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Evaluating the Efficacy of A Conversational Agent's Impact on Self-Efficacy and Psychological Distress Following Injury: A Pilot Trial

Can interacting with a digital conversational agent which provides psychoeducation on adaptive cognitive emotion regulation strategies, increase an injured person's perceived coping self-efficacy when navigating a personal injury compensation scheme?

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12623000999639
Acronym
ERICA -Emotion Regulation Intervention Conversational Agent
Enrollment
53
Registered
2023-09-13
Start date
2024-02-28
Completion date
2025-01-20
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to assess whether a digital conversational agent can be used to effectively deliver a low intensity emotion regulation intervention to people who have sustained a minor to moderate injury in a motor vehicle accident. This is a cohort of people who are often under stress. The intervention has been designed with input from clinical psychology and computer science. The intervention encourages people to reflect on the current way they manage negative emotions and provides information and examples of evidence based adaptive emotion regulation strategies that have been identified as being critical for effective coping. The emotion regulation strategies included in the program include positive refocusing, reappraisal, acceptance, planning and problem solving and putting things into perspective. It is anticipated that completing this intervention will assist participants to learn strategies to assist them to regulate emotions which will in turn increase their confidence that they can cope at this challenging time. It is also anticipated that the program will assist in reducing participant's reported levels of distress.

Interventions

ERICA is an emotion regulation psychoeducation program that is delivered via a digital conversational agent, ERICA interacts with users via text and speech and users interact with ERICA via selecting options from pre-defined list. The program provides descriptive examples that aid in self reflection and practice activities to develop adaptive cognitive emotion regulation skills. The ERICA program has six different conversations/dialogues - the first dialogue explores techniques to assist with po

ERICA is an emotion regulation psychoeducation program that is delivered via a digital conversational agent, ERICA interacts with users via text and speech and users interact with ERICA via selecting options from pre-defined list. The program provides descriptive examples that aid in self reflection and practice activities to develop adaptive cognitive emotion regulation skills. The ERICA program has six different conversations/dialogues - the first dialogue explores techniques to assist with positive refocusing, the second focuses on the processes of planning and problem solving. The next two dialogues explore acceptance and reappraisal while the final two conversations focus on techniques to help put things in perspective. Each conversational dialogue takes approximately 10-15 minutes to work through (dependent upon answers selected) and each week, for three weeks, participants receive two emails (3 days apart) with a link to the next dialogue. Participants can access the links anytime over the four week intervention period (however they are encouraged to access each link on the day it is received). Participant interaction with ERICA will be captured via a system log which records login date, response options selected and the total length of time spent each session.

Sponsors

Macquarie University
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Educational / counselling / training
Masking
Open (masking not used) (Investigator)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Aged 18 years or over Sustained a minor or moderate injury (soft tissue injury or simple orthopaedic injury) in the last 24 months Not currently receiving professional psychological or psychiatric services Have sufficient English language skills to engage with the ERICA program

Exclusion criteria

Those screened as > 29 on the K10 Those involved in a fatality collision Those receiving professional psychological or psychiatric services Having insufficient language skills to engage with the ERICA program

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026