Using Nonverbal Cues in Empathic Multi-Modal LLM-Driven Chatbots for Mental Health Support MHCI039

Despite their popularity in providing digital mental health support, mobile conversational agents primarily rely on verbal input, which limits their ability to respond to emotional expressions. We therefore envision using the sensory equipment of today’s devices to increase the nonverbal, empathic capabilities of chatbots. We initially validated that multi-modal LLMs (MLLM) can infer emotional expressions from facial expressions with high accuracy. In a user study (N=200), we then investigated the effects of such multi-modal input on response generation and perceived system empathy in emotional support scenarios. We found significant effects on cognitive and affective dimensions of linguistic expression in system responses, yet no significant increases in perceived empathy. Our research demonstrates the general potential of using nonverbal context to adapt LLM response behavior, providing input for future research on augmented interaction in empathic MLLM-based systems.

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Publication Details

Journal
Proceedings of the ACM on Human-Computer Interaction
Published
2025-09-09
DOI
https://doi.org/10.1145/3743724
Citations
1
Primary Topic
Digital Mental Health Interventions
Type
article
Field-Weighted Citation Impact
1.54
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article

Using Nonverbal Cues in Empathic Multi-Modal LLM-Driven Chatbots for Mental Health Support MHCI039

Sven Mayer, Matthias Schmidmaier, Jonathan Rupp, Cedrik Harrich
1 citations
Proceedings of the ACM on Human-Computer Interaction
Digital Mental Health Interventions
1.54
article

Using Nonverbal Cues in Empathic Multi-Modal LLM-Driven Chatbots for Mental Health Support MHCI039

Sven Mayer, Matthias Schmidmaier, Jonathan Rupp, Cedrik Harrich
article en
1 citations

Abstract

Despite their popularity in providing digital mental health support, mobile conversational agents primarily rely on verbal input, which limits their ability to respond to emotional expressions. We therefore envision using the sensory equipment of today’s devices to increase the nonverbal, empathic capabilities of chatbots. We initially validated that multi-modal LLMs (MLLM) can infer emotional expressions from facial expressions with high accuracy. In a user study (N=200), we then investigated the effects of such multi-modal input on response generation and perceived system empathy in emotional support scenarios. We found significant effects on cognitive and affective dimensions of linguistic expression in system responses, yet no significant increases in perceived empathy. Our research demonstrates the general potential of using nonverbal context to adapt LLM response behavior, providing input for future research on augmented interaction in empathic MLLM-based systems.

Proceedings of the ACM on Human-Computer InteractionVol. 9(5)
Universität Innsbruck (AT), TU Dortmund University (DE), LMU Klinikum (DE), Ludwig-Maximilians-Universität München (DE)
Openalex Percentile: Top 14%
Digital Mental Health Interventions
1.54
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