

    Open Access•Yonchanok Khaokaew, Indigo Holcombe-James et al.•International Journal of…•2022

  • Information quality of conversational agents in healthcare

    Open Access•Caihua Liu, Didar Zowghi et al.•Information Development•2025

  • A staged approach to the development of an embodied conversational agent to support wellbeing after injury

    Open Access•Katherine Hopman, D Richards et al.•Behaviour and Information…•2026

  • Psychological insights into the research and practice of embodied conversational agents, chatbots and social assistive robots

    Open Access•Keita Kiuchi, Kouyou Otsu et al.•Behaviour and Information…•2024

  • Commercial video games as a resource for mental health

    Arianna Boldi, Amon Rapp•Behaviour and Information…•2022

  • Embodied conversational agents for collecting patient-reported data

    Open Access•Thure Georg Weimann, Hannes Schlieter et al.•Behaviour and Information…•2026

  • What influences algorithmic decision-making? A systematic literature review on algorithm aversion

    Open Access•Hasan Mahmud, A K M Najmul Islam et al.•Technological Forecasting and…•2022

  • Effectiveness of embodied conversational agents for managing academic stress at an Indian University (ARU) during Covid‐19

    Open Access•Shreeya Nelekar, Amal Abdulrahman et al.•British Journal of Educational…•2022

  • Generic Vs. Personalised Robot Feedback in Health-Related Recommendation

    Open Access•Dewi Tojib, Elahe Abdi et al.•International Journal of Social…•2026

  • The Impact of Virtual Humans on Psychosomatic Medicine

    Kate Loveys, Mark Sagar et al.•Psychosomatic Medicine•2023

  • Adoption Factors and Moderating Effects of Age and Gender That Influence the Intention to Use a Non-Directive Reflective Coaching Chatbot

    Open Access•Nicky Terblanche, Martin Kidd•SAGE Open•2022

  • Conversational agents in healthcare

    Open Access•Liliana Laranjo, Adam G Dunn et al.•Journal of the American Medical…•2018

  • Establishing and maintaining long-term human-computer relationships

    Open Access•Timothy Bickmore, Timothy W Bickmore et al.•ACM Transactions on Computer-Human…•2005

  • Grounding in communication.

    Herbert H Clark, Susan E Brennan•Perspectives on socially shared…•1991

  • The Case for Caring Colearners

    Open Access•Jong-Eun Roselyn Lee, Clifford Nass et al.•Journal of Communication•2007

  • Evaluating a realistic agent in an advice-giving task

    Open Access•Dianne C Berry, Laurie T Butler et al.•International Journal of…•2005

Unique citing works19
Citations per year3,8
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 19

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