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Area of Science:

  • Digital Mental Health
  • Human-Computer Interaction (HCI)
  • Psychological Therapy Research

Background:

  • The therapeutic alliance (TA) is crucial for effective psychological therapy outcomes.
  • Digital mental health care is expanding, necessitating an understanding of TA in digital contexts.
  • Existing measures for digital TA often adapt traditional face-to-face therapy instruments.

Purpose of the Study:

  • To explore the conceptualization of a digital therapeutic alliance (DTA) within mental health apps.
  • To examine the Mobile Agnew Relationship Measure through a human-computer interaction (HCI) lens.
  • To propose how HCI theories can inform the development of purpose-built DTA measures.

Main Methods:

  • Conceptual analysis of existing digital TA measures, specifically the Mobile Agnew Relationship Measure.
  • Application of human-computer interaction (HCI) theories to evaluate and refine DTA assessment.
  • Literature review on TA in traditional therapy and HCI principles for digital interventions.

Main Results:

  • Existing digital TA measures may not fully capture the nuances of human-computer interactions in therapy.
  • HCI theories offer valuable frameworks for understanding and designing digital therapeutic relationships.
  • The Mobile Agnew Relationship Measure, when viewed through an HCI lens, highlights areas for improvement.

Conclusions:

  • HCI principles are essential for developing robust and suitable measures of the digital therapeutic alliance (DTA).
  • Purpose-built DTA measures informed by HCI can enhance the effectiveness of digital mental health interventions.
  • Further research should focus on integrating HCI methodologies to foster and assess the DTA in apps.