Factors Influencing Parental Endorsement of Ongoing Engagement with an mHealth Chatbot: The Impact of Cognitive Beliefs and Perceived Quality
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By
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Wen-Jen Chang
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Pei-Ching Chang
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September 18, 2026
3 Topic Commentaries
Factors Influencing Parental Endorsement of Ongoing Engagement with an mHealth Chatbot: The Impact of Cognitive Beliefs and Perceived Quality
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Jennifer M. Katzenstein, PhD
Director of Psychology, Neuropsychology, and Social Work; Co-Director, Center for Behavioral Health; Associate Professor of Clinical Psychiatry & Behavioral Sciences
•Johns Hopkins All Children’s Hospital; Johns Hopkins School of Medicine
[Source]There isn’t a perfect way for a child to know what’s trustworthy, but parents can guide them.
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Alexander G. Fiks, MD, MSCE
Director, Clinical Futures; Professor of Pediatrics
•Children’s Hospital of Philadelphia; Perelman School of Medicine at the University of Pennsylvania
[Source]Parents, pediatricians and policymakers are responsible for shaping how generative AI technologies are integrated into children’s lives.
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Alexis Hiniker, PhD
Associate Professor; Director, User Empowerment Lab
•Information School, University of Washington
[Source]We routinely see chatbots in some of the biggest commercially available products that are exploiting, rather than caring for, this [vulnerable population]. There are a lot of exciting tools we can provide to young people if we set up the regulation … and the participatory design structures to resist the temptation to design these dark patterns.
Based on findings from:
Determinants of parental support for continued use of an mHealth chatbot: The roles of cognitive beliefs and perceived quality
Wen-Jen Chang, Pei-Ching Chang. Digital Health, 2026.
https://journals.sagepub.com/doi/abs/10.1177/20552076261490668
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