Usability of the “Be Yourself” IA-powered, chatbot-based website for the prevention of adolescent pregnancy

Authors

DOI:

https://doi.org/10.17533/udea.iee.v44n1e02

Keywords:

pregnancy in adolescence, generative artificial intelligence, artificial intelligence, user-centered design, sexual health

Abstract

Objective. Analyze the usability, interaction patterns, and quality of conversational interaction of the AI-powered “Be Yourself” chatbot to foster self-determined motivation and prevent adolescent pregnancy.

Methods. Post-intervention usability pilot study conducted with 74 Mexican school-going adolescents (aged 11–15), using the System Usability Scale (SUS) at two time points: immediately after the intervention and at two-month follow-up. Interaction metrics (number of messages) and confidence coefficients were analyzed within content related to self-determined motivation, pregnancy prevention, and sexual communication.

Results. Participants were 49.6% male and 50.4% female, with a mean age of 12.7 (SD=0.98). The chatbot recorded 74 chats and 1,236 messages. The SUS was assessed post-intervention (n=74) and at the two-month follow-up (n=70). Initially, usability was rated as 18.9% “Good” and 81.1% “Acceptable.” At follow-up, the proportions across categories changed to 5.7% “Good,” 92.9% “Acceptable,” and 1.4% “Poor.” The Wilcoxon signed-rank test showed a significant decrease in perceived usability (p<0.001; r=-0.56) between the two assessment points. The highest confidence coefficients were observed for communication with parents (93.2%) and pregnancy prevention (89.1%), whereas self-determined motivation was lower (79.1%).

Conclusion. The chatbot demonstrated acceptable usability and high short-term acceptance as an informational tool for preventing adolescent pregnancy. However, the decrease in usability scores at the two-month follow-up indicates the need for improvements to foster sustained engagement and address behavioral aspects.

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Author Biographies

Natanael Librado González, Universidad Autónoma del Estado de Hidalgo

Ph.D. Universidad Autónoma del Estado de Hidalgo, Hidalgo, Mexico

Dora Julia Onofre Rodríguez, Universidad Autónoma de Nuevo León

Ph.D.  Monterrey, Nuevo León

Romeo Sánchez Nigenda, Universidad Autónoma de Nuevo León.

Ph.D. Monterrey, Nuevo León

Dayanna Neitakrith Pérez Cavazos, Universidad de Monterrey

Ph.D. México, Monterrey Nuevo León

Carlos Alberto Catalán Gómez, Universidad Autónoma del Estado de Quintana Roo

Ph.D.

Raquel Alicia Benavides Torres, Universidad Autónoma de Nuevo León

Ph.D. Monterrey, Nuevo León

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Published

2026-03-02

How to Cite

Librado González, N., Onofre Rodríguez, D. J., Sánchez Nigenda, R., Pérez Cavazos, D. N., Catalán Gómez, C. A., & Benavides Torres, R. A. (2026). Usability of the “Be Yourself” IA-powered, chatbot-based website for the prevention of adolescent pregnancy. Investigación Y Educación En Enfermería, 44(1). https://doi.org/10.17533/udea.iee.v44n1e02

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Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS