Generative chatbots, while showing a potentially large effect, exhibited a wide CI and failed to reach statistical significance (Table S4 in Multimedia Appendix 1 ).
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The Effectiveness of AI Chatbots in Alleviating Mental Distress and Promoting Health Behaviors Among Adolescents and Young Adults: Systematic Review and Meta-Analysis.
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Self-Efficacy Six trials were included in the meta-analysis to evaluate the pooled effect of chatbot interventions on self-efficacy outcomes, resulting in a positive trend effect favoring the experimental group but no statistically significant difference obtained (SMD 0.14, 95% CI −0.14 to 0.41; P =.33) (Figure S9 in Multimedia Appendix 1 ).