IDEAS home Printed from https://ideas.repec.org/a/eee/tefoso/v199y2024ics0040162523007102.html
   My bibliography  Save this article

Anthropomorphic chatbots' for future healthcare services: Effects of personality, gender, and roles on source credibility, user satisfaction, and intention to use

Author

Listed:
  • Schillaci, Carmela Elita
  • de Cosmo, Lucrezia Maria
  • Piper, Luigi
  • Nicotra, Melita
  • Guido, Gianluigi

Abstract

In healthcare, chatbots are used to automate interactions between healthcare professionals and patients. To make these conversations realistic, designers anthropomorphized chatbots (e.g., attributed human characteristics to chatbot) by equipping them with personality (warmth/competence), attributable gender (male/female), and role (prevention/diagnosis/therapy). Notwithstanding, scholarly inquiry has predominantly disregarded these factors when ascertaining the proclivity of individuals to utilize chatbots in healthcare. Based on human-machine interactions and counter-stereotypes theories, the aim of this research is to evaluate the conditions under which chatbot anthropomorphism can increase users' satisfaction and intention of using related services. Analyses conducted on a sample of 1147 users show that chatbots' personality does not directly influence intention of being used in healthcare. Instead, this relationship is mediated by chatbots' perceived credibility and user satisfaction, and moderated by chatbots' anthropomorphism, gender, and role. Specifically, when there is a mismatch between chatbot's gender and its stereotypical descriptive property (i.e., competence for female chatbots; warmth for male chatbots), the chatbot is more credible, satisfying, and inviting to use. Moreover, chatbots with female anthropomorphic characteristics or with a low level of anthropomorphism are better suited for prevention roles such as counseling, while chatbots with male characteristics are more appropriate for therapeutic roles.

Suggested Citation

  • Schillaci, Carmela Elita & de Cosmo, Lucrezia Maria & Piper, Luigi & Nicotra, Melita & Guido, Gianluigi, 2024. "Anthropomorphic chatbots' for future healthcare services: Effects of personality, gender, and roles on source credibility, user satisfaction, and intention to use," Technological Forecasting and Social Change, Elsevier, vol. 199(C).
  • Handle: RePEc:eee:tefoso:v:199:y:2024:i:c:s0040162523007102
    DOI: 10.1016/j.techfore.2023.123025
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0040162523007102
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.techfore.2023.123025?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Chiara Longoni & Andrea Bonezzi & Carey K Morewedge, 2019. "Resistance to Medical Artificial Intelligence," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 46(4), pages 629-650.
    2. Sara Kim & Ann L. McGill, 2011. "Gaming with Mr. Slot or Gaming the Slot Machine? Power, Anthropomorphism, and Risk Perception," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 38(1), pages 94-107.
    3. Song, Christina Soyoung & Kim, Youn-Kyung, 2022. "The role of the human-robot interaction in consumers’ acceptance of humanoid retail service robots," Journal of Business Research, Elsevier, vol. 146(C), pages 489-503.
    4. Pizzi, Gabriele & Scarpi, Daniele & Pantano, Eleonora, 2021. "Artificial intelligence and the new forms of interaction: Who has the control when interacting with a chatbot?," Journal of Business Research, Elsevier, vol. 129(C), pages 878-890.
    5. Torres, Pedro & Augusto, Mário, 2019. "Building resilience to negative information and increasing purchase intentions in a digital environment," Journal of Business Research, Elsevier, vol. 101(C), pages 528-535.
    6. Seo Young Kim & Bernd H. Schmitt & Nadia M. Thalmann, 2019. "Eliza in the uncanny valley: anthropomorphizing consumer robots increases their perceived warmth but decreases liking," Marketing Letters, Springer, vol. 30(1), pages 1-12, March.
    7. Ying Xu & Jianyu Zhang & Rui Chi & Guangkuan Deng, 2022. "Enhancing customer satisfaction with chatbots: the influence of anthropomorphic communication styles and anthropomorphised roles," Nankai Business Review International, Emerald Group Publishing Limited, vol. 14(2), pages 249-271, February.
    8. Piotr Korneta & Magdalena Kludacz-Alessandri & Renata Walczak, 2021. "The Impact of COVID-19 on the Performance of Primary Health Care Service Providers in a Capitation Payment System: A Case Study from Poland," IJERPH, MDPI, vol. 18(4), pages 1-19, February.
    9. Sylvie Borau & Tobias Otterbring & Sandra Laporte & Samuel Fosso Wamba, 2021. "The most human bot: Female gendering increases humanness perceptions of bots and acceptance of AI," Post-Print hal-03648092, HAL.
    10. Elio Borgonovi & Paola Adinolfi & Rocco Palumbo & Gabriella Piscopo, 2018. "Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries," Sustainability, MDPI, vol. 10(12), pages 1-20, November.
    11. Lucrezia Maria Cosmo & Luigi Piper & Arianna Vittorio, 2021. "The role of attitude toward chatbots and privacy concern on the relationship between attitude toward mobile advertising and behavioral intent to use chatbots," Italian Journal of Marketing, Springer, vol. 2021(1), pages 83-102, June.
    12. Machado, Joana César & Vacas-de-Carvalho, Leonor & Azar, Salim L. & André, Ana Raquel & dos Santos, Barbara Pires, 2019. "Brand gender and consumer-based brand equity on Facebook: The mediating role of consumer-brand engagement and brand love," Journal of Business Research, Elsevier, vol. 96(C), pages 376-385.
    13. Ahn, Jungyong & Kim, Jungwon & Sung, Yongjun, 2022. "The effect of gender stereotypes on artificial intelligence recommendations," Journal of Business Research, Elsevier, vol. 141(C), pages 50-59.
    14. Fournier, Susan, 1998. "Consumers and Their Brands: Developing Relationship Theory in Consumer Research," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 24(4), pages 343-373, March.
    15. Chung, Minjee & Ko, Eunju & Joung, Heerim & Kim, Sang Jin, 2020. "Chatbot e-service and customer satisfaction regarding luxury brands," Journal of Business Research, Elsevier, vol. 117(C), pages 587-595.
    16. Roy, Rajat & Naidoo, Vik, 2021. "Enhancing chatbot effectiveness: The role of anthropomorphic conversational styles and time orientation," Journal of Business Research, Elsevier, vol. 126(C), pages 23-34.
    17. McCracken, Grant, 1989. "Who Is the Celebrity Endorser? Cultural Foundations of the Endorsement Process," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 16(3), pages 310-321, December.
    18. Wan-Hsiu Sunny Tsai & Ching-Hua Chuan, 2023. "Humanizing Chatbots for Interactive Marketing," Springer Books, in: Cheng Lu Wang (ed.), The Palgrave Handbook of Interactive Marketing, chapter 0, pages 255-273, Springer.
    19. Liliana Hawrysz & Grażyna Gierszewska & Agnieszka Bitkowska, 2021. "The Research on Patient Satisfaction with Remote Healthcare Prior to and during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    20. Sheehan, Ben & Jin, Hyun Seung & Gottlieb, Udo, 2020. "Customer service chatbots: Anthropomorphism and adoption," Journal of Business Research, Elsevier, vol. 115(C), pages 14-24.
    21. Rajdeep Grewal & Joseph A. Cote & Hans Baumgartner, 2004. "Multicollinearity and Measurement Error in Structural Equation Models: Implications for Theory Testing," Marketing Science, INFORMS, vol. 23(4), pages 519-529, June.
    22. Caprara, Gian Vittorio & Barbaranelli, Claudio & Guido, Gianluigi, 2001. "Brand personality: How to make the metaphor fit?," Journal of Economic Psychology, Elsevier, vol. 22(3), pages 377-395, June.
    23. Halkias, Georgios & Diamantopoulos, Adamantios, 2020. "Universal dimensions of individuals' perception: Revisiting the operationalization of warmth and competence with a mixed-method approach," International Journal of Research in Marketing, Elsevier, vol. 37(4), pages 714-736.
    24. Aysegul ERMEC SERTOGLU & Ozlem CATLI & Sezer KORKMAZ, 2014. "Examining the Effect of Endorser Credibility on the Consumers' Buying Intentions: An Empirical Study in Turkey," International Review of Management and Marketing, Econjournals, vol. 4(1), pages 66-77.
    25. de Cosmo, Lucrezia Maria & Piper, Luigi & Nataraajan, Rajan & Petruzzellis, Luca, 2022. "The effects of circular format on store patronage: An Italian perspective," Journal of Business Research, Elsevier, vol. 140(C), pages 430-438.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yang, Yikai & Zheng, Jiehui & Yu, Yining & Qiu, Yiling & Wang, Lei, 2024. "The role of recommendation sources and attribute framing in online product recommendations," Journal of Business Research, Elsevier, vol. 174(C).
    2. Nitin Upadhyay & Aakash Kamble, 2024. "Why can’t we help but love mobile banking chatbots? Perspective of stimulus-organism-response," Journal of Financial Services Marketing, Palgrave Macmillan, vol. 29(3), pages 855-872, September.
    3. Na Cai & Shuhong Gao & Jinzhe Yan, 2024. "How the communication style of chatbots influences consumers’ satisfaction, trust, and engagement in the context of service failure," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.
    4. Zhu, Yimin & Zhang, Jiemin & Wu, Jifei & Liu, Yingyue, 2022. "AI is better when I'm sure: The influence of certainty of needs on consumers' acceptance of AI chatbots," Journal of Business Research, Elsevier, vol. 150(C), pages 642-652.
    5. Tao Zhang & Chao Feng & Hui Chen & Junjie Xian, 2022. "Calming the customers by AI: Investigating the role of chatbot acting-cute strategies in soothing negative customer emotions," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(4), pages 2277-2292, December.
    6. Xuequn Wang & Xiaolin Lin & Bin Shao, 2023. "Artificial intelligence changes the way we work: A close look at innovating with chatbots," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 74(3), pages 339-353, March.
    7. Justina Sidlauskiene & Yannick Joye & Vilte Auruskeviciene, 2023. "AI-based chatbots in conversational commerce and their effects on product and price perceptions," Electronic Markets, Springer;IIM University of St. Gallen, vol. 33(1), pages 1-21, December.
    8. Zhang, Yaqiong & Wang, Shifu, 2023. "The influence of anthropomorphic appearance of artificial intelligence products on consumer behavior and brand evaluation under different product types," Journal of Retailing and Consumer Services, Elsevier, vol. 74(C).
    9. Yuanyuan Zhou & Zhuoying Fei & Yuanqiong He & Zhilin Yang, 2022. "How Human–Chatbot Interaction Impairs Charitable Giving: The Role of Moral Judgment," Journal of Business Ethics, Springer, vol. 178(3), pages 849-865, July.
    10. Baabdullah, Abdullah M. & Alalwan, Ali Abdallah & Algharabat, Raed S. & Metri, Bhimaraya & Rana, Nripendra P., 2022. "Virtual agents and flow experience: An empirical examination of AI-powered chatbots," Technological Forecasting and Social Change, Elsevier, vol. 181(C).
    11. Li, Meichan & Wang, Rui, 2023. "Chatbots in e-commerce: The effect of chatbot language style on customers’ continuance usage intention and attitude toward brand," Journal of Retailing and Consumer Services, Elsevier, vol. 71(C).
    12. Chunlin Yuan & Shuman Wang & Yue Liu, 2023. "AI service impacts on brand image and customer equity: empirical evidence from China," Journal of Brand Management, Palgrave Macmillan, vol. 30(1), pages 61-76, January.
    13. Mariani, Marcello M. & Hashemi, Novin & Wirtz, Jochen, 2023. "Artificial intelligence empowered conversational agents: A systematic literature review and research agenda," Journal of Business Research, Elsevier, vol. 161(C).
    14. Mengjun Li & Ayoung Suh, 2022. "Anthropomorphism in AI-enabled technology: A literature review," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(4), pages 2245-2275, December.
    15. Hai Lan & Xiaofei Tang & Yong Ye & Huiqin Zhang, 2024. "Abstract or concrete? The effects of language style and service context on continuous usage intention for AI voice assistants," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.
    16. Klaus Heine & Glyn Atwal & Sandrine Crener-Ricard & Michel Phan, 2018. "Personality-driven luxury brand management," Journal of Brand Management, Palgrave Macmillan, vol. 25(5), pages 474-487, September.
    17. Mark Anthony Camilleri & Ciro Troise, 2023. "Live support by chatbots with artificial intelligence: A future research agenda," Service Business, Springer;Pan-Pacific Business Association, vol. 17(1), pages 61-80, March.
    18. Avis, Mark, 2012. "Brand personality factor based models: A critical review," Australasian marketing journal, Elsevier, vol. 20(1), pages 89-96.
    19. Alabed, Amani & Javornik, Ana & Gregory-Smith, Diana, 2022. "AI anthropomorphism and its effect on users' self-congruence and self–AI integration: A theoretical framework and research agenda," Technological Forecasting and Social Change, Elsevier, vol. 182(C).
    20. Ahn, Jungyong & Kim, Jungwon & Sung, Yongjun, 2022. "The effect of gender stereotypes on artificial intelligence recommendations," Journal of Business Research, Elsevier, vol. 141(C), pages 50-59.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:tefoso:v:199:y:2024:i:c:s0040162523007102. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.sciencedirect.com/science/journal/00401625 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.