{"id":"W4406530216","doi":"10.2196/69294","title":"Does the Digital Therapeutic Alliance Exist? Integrative Review","year":2025,"lang":"en","type":"review","venue":"JMIR Mental Health","topic":"Digital Mental Health Interventions","field":"Psychology","cited_by":65,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Montréal; Institut universitaire en santé mentale de Montréal; Institut Universitaire en Santé Mentale de Québec; Institut national de psychiatrie légale Philippe-Pinel; Université Laval","funders":"","keywords":"Preprint; Alliance; Integrative medicine; Psychology; Medicine; Computer science; Alternative medicine; World Wide Web; Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0005675108,0.0008155552,0.002268593,0.0001179239,0.0004065769,0.0001501708,0.001143101,0.0002223993,0.0006237388],"category_scores_gemma":[0.000028341,0.0003702223,0.001203983,0.0007899622,0.0002716301,0.000195455,0.0002724759,0.001054454,0.002383702],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001256256,"about_ca_system_score_gemma":0.0007334599,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00007481925,"about_ca_topic_score_gemma":0.00007890716,"domain_scores_codex":[0.9949702,0.0008638123,0.001929814,0.0009318009,0.0004054737,0.0008989244],"domain_scores_gemma":[0.9968908,0.0004589717,0.001129523,0.00119136,0.00004583373,0.0002834983],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00001051177,0.0004286303,7.923359e-7,0.08815143,0.0001700089,0.000004167809,0.000208995,4.23295e-10,4.228245e-10,0.008441085,0.08128788,0.8212965],"study_design_scores_gemma":[0.0001300629,0.0003238224,0.000005916435,0.2419585,0.00008180193,0.00004203878,0.0002014523,2.47232e-8,2.837304e-8,0.0006469738,0.7563577,0.0002517028],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[1.086443e-7,0.9314011,0.000005288529,0.007685546,0.004831313,0.009119458,0.002513271,0.0001418671,0.04430207],"genre_scores_gemma":[0.00001243786,0.8945168,0.00001408879,0.00688071,0.0001621737,0.004830843,0.0009891165,0.00007524434,0.09251853],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.8210448,"threshold_uncertainty_score":0.9998749,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.08126817926569582,"score_gpt":0.5085996539378954,"score_spread":0.4273314746721996,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}