he user’s therapeutic alliance scores improved over time and were comparable to ratings from previous studies on alliance in human-delivered face-to-face psychotherapy with clinical populations
mixed-methods investigation of the therapeutic alliance between a free-text, CBT-based conversational agent (Wysa) and users
(N = 950
The app studied (Wysa) leverages evidence-based CBT techniques to build mental resilience and promote mental wellbein
We found that users expressed gratitude and appreciation for the conversational agent. These findings are in line with past research, which suggest that expressions of safety and comfort in a medical setting are indicative of having developed a therapeutic alliance (64).
Content analysis of the transcripts of user conversations with the CA (Wysa) also revealed elements of bonding such as gratitude, self-disclosed impact, and personification
One reason that there is poor engagement and adherence with digital mental health interventions may be an insufficient therapeutic
collaboration between the patient and therapist on the tasks and goals of treatment (15–18), along with an emotional bond.
rust, acceptance, empathy and genuineness
automated digital intervention
self-reported anxiety and depressive symptoms
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