Perfectly to a Tee: Understanding User Perceptions of Personalized LLM-Enhanced Narrative Interventions

Stories about overcoming personal struggles can effectively illustrate the application of psychological theories in real life, yet they may fail to resonate with individuals' experiences. In this work, we employ large language models (LLMs) to create tailored narratives that acknowledge and address unique challenging thoughts and situations faced by individuals. Our study, involving 346 young adults across two settings, demonstrates that personalized LLM-enhanced stories were perceived to be better than human-written ones in conveying key takeaways, promoting reflection, and reducing belief in negative thoughts. These stories were not only seen as more relatable but also similarly authentic to human-written ones, highlighting the potential of LLMs in helping young adults manage their struggles. The findings of this work provide crucial design considerations for future narrative-based digital mental health interventions, such as the need to maintain relatability without veering into implausibility and refining the wording and tone of AI-enhanced content.

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Publication Details

Published
2025-07-04
DOI
https://doi.org/10.1145/3715336.3735810
Citations
3
Primary Topic
Digital Mental Health Interventions
Type
article
Field-Weighted Citation Impact
4.63

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article

Perfectly to a Tee: Understanding User Perceptions of Personalized LLM-Enhanced Narrative Interventions

Sarah Xu, Yuchen Zeng, Michael Liut, Jonah Meyerhoff et al.
3 citations
Digital Mental Health Interventions
4.63
article

Perfectly to a Tee: Understanding User Perceptions of Personalized LLM-Enhanced Narrative Interventions

Sarah Xu, Yuchen Zeng, Michael Liut, Jonah Meyerhoff, Pranav Rao, David C. Mohr, Ananya Bhattacharjee, Alex Mariakakis, Rachel Kornfield, Joseph Jay Williams, Syed Ishtiaque Ahmed
article en
3 citations

Abstract

Stories about overcoming personal struggles can effectively illustrate the application of psychological theories in real life, yet they may fail to resonate with individuals' experiences. In this work, we employ large language models (LLMs) to create tailored narratives that acknowledge and address unique challenging thoughts and situations faced by individuals. Our study, involving 346 young adults across two settings, demonstrates that personalized LLM-enhanced stories were perceived to be better than human-written ones in conveying key takeaways, promoting reflection, and reducing belief in negative thoughts. These stories were not only seen as more relatable but also similarly authentic to human-written ones, highlighting the potential of LLMs in helping young adults manage their struggles. The findings of this work provide crucial design considerations for future narrative-based digital mental health interventions, such as the need to maintain relatability without veering into implausibility and refining the wording and tone of AI-enhanced content.

Vol. 2025
Northwestern University (US), University of Toronto (CA), Behavioral Tech (US)
National Science Foundation, Office of Naval Research, National Institute of Mental Health
Openalex Percentile: Top 5%
Digital Mental Health Interventions
4.63
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