The role of ChatGPT in mitigating loneliness among older adults: An exploratory study

Karima Al Mazroui 1, Mohammed Alzyoudi 1 *
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1 Mohamed Bin Zayed University for Humanities, Abu Dhabi, UNITED ARAB EMIRATES
* Corresponding Author
Online Journal of Communication and Media Technologies, Volume 14, Issue 4, Article No: e202444. https://doi.org/10.30935/ojcmt/14777
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ABSTRACT

Purpose: This exploratory study aims to investigate the potential of ChatGPT in mitigating loneliness among older adults.
Design/methodology/approach: 20 participants aged 60 and above engaged in three conversational sessions with ChatGPT over two weeks. Data collection involved pre- and post-intervention assessments using the UCLA Loneliness Scale, analysis of conversation transcripts, and semi-structured interviews.
Findings: Our findings indicate that ChatGPT shows promise in alleviating loneliness among older adults. Participants found the tool easy to use, engaging, and emotionally supportive. They established an emotional connection with ChatGPT, suggesting its potential to provide comfort and companionship to those experiencing loneliness.
Conclusion: ChatGPT demonstrates potential as a tool to address loneliness in older adults, offering emotional support and engagement. However, it should be viewed as a complement rather than a replacement for human interaction. Future research should explore its long-term efficacy and its integration with other interventions.

CITATION

Al Mazroui, K., & Alzyoudi, M. (2024). The role of ChatGPT in mitigating loneliness among older adults: An exploratory study. Online Journal of Communication and Media Technologies, 14(4), e202444. https://doi.org/10.30935/ojcmt/14777

REFERENCES

  • Adamopoulou, E., & Moussiades, L. (2020). Chatbots: History, technology, and applications. Machine Learning with Applications, 2, Article 100006. https://doi.org/10.1016/j.mlwa.2020.100006
  • Al Zyoudi, M. (2007). Gender differences in self-concept among adolescents with low vision in Al-Karak District. International Journal of Special Education, 22(2), 132-136.
  • Alneyadi, S., Abulibdeh, E., & Wardat, Y. (2023a). The impact of digital environment vs. traditional method on literacy skills; reading and writing of Emirati fourth graders. Sustainability, 15(4), Article 3418. https://doi.org/10.3390/su15043418
  • Alneyadi, S., Wardat, Y., Alshannag, Q., & Abu-Al-Aish, A. (2023b). The effect of using smart e-learning app on the academic achievement of eighth-grade students. EURASIA Journal of Mathematics, Science and Technology Education, 19(4), Article em2248. https://doi.org/10.29333/ejmste/13067
  • Alzyoudi, M. (2009). Effects of a creativity training program on the creative thinking skills of students with learning disabilities. Journal of the Faculty of Education, UAEU, 26, 67-87.
  • Alzyoudi, M., & Al Mazroui, K. (2024). ChatGPT as a coping mechanism for social isolation: An analysis of user experiences and perceptions of social support. Online Journal of Communication and Media Technologies, 14(3), Article e202433. https://doi.org/10.30935/ojcmt/14617
  • Alzyoudi, M., Alniami, S., & Al AMzarohi, K. (2022). Inclusive education practices for children with disabilities in the United Arab Emirates. Education Africa Review, 18(1-2), 1-15. https://doi.org/10.1080/18146627.2022.2105727
  • Alzyoudi, M., Mussa, N. M., Alniami, S., & Al AMzarohi, K. (2023). Analyzing digital education using neutrosophic sets. International Journal of Neutrosophic Science, 20(2), 162-177. https://doi.org/10.54216/IJNS.200210
  • Bankins, S., & Formosa, P. (2023). The ethical implications of artificial intelligence (AI) for meaningful work. Journal of Business Ethics, 185, 725-740. https://doi.org/10.1007/s10551-023-05339-7
  • Cheng, K., Li, Z., He, Y., Guo, Q., Lu, Y., Gu, S., & Wu, H. (2023). Potential use of artificial intelligence in infectious disease: Take ChatGPT as an example. Annals of Biomedical Engineering, 51(6), 1130-1135. https://doi.org/10.1007/s10439-023-03203-3
  • Chopik, W. J. (2016). The benefits of social technology use among older adults are mediated by reduced loneliness. Cyberpsychology, Behavior, and Social Networking, 19(9), 551-556. https://doi.org/10.1089/cyber.2016.0151
  • Cotten, S. R. (2021). Technologies and aging: Understanding use, impacts, and future needs. In K. F. Ferraro, & D. Carr (Eds.), Handbook of aging and the social sciences (9th ed., pp. 373-392). Academic Press. https://doi.org/10.1016/B978-0-12-815970-5.00023-1
  • Czaja, S. J., Moxley, J. H., & Rogers, W. A. (2021). Social support, isolation, loneliness, and health among older adults in the PRISM randomized controlled trial. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.728658
  • de Gennaro, M., Krumhuber, E. G., & Lucas, G. (2020). Effectiveness of an empathic chatbot in combating adverse effects of social exclusion on mood. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.03061
  • Dosovitsky, G., & Bunge, E. L. (2021). Bonding with bot: User feedback on a chatbot for social isolation. Frontiers in Digital Health, 3. https://doi.org/10.3389/fdgth.2021.735053
  • Elhoweris, H., Alsheikh, N., Abdurrahman Al Mekhlafi, A., Alhosani, N., & Alzyoudi, M. (2017). Effect of phonological awareness direct instruction Arabic program on phonological awareness. Exceptionality Education International, 27(2), 110-124. https://doi.org/10.5206/eei.v27i2.7755
  • Fakoya, O. A., McCorry, N. K., & Donnelly, M. (2020). Loneliness and social isolation interventions for older adults: A scoping review of reviews. BMC Public Health, 20(1), Article 129. https://doi.org/10.1186/s12889-020-8251-6
  • Fingerman, K. L., Ng, Y. T., Zhang, S., Britt, K., Colera, G., Birditt, K. S., & Charles, S. T. (2021). Living alone during COVID-19: Social contact and emotional well-being among older adults. Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 76, e116-e121. https://doi.org/10.1093/geronb/gbaa200
  • Gningue, S. M., Peach, R., Jarrah, A. M., & Wardat, Y. (2022). The relationship between teacher leadership and school climate: Findings from a teacher-leadership project. Education Sciences, 12(11), Article 749. https://doi.org/10.3390/educsci12110749
  • Grini, I. S. B., & Ueland, Ø. (2023). How families’ use of digital technology can be a tool for reducing loneliness and improving food intake among older adults. Journal of Ageing and Longevity, 3(1), 46-58. https://doi.org/10.3390/jal3010004
  • Gudala, M., Ross, M. E. T., Mogalla, S., Lyons, M., Ramaswamy, P., & Roberts, K. (2022). Benefits of, barriers to, and needs for an artificial intelligence-powered medication information voice chatbot for older adults: Interview study with geriatrics experts. JMIR Aging, 5(2), Article e32169. https://doi.org/10.2196/32169
  • Gurley, K., & Norcio, A. F. (2009). A systematic review of technologies designed to improve and assist cognitive decline for both the current and future aging populations. In N. Aykin (Ed.), Internationalization design and global development (pp. 156-163). Springer. https://doi.org/10.1007/978-3-642-02767-3_17
  • Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218-227. https://doi.org/10.1007/s12160-010-9210-8
  • Heinz, M. M. S., Martin, P. P., Margrett, J. A. P., Yearns, M. P., Franke, W. P., Yang, H.-I. P., Wong, J. P., & Chang, C. K. P. (2013). Perceptions of technology among older adults. Journal of Gerontological Nursing, 39, 42-51. https://doi.org/10.3928/00989134-20121204-04
  • Hidayat, R., & Wardat, Y. (2023). A systematic review of augmented reality in science, technology, engineering and mathematics education. Education and Information Technologies, 29, 9257-9282. https://doi.org/10.1007/s10639-023-12157-x
  • Hodgson, S., Watts, I., Fraser, S., Roderick, P., & Dambha-Miller, H. (2020). Loneliness, social isolation, cardiovascular disease and mortality: A synthesis of the literature and conceptual framework. Journal of the Royal Society of Medicine, 113(5), 185-192. https://doi.org/10.1177/0141076820918236
  • Holtgraves, T., & Han, T.-L. (2007). A procedure for studying online conversational processing using a chatbot. Behavior Research Methods, 39(1), 156-163. https://doi.org/10.3758/BF03192855
  • Hoppe, J. A., Johansson-Pajala, R.-M., Gustafsson, C., Melkas, H., Tuisku, O., Pekkarinen, S., Hennala, L., & Thommes, K. (2020). Assistive robots in care: Expectations and perceptions of older people. In H. Joschka, H. Johanna, & V. Jochen (Eds.), Aging between participation and simulation: Ethical dimensions of socially assistive technologies in elderly care (pp. 139-156). De Gruyter. https://doi.org/10.1515/9783110677485-009
  • Hung, L., Hu, G., Wong, J., Ren, H., Ahmed, N., Hussein, A., Young, E., Berndt, A., Mann, J., Corepal, R., & Wong, L. (2023). Telepresence robots in long-term care settings in British Columbia during the COVID-19 pandemic: Analyzing the experiences of residents and family members. Gerontology and Geriatric Medicine, 9, Article 23337214231166208. https://doi.org/10.1177/23337214231166208
  • Iancu, I., & Iancu, B. (2023). Interacting with chatbots later in life: A technology acceptance perspective in COVID-19 pandemic situation. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.1111003
  • Inkster, B., Sarda, S., & Subramanian, V. (2018). An empathy-driven, conversational artificial intelligence agent (WYSA) for digital mental well-being: Real-world data evaluation mixed-methods study. JMIR MHealth and UHealth, 6(11), Article e12106. https://doi.org/10.2196/12106
  • Jarrah, A. M., Khasawneh, O. M., & Wardat, Y. (2020). Implementing pragmatism and John Dewey’s educational philosophy in Emirati elementary schools: Case of mathematics and science teachers. International Journal of Education Economics and Development, 11(1), Article 58. https://doi.org/10.1504/ijeed.2020.104287
  • Jarrah, A. M., Wardat, Y., & Gningue, S. (2022). Misconception on addition and subtraction of fractions in seventh-grade middle school students. EURASIA Journal of Mathematics, Science and Technology Education, 18(6), Article em2115. https://doi.org/10.29333/ejmste/12070
  • Jimenez, M. P., DeVille, N. V., Elliott, E. G., Schiff, J. E., Wilt, G. E., Hart, J. E., & James, P. (2021). Associations between nature exposure and health: A review of the evidence. International Journal of Environmental Research and Public Health, 18(9), Article 4790. https://doi.org/10.3390/ijerph18094790
  • Kocaballi, A. B. (2023). Conversational AI-powered design: ChatGPT as designer, user, and product. arXiv. https://doi.org/10.48550/arXiv.2302.07406
  • Lee, E. E., Depp, C., Palmer, B. W., Glorioso, D., Daly, R., Liu, J., Tu, X. M., Kim, H. C., Tarr, P., Yamada, Y., & Jeste, D. V. (2019). High prevalence and adverse health effects of loneliness in community-dwelling adults across the lifespan: Role of wisdom as a protective factor. International Psychogeriatrics, 31(10), 1447-1462. https://doi.org/10.1017/S1041610218002120
  • Li, L., Jin, G., Guo, Y., Zhang, Y., & Jing, R. (2023). Internet access, support, usage divides, and depressive symptoms among older adults in China: A nationally representative cross-sectional study. Journal of Affective Disorders, 323, 514-523. https://doi.org/10.1016/j.jad.2022.12.001
  • Louie, W.-Y. G., McColl, D., & Nejat, G. (2014). Acceptance and attitudes toward a human-like socially assistive robot by older adults. Assistive Technology, 26, 140-150. https://doi.org/10.1080/10400435.2013.869703
  • Mannheim, I., Cohn-Schwartz, E., Xi, W., Buttigieg, S. C., McDonnell-Naughton, M., Wouters, E. J. M., & van Zaalen, Y. (2019). Inclusion of older adults in the research and design of digital technology. International Journal of Environmental Research and Public Health, 16, Article 3718. https://doi.org/10.3390/ijerph16193718
  • Neil-Sztramko, S. E., Coletta, G., Dobbins, M., & Marr, S. (2020). Impact of the AGE-ON tablet training program on social isolation, loneliness, and attitudes toward technology in older adults: Single-group pre-post study. JMIR Aging, 3(1), Article e18398. https://doi.org/10.2196/18398
  • Oh, K.-J., Lee, D., Ko, B., Hyeon, J., & Choi, H.-J. (2017). Empathy bot: Conversational service for psychiatric counseling with chat assistant. Studies in Health Technology and Informatics, 245, Article 1235.
  • Paul, E., Bu, F., & Fancourt, D. (2021). Loneliness and risk for cardiovascular disease: Mechanisms and future directions. Current Cardiology Reports, 23(6), Article 68. https://doi.org/10.1007/s11886-021-01495-2
  • Peek, S. T. M., Luijkx, K. G., Rijnaard, M. D., Nieboer, M. E., van der Voort, C. S., Aarts, S., van Hoof, J., Vrijhoef, H. J. M., & Wouters, E. J. M. (2016). Older adults’ reasons for using technology while aging in place. Gerontology, 62, 226-237. https://doi.org/10.1159/000430949
  • Russell, D. (1996). UCLA Loneliness Scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66, 20-40. https://doi.org/10.1207/s15327752jpa6601_2
  • Site, A., Lohan, E. S., Jolanki, O., Valkama, O., Hernandez, R. R., Latikka, R., Alekseeva, D., Vasudevan, S., Afolaranmi, S., Ometov, A., Oksanen, A., Martinez Lastra, J., Nurmi, J., & Fernandez, F. N. (2022). Managing perceived loneliness and social-isolation levels for older adults: A survey with focus on wearables-based solutions. Sensors, 22(3), Article 1108. https://doi.org/10.3390/s22031108
  • Smale, B., Wilson, J., & Akubueze, N. (2022). Exploring the determinants and mitigating factors of loneliness among older adults. Well-Being, Space and Society, 3, Article 100089. https://doi.org/10.1016/j.wss.2022.100089
  • Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences, 110(15), 5797-5801. https://doi.org/10.1073/pnas.1219686110
  • Street, J., Barrie, H., Eliott, J., Carolan, L., McCorry, F., Cebulla, A., Phillipson, L., Prokopovich, K., Hanson-Easey, S., & Burgess, T. (2022). Older adults’ perspectives of smart technologies to support aging at home: Insights from five World Café forums. International Journal of Environmental Research and Public Health, 19(13), Article 7817. https://doi.org/10.3390/ijerph19137817
  • Ta, V., Griffith, C., Boatfield, C., Wang, X., Civitello, M., Bader, H., DeCero, E., & Loggarakis, A. (2020). User experiences of social support from companion chatbots in everyday contexts: Thematic analysis. Journal of Medical Internet Research, 22(3), Article e16235. https://doi.org/10.2196/16235
  • Tashtoush, M. A., AlAli, R., Wardat, Y., Alshraifin, N., & Toubat, H. (2023a). The impact of information and communication technologies (ICT)-based education on the mathematics academic enthusiasm. Journal of Educational and Social Research, 13(3), Article 284. https://doi.org/10.36941/jesr-2023-0077
  • Tashtoush, M. A., Wardat, Y., & Elsayed, A. M. (2023b). Mathematics distance learning and learning loss during COVID-19 pandemic: Teachers’ perspectives. Journal of Higher Education Theory and Practice, 23(5). https://doi.org/10.33423/jhetp.v23i5.5933
  • Tashtoush, M. A., Wardat, Y., Aloufi, F., & Taani, O. (2022). The effect of a training program based on TIMSS to developing the levels of habits of mind and mathematical reasoning skills among pre-service mathematics teachers. EURASIA Journal of Mathematics, Science and Technology Education, 18(11), Article em2182. https://doi.org/10.29333/ejmste/12557
  • United Nations Department of Economic and Social Affairs. (2020). World population ageing 2020 highlights: Living arrangements for older people. United Nations. https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd-2020_world_population_ageing_highlights.pdf
  • Vaportzis, E., Giatsi Clausen, M., & Gow, A. J. (2017). Older adults perceptions of technology and barriers to interacting with tablet computers: A focus group study. Frontiers in Psychology, 8. https://doi.org/10.3389/fpsyg.2017.01687
  • Wardat, Y., Alali, R., Jarrah, A. M., & Alzyoudi, M. (2023). Neutrosophic theory framework for building mathematics teachers capacity in assessment of high school students in the United Arab Emirates. International Journal of Neutrosophic, 11(1), 33-49. https://doi.org/10.54216/IJNS.210103
  • Wardat, Y., Belbase, S., Tairab, H., Takriti, R. A., Efstratopoulou, M., & Dodeen, H. (2022). The influence of school factors on students’ mathematics achievements in trends in international mathematics and science study (TIMSS) in Abu Dhabi Emirate schools. Education Sciences, 12(7), Article 424. https://doi.org/10.3390/educsci12070424
  • Wardat, Y., Jarrah, A. M., & Stoica, G. (2021). Understanding the meaning of the equal sign: A case study of middle school students in the United Arab Emirates. European Journal of Educational Research, 10(3), 1505-1514. https://doi.org/10.12973/eu-jer.10.3.1505
  • Wardat, Y., Tashtoush, M. A., AlAli, R., & Saleh, S. (2024). Artificial intelligence in education: Mathematics teachers’ perspectives, practices and challenges. Iraqi Journal for Computer Science and Mathematics, 5(1), 60-77. https://doi.org/10.52866/ijcsm.2024.05.01.004
  • Wister, A., Fyffe, I., & O’Dea, E. (2021). Technological interventions for loneliness and social isolation among older adults: A scoping review protocol. Systematic Reviews, 10(1), Article 217. https://doi.org/10.1186/s13643-021-01775-6
  • Wu, B. (2020). Social isolation and loneliness among older adults in the context of COVID-19: A global challenge. Global Health Research and Policy, 5(1), Article 27. https://doi.org/10.1186/s41256-020-00154-3
  • Zakariya, Y. F., & Wardat, Y. (2023). Job satisfaction of mathematics teachers: An empirical investigation to quantify the contributions of teacher self-efficacy and teacher motivation to teach. Mathematics Education Research Journal. https://doi.org/10.1007/s13394-023-00475-9
  • Zwijsen, S., Niemeijer, A. R., & Hertogh, C. M. P. M. (2011). Ethics of using assistive technology in the care for community-dwelling elderly people: An overview of the literature. Aging & Mental Health, 1, 419-427. https://doi.org/10.1080/13607863.2010.543662