Optimizing Chatbot Reminder Timing in a Chatbot Cessation Service: A Micro-Randomized Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorThe University of Hong Kong

About this trial

The goal of this study is to learn whether the timing of weekly chatbot reminders affects user engagement with the chatbot cessation service. Participants enrolled in the routine chatbot cessation service will be included in a micro-randomized trial. The delivery timing of weekly reminders will be randomly assigned across different day types and times of day during the 12-week chatbot cessation service period. The study will use routine chatbot system records to evaluate engagement after reminder delivery, including whether participants respond to the chatbot and how quickly they re-engage with the service.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Able to communicate in Chinese (Cantonese)

Have access to or are willing to use WhatsApp to access the chatbot cessation service

Used any tobacco in the past 30 days (including all types of tobacco products such as cigarette, shisha, electronic cigarettes, and heat-not-burn (HNB))

Disqualifiers

Have communication difficulties (either physical or cognitive) that prevent completion of the counselling and assessments

Having queries irrelevant to tobacco control

Trial design

Design model

Single group

Treatments tested in this trial

  • Chatbot Cessation Service With Randomized Reminder Timing

    Behavioral

    The chatbot cessation service provides digital smoking cessation support through a chatbot platform. Participants receive routine chatbot-based cessation support, including scheduled weekly AI-generated reminders during the 12-week service period. Excluding the initial welcoming message, the timing of the remaining 11 weekly reminders will be repeatedly randomized at weekly decision points across predefined day-type and time-of-day conditions. The randomized component is limited to reminder delivery timing. All participants receive the same chatbot content and support.

Treatment groups

350 Participants
are divided into 1 treatment group
Group A: Chatbot Cessation Service With Randomized Reminder TimingExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Meaningful engagement with chatbot within 24 hours after reminder delivery

Meaningful engagement is defined as any reply regarding smoking cessation excluding emoji and simple message like "Hi" within 24 hours after receiving a randomized weekly reminder. Engagement will be automatically recorded by the chatbot system.

Time frame
Within 24 hours after each randomized reminder delivery during the 12-week chatbot cessation service period

Secondary outcomes

1

Any chatbot reply within 24 hours after reminder delivery

Whether participants provide any reply to the chatbot after receiving a randomized weekly reminder, as recorded by the chatbot system.

Time frame
Within 24 hours after each randomized reminder delivery during the 12-week chatbot cessation service period
2

Response latency after reminder delivery

The time interval between randomized reminder delivery and the participant's first reply to the chatbot within 72 hours after reminder delivery, as recorded by the chatbot system.

Time frame
Within 72 hours after each randomized reminder delivery during the 12-week chatbot cessation service period
3

Extended meaningful engagement with chatbot after reminder delivery

Meaningful engagement is defined as any reply regarding smoking cessation excluding emoji and simple message like "Hi" within 48 and 72 hours after receiving a randomized weekly reminder. Engagement will be automatically recorded by the chatbot system.

Time frame
Within 48 and 72 hours after each randomized reminder delivery during the 12-week chatbot cessation service period

Other outcomes

Sponsors and contacts

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