Evaluating Text-based Conversational Agents for Mental Health: A Systematic Review of Metrics, Methods and Usage Contexts
arXiv:2602.17669v1 Announce Type: new Abstract: Text-based conversational agents (CAs) are increasingly used in mental health, yet evaluation practices remain fragmented. We conducted a PRISMA-guided systematic review (May-June 2024) across ACM Digital Library, Scopus, and PsycINFO. From 613 records, 132 studies were included, with dual-coder extraction achieving substantial agreement (Cohen’s kappa = 0.77-0.92). We synthesized evaluation approaches across three dimensions: metrics, methods, and usage contexts. Metrics were classified into CA-centric attributes (e.g., reliability, safety, empathy) and user-centric outcomes (experience, […]