## Protocol Section
### Identification Module
**NCT ID:** NCT06423027

**Brief Title:** Nature-Oriented Chatbots on Older Adults' Mental Health

**Official Title:** Exploring the Influence of Nature-Oriented Chatbots on the Mental Health of Older Adults Living Alone

#### Organization Study ID Info
**ID:** N202403042
#### Organization
**Class:** OTHER
**Full Name:** Taipei Medical University
### Status Module
#### Completion Date
**Date:** 2025-06

**Type:** ESTIMATED

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-21

**Type:** ACTUAL

**Last Update Submit Date:** 2024-05-15

**Overall Status:** NOT_YET_RECRUITING

#### Primary Completion Date
**Date:** 2024-12

**Type:** ESTIMATED

#### Start Date
**Date:** 2024-05

**Type:** ESTIMATED

**Status Verified Date:** 2024-04

#### Study First Post Date
**Date:** 2024-05-21
**Type:** ACTUAL
**Study First Submit Date:** 2024-05-08
**Study First Submit QC Date:** 2024-05-15
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Taipei Medical University

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

### Description Module

**Brief Summary:** This study aims to explore the influence of nature-oriented chatbots on the mental health of older adults residing alone. Leveraging the therapeutic potential of nature exposure and the interactive capabilities of chatbot technology, our research seeks to investigate whether engaging with nature-oriented chatbots can mitigate feelings of depression, and loneliness while enhancing overall psychological well-being and quality of life. Through a combination of experimental interventions and psychological assessments, the investigators will assess the impact of nature-oriented chatbots on participants' mental health outcomes.

### Conditions Module

**Conditions:**

- Depression

- Loneliness

- Happiness

- Connection With Nature

- Anxiety

### Design Module

#### Design Info

**Allocation:** RANDOMIZED

**Intervention Model:** PARALLEL

##### Masking Info

**Masking:** SINGLE

**Who Masked:**

- PARTICIPANT

**Primary Purpose:** PREVENTION

#### Enrollment Info

**Count:** 60

**Type:** ESTIMATED

**Phases:**

- NA

**Study Type:** INTERVENTIONAL

### Arms Interventions Module

#### Arm Group 1

**Label:** Control

**Type:** NO_INTERVENTION

#### Arm Group 2

**Intervention Names:**

- Behavioral: Nature-Oriented Chatbots

**Label:** Experiment

**Type:** EXPERIMENTAL

### Interventions

#### Intervention 1

**Arm Group Labels:**

- Experiment

**Description:** Nature-oriented chatbots are an intervention with nature-based video delivered by self-developed chatbots

**Name:** Nature-Oriented Chatbots

**Type:** BEHAVIORAL

### Outcomes Module

#### Primary Outcomes

**Description:** The Geriatric Depression Scale

**Measure:** Depression

**Time Frame:** up to 8 weeks

**Description:** UCLA loneliness (ULS-8)

**Measure:** loneliness

**Time Frame:** up to 8 weeks

**Description:** Well-being of Older People measure (WOOP)

**Measure:** happiness

**Time Frame:** up to 8 weeks

**Description:** Connectedness with nature scale (CNS）

**Measure:** connection with nature

**Time Frame:** up to 8 weeks

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

1. Individuals aged 60 years and above who live alone.
2. Regular users of smartphones, with internet access, and proficient in using LINE.
3. Individuals who consent to participate in the study and sign the consent form.
4. Capable of understanding interactive messages and the content of pre- and post-test questionnaires.

Exclusion Criteria:

1. Individuals without smartphones, internet access, or not using LINE.
2. Diagnosed with sensory impairments.
3. Diagnosed with mental illnesses requiring continuous treatment.

**Healthy Volunteers:** True

**Maximum Age:** 90 Years

**Minimum Age:** 60 Years

**Sex:** ALL

**Standard Ages:**

- ADULT

- OLDER_ADULT

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000001526

- Term: Behavioral Symptoms

### Condition Browse Module - Browse Branches

- Abbrev: BXM

- Name: Behaviors and Mental Disorders

- Abbrev: All

- Name: All Conditions

### Condition Browse Module - Browse Leaves

- ID: M7058

- Name: Depression

- Relevance: HIGH

- As Found: Depression

- ID: M4324

- Name: Anxiety Disorders

- Relevance: LOW

- As Found: Unknown

- ID: M7061

- Name: Depressive Disorder

- Relevance: LOW

- As Found: Unknown

- ID: M4818

- Name: Behavioral Symptoms

- Relevance: LOW

- As Found: Unknown

### Condition Browse Module - Meshes

- ID: D000003863

- Term: Depression

### Misc Info Module

- Version Holder: 2024-05-31
