The Decision LabCase study
Building an AI-powered chatbot to deliver personalized behavioral therapy

None of us are gung ho about our jobs 100% of the time — but research has found that the average person is even less excited about their work than you might think. In Canada, only a quarter of employees are categorized as “actively engaged” with their jobs. In other words, the vast majority are emotionally checked out while they’re at work.
It goes without saying that a lot of different factors play into employee well-being, including things like compensation, management style, clarity of workplace communication, and so on. But whether or not employees are motivated and happy at work doesn’t just come down to these external factors; it’s also a function of cognitive factors. The beliefs people hold about themselves, and the ways in which they interpret the world around them, are major contributors to their mental health (or ill-health).
Imagine, for example, that you’re in a meeting and you have a small disagreement with a coworker. If you’re somebody with low self-esteem, or you worry a lot about how your coworkers see you, this incident could set off a downward spiral: you may buy into cognitive distortions that convince you that your coworkers hate you, or that your idea was stupid, or that there’s no point in even trying at this job. By contrast, if you’re confident in yourself and you’ve developed the skills you need to manage conflicts, this whole thing will be like water off a duck’s back — that is to say, it probably won’t faze you at all.
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Cognitive behavioral therapy (CBT) helps people become aware of the unhelpful stories they tell themselves that may be sabotaging their mental well-being, and build skills to challenge and change the way they interpret the world around them. Widely considered the “gold standard” of psychotherapy, research has found CBT is effective even when it’s not delivered by a person.
The flexibility of CBT has led to an explosion of AI-powered apps and other digital tools that let people access therapy from wherever they are, whenever they’re able to. However, one of the big roadblocks with these products is that they tend to have low adherence: people often drop out of digitized programs before they’ve gotten the full benefit of CBT. The missing ingredient is human connection: patients are looking for someone they can develop an emotional bond with.
TDL was part of a mental health consortium looking to solve this problem by bringing computerized CBT into the workplace. There’s good reason for organizations to be invested in their workers’ mental health: employees who aren’t feeling their best are also much less engaged and productive at work. Researchers estimate that mental illness costs the Canadian economy $50 billion each year, with $6 billion related to just lost productivity in the workplace.
So, our question was: if digitized CBT were a part of corporate well-being initiatives, with employers funding access to the platform and giving employees time and space to engage with it, could this solve the problem of low adherence and help people feel better at work? The answer, in short, is yes, it can.
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