arXiv subjects

Julie Y. A. Cachia

Publications and source records attributed to Julie Y. A. Cachia.

2 recordsLinked to original sources

arXiv2025

AI for Proactive Mental Health: A Multi-Institutional, Longitudinal, Randomized Controlled Trial

Young adults today face unprecedented mental health challenges, yet many hesitate to seek support due to barriers such as accessibility, stigma, and time constraints. Bite-sized well-being interventions offer a promising solution to preventing mental distress before it escalates to clinical levels, but have not yet been delivered through personalized, interactive, and scalable technology. We conducted the first multi-institutional, longitudinal, preregistered randomized controlled trial of a generative AI-powered mobile app ("Flourish") designed to address this gap. Over six weeks in Fall 2024, 486 undergraduate students from three U.S. institutions were randomized to receive app access or waitlist control. Participants in the treatment condition reported significantly greater positive affect, resilience, and social well-being (i.e., increased belonging, closeness to community, and reduced loneliness) and were buffered against declines in mindfulness and flourishing. These findings suggest that, with purposeful and ethical design, generative AI can deliver proactive, population-level well-being interventions that produce measurable benefits.

cs.HC↗

arXiv2024

"I Like Sunnie More Than I Expected!": Exploring User Expectation and Perception of an Anthropomorphic LLM-based Conversational Agent for Well-Being Support

The human-computer interaction (HCI) research community has a longstanding interest in exploring the mismatch between users' actual experiences and expectation toward new technologies, for instance, large language models (LLMs). In this study, we compared users' (N = 38) initial expectations against their post-interaction perceptions of two LLM-powered mental well-being intervention activity recommendation systems. Both systems have a built-in LLM to recommend a personalized well-being intervention activity, but one system (Sunnie) has an anthropomorphic conversational interaction design via elements such as appearance, persona, and natural conversation. Results showed that user engagement was high with both systems, and both systems exceeded users' expectations along the utility dimension, highlighting AI's potential to offer useful intervention activity recommendations. In addition, Sunnie further outperformed the non-anthropomorphic baseline system in relational warmth. These findings suggest that anthropomorphic conversational interaction design may be particularly effective in fostering warmth in mental health support contexts.

cs.HC↗