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After filling out three Web forms, patients used a simple Web chat application to communicate with trained NHS Direct triage nurses, who responded with appropriate triage advice.All patients were seen by their GP immediately after using the Web chat service.

Channels used to initiate cybersex are not necessarily exclusively devoted to that subject, and participants in any Internet chat may suddenly receive a message with any possible variation of the text "Wanna cyber? " or a request for "C2C"/"C4C" ("cam to cam" and "cam for cam", respectively).

Cybersex is commonly performed in Internet chat rooms (such as IRC, talkers or web chats) and on instant messaging systems.

One NHSDO service under development is the Clinical Enquiry Service (CES), which uses Web chat as the communication medium.

During a six-day pilot performed in an inner-city general practice in Coventry, non-urgent patients attending their GP were asked to test the service.

The chatbot reached high school attendees in general and not only adolescents with previous experience related to sex, drugs, or alcohol; this is promising from an informed decision-making point of view.

Frequency (M = 11) and duration of conversations ( minutes) was high and the chatbot was evaluated positively, especially in comparison with information lines and search engines.

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The use of chatbots within the field of health promotion has a large potential to reach a varied group of adolescents and to provide them with answers to their questions related to sex, drugs, and alcohol.

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