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OpenTrials
Completed

NCT Number: NCT07316647

Using Conversational AI to Teach Growth Mindset Skills to Youths in India

This study aims to test whether a brief digital intervention using conversational AI can improve mental health outcomes among school-aged youth (grades 6-8) in India, where most young people with mental health issues do not receive treatment. The intervention teaches "growth mindset", the belief that skills and abilities can improve with effort, via a 45-minute interactive conversation with an AI chatbot (spread across two class periods). A randomized controlled trial with approximately 430 students at a private, English-medium school in Bangalore will evaluate whether interacting with the chatbot can reduce symptoms of anxiety and depression while enhancing growth mindset beliefs. Half the students will receive the full intervention at baseline, while the other half (control group) will complete a usual school assignment; after 7 weeks, the control group will receive a shortened (15-minute) version of the growth mindset intervention. Participants will complete 10-minute surveys at baseline, 3 weeks, and 7 weeks, after which all students will receive a printed booklet with all the information from the chatbot. This study represents one of the first randomized controlled trials evaluating conversational AI as a brief digital intervention for youth mental health.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Partner school

Bangalore, Karnataka, India

About this study

Globally, 300 million youths have a diagnosable mental disorder and more reside in India than any other country. Yet, in India, where this study is based, most youths affected by mental health issues do not receive treatment. Symptoms are especially prevalent during high school, when many students show signs of depression and anxiety. Given myriad challenges in accessing mental healthcare, some have turned to conversational AIs such as ChatGPT and Claude for personalized support. However, there are few rigorous tests of whether such tools can improve mental health.

This study aims to bridge this gap by combining conversational AI with evidence-based intervention for youth mental health-specifically, a growth mindset intervention, which promotes the belief that abilities are not innate but can be improved with effort. It is well known that growth mindset interventions can improve academic performance. In addition, researchers have shown that brief, computer-guided growth mindset training can reduce symptoms of anxiety and depression that sustain 3-9 months post-intervention, and not only in the United States. However, until now, these interventions have been delivered via static, standardized websites that few people use.

The intervention considered is a 45-minute interactive lesson on growth mindset, embedded within a conversational AI. Similar to prior interventions, the content includes modules on understanding growth mindset, its basis in neuroplasticity, and roleplaying scenarios. Each module includes interactive discussions with the AI (e.g., "in your words, what is a growth mindset?", "in the above scenario, how could a growth mindset apply?")

The specific aim of the study is to test whether a brief, AI-enabled growth mindset intervention offers measurable benefits for school-aged youth in India. A randomized controlled trial with about 430 students (grades 6-8) will measure whether the AI-enabled training leads to changes in growth mindset beliefs and skills as well as symptoms of anxiety and depression, relative to a control group that receives a shortened intervention after 7 weeks. Brief, 10-minute questionnaires will be administered to all participants at baseline, 3 weeks, and 7 weeks. At the conclusion of the trial, all students will receive a printed booklet with content from the full intervention. The study will take place in an English-medium private school in Bangalore, India, which serves a diversity of students.

The growth mindset intervention may also benefit academic performance, and the school partner, at its discretion, may be able to integrate it into part of their standard curriculum following the completion of the study. However, the specific research question is whether the chatbot interaction yields measurable improvements in youth mental health. Given the preponderance of AI chatbots aiming to address various aspects of mental health, such measurement is as important as it is rare. This study will contribute to the growing evidence base on how technology can inform and support youth mental health.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Youth in grades 6-8 at our partner school
  • Youth assents to participate and a parent/guardian provides passive consent (does not opt-out of participation)

Exclusion criteria

  • N/A

Treatment and study plan

Growth mindset training using conversational AI

Behavioral

Participants will interact with an AI chatbot for approximately 45 minutes. The tutorial has a structured script and pauses at section boundaries to allow for brief interactions. It also contains culturally-grounded comics and illustrations with role-playing scenarios to engage with students.

Primary outcomes

  1. Change in Behavior and Feelings Survey - Internalizing Subscale (full sample)

    Time frame: Baseline, 3 weeks, 7 weeks

    Trajectories of self-reported symptoms of anxiety and depression from the 6-item (each item rated on a 0-4 scale, with higher ratings indicating more symptoms) Internalizing Subscale of the Behavior and Feelings Survey. Total scores range from 0 to 24, with higher scores indicating more symptoms (BFS; Weisz et al., 2020).

  2. Student Perceived Program Acceptability and Helpfulness

    Time frame: Immediately post-intervention

    Assessed via the Program Feedback Scale (Schleider et al., 2019). This scale consists of 7 items rated on a 1 to 5 scale, with higher scores indicating greater acceptability and helpfulness.

Secondary outcomes

  1. Change in Behavior and Feelings Survey - Internalizing Subscale (elevated subsample)

    Time frame: Baseline, 3 weeks, 7 weeks

    Trajectories of self-reported symptoms of anxiety and depression from the 6-item (each item rated on a 0-4 scale, with higher ratings indicating more symptoms) Internalizing Subscale of the Behavior and Feelings Survey. Total scores range from 0 to 24, with higher scores indicating more symptoms (BFS; Weisz et al., 2020).

  2. Change in Growth Mindset Beliefs (full sample and elevated subsample)

    Time frame: Baseline, 3 weeks, 7 weeks

    Assessed via the Growth Mindset Scale (Sigmundsson & Haga, 2024), adapted to a lower reading level. This scale consists of 8 items, rated on a scale from 1 (not like me at all) to 5 (very much like me).

  3. Growth mindset reflections (intervention group)

    Time frame: 3 weeks, 7 weeks

    Assessed with brief questions to check recall and use of growth mindset as well as intent to apply it in the future:

    • In one sentence, what is the main idea of growth mindset?
    • Have you used growth mindset for anything at school or home in the past few weeks? [Yes, Not yet, I'm not sure]
    • [If they answer "Yes"] Please share what happened. What did you do or think?
    • How might you use growth mindset in the next month? Be sure to explain: (i) WHAT you want to get better at. This could be a school subject, a skill, or any personal goal, (ii) HOW you will improve. This could include practicing, asking for help, or any of the tips above!

Sponsors and collaborators

Lead sponsor

Harvard University

Other

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 5, 2026
Registry last updated
Jan 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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