The therapeutic alliance (TA), the relationship that develops between a therapist and a client/patient, is a critical factor in the outcome of psychological therapy. As mental health care is increasingly adopting digital technologies and offering therapeutic interventions that may not involve human therapists, the notion of a TA in digital mental health care requires exploration. To date, there has been some incipient work on developing measures to assess the conceptualization of a digital TA for mental health apps. However, the few measures that have been proposed have more or less been derivatives of measures from psychology used to assess the TA in traditional face-to-face therapy. This conceptual paper explores one such instrument that has been proposed in the literature, the Mobile Agnew Relationship Measure, and examines it through a human-computer interaction (HCI) lens. Through this process, we show how theories from HCI can play a role in shaping or generating a more suitable, purpose-built measure of the digital therapeutic alliance (DTA), and we contribute suggestions on how HCI methods and knowledge can be used to foster the DTA in mental health apps.

中文翻译：

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数字治疗联盟与人机交互

治疗联盟（TA）是治疗师与服务对象/患者之间发展起来的关系，是心理治疗结果的关键因素。随着精神卫生保健越来越多地采用数字技术并提供可能不涉及人类治疗师的治疗干预措施，数字精神卫生保健中TA的概念需要探索。迄今为止，已经开展了一些初期工作，以开发评估心理健康应用程序数字化技术援助概念的措施。但是，已提出的几种措施或多或少是源自心理学的措施，用于评估传统面对面治疗中的TA。本概念性文件探讨了文献中提出的一种此类工具，即Mobile Agnew Relationship Measure，并通过人机交互（HCI）镜头对其进行检查。通过这一过程，我们展示了人机交互的理论如何在塑造或生成更合适的，针对目的的数字治疗联盟（DTA）的措施中发挥作用，并且就如何使用人机交互的方法和知识来促进发展提出了建议心理健康应用中的DTA。