NEXORA Chatbot: A Generative AI Communication Innovation to Support Frontline Staff in Harm Reduction for Chemsex
Keywords:
Chatbot, Generative AI, Chemsex, Behavior Change Communication, Men Who Have Sex with Men (MSM)Abstract
This study aims to explore the role of NEXORA, a chatbot powered by Generative AI, in supporting frontline staff working with men who have sex with men (MSM) engaged in Chemsex. The research investigates how the chatbot enhances psychosocial understanding, improves communication strategies, and bridges linguistic and emotional gaps between staff and clients. Using in-depth interviews with three staff members from a non-profit organization, the study assessed their experiences and perceptions after interacting with the NEXORA chatbot. Findings reveal three key dimensions of impact: (1) identifying communication system limitations in current harm reduction services for Chemsex users, (2) functioning as a simulated learning tool that helps staff better understand the motivations and emotional contexts of users, and (3) acting as a psychologically safe space for exploring sensitive topics without fear of judgment. The study highlights NEXORA’s potential as a training and support tool in harm reduction communication, particularly for building empathetic and trust-based relationships between service providers and vulnerable populations.
References
แผนยุทธศาสตร์ยุติปัญหาเอดส์. (2560). สถานการณ์ HIV ในกรุงเทพมหานคร. https://www.thaihealth.or.th/Books/591/
วรยุทธ พายพายุห์, และ พัชนี เชยจรรยา. (2562). การศึกษาการใช้ประโยชน์และความพึงพอใจของแอปพลิเคชันหาคู่บนโทรศัพท์มือถือของกลุ่มชายรักชาย (เกย์). Journal of Communication and Innovation NIDA, 6(2), 45-66.
Bickmore, T. W., Schulman, D., & Sidner, C. (2018). Automated interventions for multiple health behaviors using conversational agents. Patient Education and Counseling, 101(5), 755–763. https://doi.org/10.1016/j.pec.2017.11.015
Bourne, A., Reid, D., Hickson, F., Torres-Rueda, S., Steinberg, P., & Weatherburn, P. (2015). “Chemsex” and harm reduction need among gay men in South London. International Journal of Drug Policy, 26(12), 1171-1176. https://doi.org/10.1016/j.drugpo.2015.07.013
Bourne, A., Reid, D., Hickson, F., Torres Rueda, S., & Weatherburn, P. (2014). The Chemsex study: drug use in sexual settings among gay and bisexual men in Lambeth, Southwark and Lewisham.
Chomchai, C., & Manaboriboon, B. (2012). Stimulant methamphetamine and dextromethorphan use among Thai adolescents: implications for health of women and children. Journal of Medical Toxicology, 8, 291-294.
Edmondson, A. C. (2019). The fearless organization: Creating psychological safety in the workplace for learning, innovation, and growth. Wiley.
Fitzpatrick, K. K., Darcy, A., & Vierhile, M. (2017). Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agent (Woebot): A randomized controlled trial. JMIR Mental Health, 4(2), e19.
Fulmer, R., Joerin, A., Gentile, B., Lakerink, L., & Rauws, M. (2018). Using psychological artificial intelligence (Tess) to relieve symptoms of depression and anxiety: Randomized controlled trial. JMIR Mental Health, 5(4), e64. https://doi.org/10.2196/mental.9782
Gillespie, M. A., Murphy, D. A., Armstrong, N., Shrier, L. A., & Smith, L. (2022). Digital health interventions in substance use: Gaps in access, engagement, and equity. Addictive Behaviors Reports, 16, 100453. https://doi.org/10.1016/j.abrep.2022.100453
Glynn et al., R.W. Glynn, N. Byrne, S. O’Dea, A. Shanley, M. Codd, E. Keenan, et al. Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland. International Journal of Drug Policy, 52(2018), 9-15
Guadamuz, T. E., & Boonmongkon, P. (2018). Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks. International Journal of Drug Policy, 55, 249-255.
Luxton, D. D., June, J. D., & Kinn, J. T. (2021). Technology-based suicide prevention: Current applications and future directions. Telemedicine and e-Health, 27(5), 475–483.
Marlatt, G. A. (1996). Harm reduction: Come as you are. Addictive Behaviors, 21(6), 779–788. https://doi.org/10.1016/0306-4603(96)00042-1
Mauriello, M. L., Tantivasadakarn, N., Mora-Mendoza, M. A., Lincoln, E. T., Hon, G., Nowruzi, P., Simon, D., Hansen, L., Goenawan, N. H., Kim, J., Gowda, N., Jurafsky, D., & Paredes, P. E. (2021). A suite of mobile conversational agents for daily stress management (Popbots): Mixed methods exploratory study. JMIR formative research, 5(9), e25294. https://doi.org/10.2196/25294
Platteau, T., Herrijgers, C., & de Wit, J. (2020). Digital chemsex support and care: The potential of just-in-time adaptive interventions. International Journal of Drug Policy, 85, 102927.
Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390–395.
Weatherburn P, Hickson F, Reid D, Torres-Rueda S, Bourne A. (2017). Motivations and values associated with combining sex and illicit drugs (‘chemsex’) among gay men in South London: findings from a qualitative study. Sex Transm Infect. 2017 May;93(3):203-206. https://doi: 10.1136/sextrans-2016-052695. Epub 2016 Aug 12. PMID: 27519259.