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I am interested in user experience design for digital healthcare, specialising in user research and translating insights into intuitive design. I aim to apply my expertise to projects that prioritise user-centred design and impactful digital healthcare solutions.

Problem Statement

Illustration of a large robot head labeled 'AI,' with a person standing on a ladder, inserting a gear into the robot's head, symbolizing the development or maintenance of artificial intelligence.

What is the problem?

Healthcare chatbots need to balance formal and informal conversational styles to optimize user trust and engagement. Formal styles are effective in conveying professionalism, while informal styles can enhance user engagement and interaction. However, how these styles specifically influence user acceptance in healthcare contexts remains underexplored.

Understanding this balance is essential for designing chatbots that meet both informational and emotional needs.

Research Aim

The aim of this research is to examine the effect of formal and informal conversational styles of healthcare chatbots on acceptance.

Research Question

What is the effect of chatbot conversational style (formal vs informal) on acceptance?

Prototype Development

Flowchart of the Design Thinking Process highlighting five stages: Empathize, Define, Ideation, Prototype, and Test. Each stage includes tasks such as key characteristics identification, content generation methods, script ideation, script iteration, guideline creation, formative testing, and guideline adjustments, showing an iterative process

Research Method

The Design Thinking approach was employed, with the Empathize and Define stages informed by key literature, including works by Chattaraman et al. (Chattaraman et al., 2019) and Huang & Ki (Huang and Ki, 2023). This literature review focused on understanding factors such as user trust, engagement, and the impact of different conversational styles in healthcare chatbots. By identifying the essential characteristics of formal and informal conversational styles, a solid foundation was established for the prototyping and testing phases that followed.

Key characteristics in theories

Table listing key characteristics of formal chatbot communication styles. Includes four characteristics: Professional Language, Task-Oriented Dialogue, Terminology, and Structured Sentences. Each characteristic is defined with examples, emphasizing politeness, problem-solving, accurate terminology, and grammatical completeness.
For the formal style, the focus is on maintaining professionalism by using polite language, task-oriented dialogue, precise terminology, and structured sentences. These elements are essential for ensuring clarity and establishing authority, especially in healthcare contexts.
Table outlining key characteristics of informal chatbot communication styles. Includes three characteristics: Positive Feedback, Social-Oriented Dialogue, and Care and Support. Each characteristic is defined, highlighting the use of exclamations, empathetic dialogue, and offering support to encourage user interaction.
In contrast, the informal style prioritizes user engagement through positive feedback, social-oriented dialogue, and empathetic support, creating a more personal and approachable interaction.
Flowchart showing two options for chatbot development. Option A uses ChatGPT 4.0 to generate a script, while Option B creates a guideline using ChatGPT 4.0. Both options proceed to Botsonic for producing ideation prototypes, labeled as ideation prototype 1 and ideation prototype 2, respectively.

Script Ideation

In the “Ideation” phase, two methods for generating chatbot scripts were explored. Option A used ChatGPT to directly create scripts based on the defined characteristics, while Option B generated a detailed guideline first, which was then used to produce the scripts. The content from both approaches was iteratively modified to align with the key features identified in the initial theory. After refining these low-fidelity prototypes, the text was placed into the Botsonic platform for high-fidelity dialogue production.

Script Iteration

For both formal (toe pain) and informal (finger pain) styles, scripts were iteratively refined using two methods:

  1. Option A: Direct ChatGPT Generation
    Initial scripts did not clearly differentiate between formal and informal styles. Iterations adjusted tone and language to align with the specific characteristics of each style.
  2. Option B: Guideline-Based Generation
    The initial guideline lacked specificity, resulting in repetitive phrases. Subsequent iterations introduced more varied phrases to improve response selection.
Comparison table outlining the characteristics of formal and informal conversational styles for chatbots. Categories include Tone, Phrase, Standardize, Format, and Support. Formal style emphasizes politeness, professional language, consistent medical advice, clarity in format, and proactive support. Informal style focuses on friendliness, understanding, simple sentences, and encouraging questions for more approachable interaction.
A person participating in a formative test using a laptop..

Formative Testing

Four participants evaluated both chatbot versions, providing feedback on dialogue style and naturalness. They preferred Option A but noted that formal style needed clearer terminology and a simpler structure, leading to bullet point formatting. For the informal style, the tone was adjusted to be more conversational and relaxed.

Experiment Methodology

Flowchart showing formal and informal conversational styles tested on easy and difficult tasks, using two prototypes: prototype1 (toe pain) and prototype2 (finger hurt).

Study Design

A within-subjects design was used, focusing on conversational style. Twenty participants completed a background questionnaire before interacting with two chatbot prototypes—one formal, one informal—across easy and difficult tasks. The order was counterbalanced to avoid learning transfer effects.

Data Analysis Method

Quantitative Analysis:
Descriptive analysis summarized trust, mental effort, perceived usefulness, and ease of use. Statistical Tests were used based on p-values to identify differences between styles.

Qualitative Analysis:
An inductive thematic analysis was conducted to extract key themes from participants’ experiences.

Visual representation of Quantitative Analysis (Descriptive analysis, Statistical Analysis) and Qualitative Analysis (Inductive-essentialist-experiential analysis)..
A participant interacting with a chatbot during testing session.

Results

Quantitative Results:
Analysis indicated a general preference for the formal style in terms of trust and perceived usefulness, while mental effort and ease of use were similar for both styles. No statistically significant differences were found, suggesting both styles can be effective depending on the context.

Qualitative Results:
Two main themes emerged: the informal style was engaging and personal but raised concerns about authority with complex health information. The formal style conveyed trust and reliability but could feel less accessible if overly complex. A blend of both styles may optimize user experience and acceptance.

Key Findings

  • It was found that formal styles are effective in building trust, especially when conveying complex information, while informal styles are better at engaging users and providing emotional support.
  • Different styles are preferred depending on the situation, so chatbots need to adapt to meet varying user needs.
A participant interacting with a chatbot during testing session.

Design Recommendations

  • Blend Conversational Styles: Use a mix of formal and informal styles where appropriate.
  • Simplify Language: Ensure information is accessible and easy to understand.
  • Step-by-Step Q&A: Guide users through complex topics with a structured Q&A system.

(All laptop interfaces shown in this project were generated using Botsonic)

References

  1. Chattaraman, V. et al. (2019) ‘Should AI-Based, conversational digital assistants employ social- or task-oriented interaction style? A task-competency and reciprocity perspective for older adults,’ Computers in Human Behavior, 90, pp. 315–330. https://doi.org/10.1016/j.chb.2018.08.048.
  2. De Cicco, R. et al. (2022) ‘Understanding users’ acceptance of chatbots: an extended TAM approach,’ in Lecture notes in computer science, pp. 3–22. https://doi.org/10.1007/978-3-030-94890-0_1.

Other work

This project, in partnership with Sparck, provides an e-bike service for Loughborough citizens. The goal is to reduce dependence on public transportation while ensuring safety and efficiency. The service includes key features such as a user-friendly app, enhanced security measures, and accessibility options, making it a convenient and environmentally friendly transportation alternative for the community.
EcoDrive is an innovative project designed to engage technology-enthusiast families in sustainable energy practices,integrating smart meters with solar panels for real-time home energy management. It promotes efficient solar use, community climate action, and provides tools to trade surplus energy, reducing waste and costs for a greener society.
HEALTHY SIP is a pioneering VR-based project designed to educate and empower young adults to make informed decisions about alcohol consumption. By simulating real-life drinking scenarios, we aim to raise awareness of the risks of excessive drinking and promote a culture of moderation.

Award

Bronze Award | 2024 SGADC-Singapore Art Design Competition

Education

MSc.User Experience Design | Loughborough University | 2023-2024

BA. Product Design | Central South University | 2019-2023