{"id":"https://openalex.org/W4414655062","doi":"https://doi.org/10.1145/3742886.3756698","title":"Emotionally Adaptive Virtual Health Assistants for Enhanced Social Presence and Trust","display_name":"Emotionally Adaptive Virtual Health Assistants for Enhanced Social Presence and Trust","publication_year":2025,"publication_date":"2025-09-16","ids":{"openalex":"https://openalex.org/W4414655062","doi":"https://doi.org/10.1145/3742886.3756698"},"language":"en","primary_location":{"id":"doi:10.1145/3742886.3756698","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3742886.3756698","pdf_url":"https://dl.acm.org/doi/pdf/10.1145/3742886.3756698","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Adjunct Proceedings of the 25th ACM International Conference on Intelligent Virtual Agents","raw_type":"proceedings-article"},"type":"conference-paper","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://dl.acm.org/doi/pdf/10.1145/3742886.3756698","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103103391","display_name":"Navid Ashrafi","orcid":"https://orcid.org/0009-0005-8398-415X"},"institutions":[{"id":"https://openalex.org/I4210088033","display_name":"Hamm-Lippstadt University of Applied Sciences","ror":"https://ror.org/001rdde17","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210088033"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Navid Ashrafi","raw_affiliation_strings":["Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany"],"raw_orcid":"https://orcid.org/0009-0005-8398-415X","affiliations":[{"raw_affiliation_string":"Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany","institution_ids":["https://openalex.org/I4210088033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116211454","display_name":"Julia Schorlemmer","orcid":"https://orcid.org/0009-0004-7388-9389"},"institutions":[{"id":"https://openalex.org/I4210088033","display_name":"Hamm-Lippstadt University of Applied Sciences","ror":"https://ror.org/001rdde17","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210088033"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Julia Schorlemmer","raw_affiliation_strings":["Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany"],"raw_orcid":"https://orcid.org/0009-0004-7388-9389","affiliations":[{"raw_affiliation_string":"Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany","institution_ids":["https://openalex.org/I4210088033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023377760","display_name":"Francesco Vona","orcid":"https://orcid.org/0000-0003-4558-4989"},"institutions":[{"id":"https://openalex.org/I4210088033","display_name":"Hamm-Lippstadt University of Applied Sciences","ror":"https://ror.org/001rdde17","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210088033"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Francesco Vona","raw_affiliation_strings":["Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany"],"raw_orcid":"https://orcid.org/0000-0003-4558-4989","affiliations":[{"raw_affiliation_string":"Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany","institution_ids":["https://openalex.org/I4210088033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014135278","display_name":"Tanja Koji\u0107","orcid":"https://orcid.org/0000-0002-8603-8979"},"institutions":[{"id":"https://openalex.org/I4577782","display_name":"Technische Universit\u00e4t Berlin","ror":"https://ror.org/03v4gjf40","country_code":"DE","type":"education","lineage":["https://openalex.org/I4577782"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Tanja Kojic","raw_affiliation_strings":["Quality and Usability Lab, Technical University of Berlin, Berlin, Germany"],"raw_orcid":"https://orcid.org/0000-0002-8603-8979","affiliations":[{"raw_affiliation_string":"Quality and Usability Lab, Technical University of Berlin, Berlin, Germany","institution_ids":["https://openalex.org/I4577782"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Stefan Hillmann","orcid":"https://orcid.org/0000-0002-0795-9834"},"institutions":[{"id":"https://openalex.org/I4577782","display_name":"Technische Universit\u00e4t Berlin","ror":"https://ror.org/03v4gjf40","country_code":"DE","type":"education","lineage":["https://openalex.org/I4577782"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Stefan Hillmann","raw_affiliation_strings":["Quality and Usability Lab, Technical University of Berlin, Berlin, Germany"],"raw_orcid":"https://orcid.org/0000-0002-0795-9834","affiliations":[{"raw_affiliation_string":"Quality and Usability Lab, Technical University of Berlin, Berlin, Germany","institution_ids":["https://openalex.org/I4577782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023107987","display_name":"Ali Braytee","orcid":"https://orcid.org/0000-0003-2561-6496"},"institutions":[{"id":"https://openalex.org/I114017466","display_name":"University of Technology Sydney","ror":"https://ror.org/03f0f6041","country_code":"AU","type":"education","lineage":["https://openalex.org/I114017466"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Ali Braytee","raw_affiliation_strings":["University of Technology Sydney, Sydney, Australia"],"raw_orcid":"https://orcid.org/0000-0003-2561-6496","affiliations":[{"raw_affiliation_string":"University of Technology Sydney, Sydney, Australia","institution_ids":["https://openalex.org/I114017466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100773301","display_name":"Yu\u2013Kai Wang","orcid":"https://orcid.org/0000-0001-8390-2664"},"institutions":[{"id":"https://openalex.org/I114017466","display_name":"University of Technology Sydney","ror":"https://ror.org/03f0f6041","country_code":"AU","type":"education","lineage":["https://openalex.org/I114017466"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Yu-Kai Wang","raw_affiliation_strings":["University of Technology Sydney, Sydney, Australia"],"raw_orcid":"https://orcid.org/0000-0001-8390-2664","affiliations":[{"raw_affiliation_string":"University of Technology Sydney, Sydney, Australia","institution_ids":["https://openalex.org/I114017466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036989189","display_name":"A. Baki Kocaball\u0131","orcid":"https://orcid.org/0000-0002-8328-5317"},"institutions":[{"id":"https://openalex.org/I114017466","display_name":"University of Technology Sydney","ror":"https://ror.org/03f0f6041","country_code":"AU","type":"education","lineage":["https://openalex.org/I114017466"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Baki Kocaballi","raw_affiliation_strings":["University of Technology Sydney, Sydney, Australia"],"raw_orcid":"https://orcid.org/0000-0002-8328-5317","affiliations":[{"raw_affiliation_string":"University of Technology Sydney, Sydney, Australia","institution_ids":["https://openalex.org/I114017466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017217950","display_name":"Catarina Moreira","orcid":"https://orcid.org/0000-0002-8826-5163"},"institutions":[{"id":"https://openalex.org/I114017466","display_name":"University of Technology Sydney","ror":"https://ror.org/03f0f6041","country_code":"AU","type":"education","lineage":["https://openalex.org/I114017466"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Catarina Moreira","raw_affiliation_strings":["University of Technology Sydney, Sydney, Australia"],"raw_orcid":"https://orcid.org/0000-0002-8826-5163","affiliations":[{"raw_affiliation_string":"University of Technology Sydney, Sydney, Australia","institution_ids":["https://openalex.org/I114017466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075001284","display_name":"Sebastian M\u00f6ller","orcid":"https://orcid.org/0000-0003-3057-0760"},"institutions":[{"id":"https://openalex.org/I4577782","display_name":"Technische Universit\u00e4t Berlin","ror":"https://ror.org/03v4gjf40","country_code":"DE","type":"education","lineage":["https://openalex.org/I4577782"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sebastian M\u00f6ller","raw_affiliation_strings":["Quality and Usability Lab, Technical University of Berlin, Berlin, Germany"],"raw_orcid":"https://orcid.org/0000-0003-3057-0760","affiliations":[{"raw_affiliation_string":"Quality and Usability Lab, Technical University of Berlin, Berlin, Germany","institution_ids":["https://openalex.org/I4577782"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063539298","display_name":"Jan\u2010Niklas Voigt\u2010Antons","orcid":"https://orcid.org/0000-0002-2786-9262"},"institutions":[{"id":"https://openalex.org/I4210088033","display_name":"Hamm-Lippstadt University of Applied Sciences","ror":"https://ror.org/001rdde17","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210088033"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jan-Niklas Voigt-Antons","raw_affiliation_strings":["Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany"],"raw_orcid":"https://orcid.org/0000-0002-2786-9262","affiliations":[{"raw_affiliation_string":"Immersive Reality Lab, University of Applied Science Hamm-Lippstadt, Hamm-Lippstadt, Germany","institution_ids":["https://openalex.org/I4210088033"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.273,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.93158954,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":98},"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9983999729156494,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9983999729156494,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12128","display_name":"AI in Service Interactions","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T12521","display_name":"Death Anxiety and Social Exclusion","score":0.9851999878883362,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.3481999933719635},{"id":"https://openalex.org/keywords/affect","display_name":"Affect (linguistics)","score":0.31949999928474426},{"id":"https://openalex.org/keywords/social-support","display_name":"Social support","score":0.3111000061035156},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.29829999804496765},{"id":"https://openalex.org/keywords/social-relation","display_name":"Social relation","score":0.2962999939918518},{"id":"https://openalex.org/keywords/perception","display_name":"Perception","score":0.28040000796318054}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6207000017166138},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.48069998621940613},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.4390999972820282},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.3481999933719635},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.31949999928474426},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3111000061035156},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.299699991941452},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.29829999804496765},{"id":"https://openalex.org/C130064352","wikidata":"https://www.wikidata.org/wiki/Q853725","display_name":"Social relation","level":2,"score":0.2962999939918518},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2838999927043915},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.28279998898506165},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C96851999","wikidata":"https://www.wikidata.org/wiki/Q848369","display_name":"Subconscious","level":3,"score":0.2703000009059906},{"id":"https://openalex.org/C187288502","wikidata":"https://www.wikidata.org/wiki/Q641118","display_name":"Personality","level":2,"score":0.27000001072883606},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.26750001311302185},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.2648000121116638},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.2547000050544739},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.25029999017715454}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1145/3742886.3756698","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3742886.3756698","pdf_url":"https://dl.acm.org/doi/pdf/10.1145/3742886.3756698","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Adjunct Proceedings of the 25th ACM International Conference on Intelligent Virtual Agents","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1145/3742886.3756698","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3742886.3756698","pdf_url":"https://dl.acm.org/doi/pdf/10.1145/3742886.3756698","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Adjunct Proceedings of the 25th ACM International Conference on Intelligent Virtual Agents","raw_type":"proceedings-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414655062.pdf","grobid_xml":"https://content.openalex.org/works/W4414655062.grobid-xml"},"referenced_works_count":42,"referenced_works":["https://openalex.org/W1909189764","https://openalex.org/W1968777694","https://openalex.org/W1991015565","https://openalex.org/W1998575566","https://openalex.org/W2045616537","https://openalex.org/W2055666942","https://openalex.org/W2075037396","https://openalex.org/W2099050939","https://openalex.org/W2099386544","https://openalex.org/W2107748660","https://openalex.org/W2109453861","https://openalex.org/W2140535904","https://openalex.org/W2535082198","https://openalex.org/W2588736771","https://openalex.org/W2589387806","https://openalex.org/W2756029264","https://openalex.org/W2779438717","https://openalex.org/W2894060751","https://openalex.org/W2916945592","https://openalex.org/W2995151517","https://openalex.org/W3002302837","https://openalex.org/W3005092074","https://openalex.org/W3029922759","https://openalex.org/W3082818995","https://openalex.org/W3090127949","https://openalex.org/W3154973892","https://openalex.org/W3185034189","https://openalex.org/W3186135750","https://openalex.org/W4200013702","https://openalex.org/W4205745440","https://openalex.org/W4206036760","https://openalex.org/W4210301905","https://openalex.org/W4220908484","https://openalex.org/W4309533780","https://openalex.org/W4312179235","https://openalex.org/W4384520651","https://openalex.org/W4392498877","https://openalex.org/W4399267128","https://openalex.org/W4402722206","https://openalex.org/W4404312828","https://openalex.org/W4404915886","https://openalex.org/W6959780187"],"related_works":[],"abstract_inverted_index":{"The":[0],"integration":[1],"of":[2,50,85,127],"emotional":[3,25,71,119],"intelligence":[4],"into":[5],"virtual":[6,27,52,124],"health":[7],"assistance":[8],"systems":[9],"has":[10],"the":[11,15,48,69,83,107],"potential":[12],"to":[13,23,39,67,122],"revolutionize":[14],"way":[16],"users":[17],"interact":[18],"with":[19,78,103],"healthcare":[20],"applications.By":[21],"adapting":[22],"users'":[24],"states,":[26],"characters":[28],"or":[29],"avatars":[30,77,113],"can":[31,60],"provide":[32],"more":[33,96],"personalized":[34],"and":[35,43,64,92,98,118],"engaging":[36,99],"interactions,":[37],"leading":[38],"improved":[40],"user":[41,101],"satisfaction":[42],"overall":[44],"well-being.This":[45],"study":[46,102,129],"presents":[47],"development":[49],"photorealistic":[51],"assistants":[53],"using":[54],"Unreal":[55],"Engine's":[56],"Metahuman":[57,76],"Creator,":[58],"which":[59,74],"adapt":[61],"their":[62],"speech":[63],"facial":[65],"expressions":[66],"match":[68],"user's":[70],"state.The":[72],"system,":[73],"synchronizes":[75],"an":[79],"AI-powered":[80],"chatbot,":[81],"enables":[82],"display":[84],"emotions":[86],"such":[87],"as":[88],"happiness,":[89],"excitement,":[90],"boredom,":[91],"sadness,":[93],"creating":[94],"a":[95],"natural":[97],"conversation.A":[100],"21":[104],"participants":[105],"evaluated":[106],"system's":[108],"effectiveness,":[109],"revealing":[110],"that":[111],"emotion-adaptive":[112],"notably":[114],"enhance":[115],"experience":[116],"quality":[117],"engagement":[120],"compared":[121],"neutral":[123],"assistants.The":[125],"findings":[126],"this":[128],"have":[130],"significant":[131],"implications":[132]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-07-31T08:31:51.225901","created_date":"2025-10-10T00:00:00"}