Background <p>Loneliness among empty-nest older adults is a growing public health concern with complex psychosocial consequences. AI chatbots are increasingly integrated into daily life, yet little is known about how empty-nest older adults incorporate these agents into their daily interactions to address loneliness.</p> Objectives <p>This study examines how empty-nest older adults engage with AI chatbots in routine communication to mitigate loneliness, emphasizing patterns of engagement rather than assessing effectiveness.</p> Methods <p>Semistructured interviews were conducted to collect data. A total of 18 participants were included in this study. Interview transcriptions were coded and analysed using thematic analysis.</p> Results <p>Participants engaged with the chatbot as a versatile communicative resource that provided a safe outlet for self-expression and narrative voice, fostered experiences of emotional care and empathy, and enabled cognitively and emotionally stimulating recreational interactions. It also supported imaginative role-playing that restored agency and social scripts, served as a source of informal counseling, and facilitated reconnection with both offline and online social networks. Together, these modes represented diverse, experience-based strategies through which the chatbot was woven into daily efforts to manage loneliness.</p> Conclusions <p>The findings advance conceptualizations of gerontechnology as a communicative practice and suggest that policy, design, and service frameworks should treat AI companions as socially embedded tools requiring ethical, accessible, and context-sensitive integration.</p> Clinical trial number <p>Not applicable.</p>

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Addressing loneliness by AI chatbot: a qualitative study of empty-nest elderly

  • Fengbo Jiao,
  • Meiyu Li,
  • Min Liu,
  • Quan Zhang

摘要

Background

Loneliness among empty-nest older adults is a growing public health concern with complex psychosocial consequences. AI chatbots are increasingly integrated into daily life, yet little is known about how empty-nest older adults incorporate these agents into their daily interactions to address loneliness.

Objectives

This study examines how empty-nest older adults engage with AI chatbots in routine communication to mitigate loneliness, emphasizing patterns of engagement rather than assessing effectiveness.

Methods

Semistructured interviews were conducted to collect data. A total of 18 participants were included in this study. Interview transcriptions were coded and analysed using thematic analysis.

Results

Participants engaged with the chatbot as a versatile communicative resource that provided a safe outlet for self-expression and narrative voice, fostered experiences of emotional care and empathy, and enabled cognitively and emotionally stimulating recreational interactions. It also supported imaginative role-playing that restored agency and social scripts, served as a source of informal counseling, and facilitated reconnection with both offline and online social networks. Together, these modes represented diverse, experience-based strategies through which the chatbot was woven into daily efforts to manage loneliness.

Conclusions

The findings advance conceptualizations of gerontechnology as a communicative practice and suggest that policy, design, and service frameworks should treat AI companions as socially embedded tools requiring ethical, accessible, and context-sensitive integration.

Clinical trial number

Not applicable.