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

Author

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  • 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
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    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. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. 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.
    17. 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.
    18. 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.
    19. 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.
    20. 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.
    21. 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.
    22. 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.
    23. 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.
    24. 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.
    25. 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.
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