An explanatory sequential investigation of the working alliance as a change process in videoconferencing psychotherapy

Norwood, Carl, Sabin‐Farrell, Rachel, Malins, Sam and Moghaddam, Nima (2021) An explanatory sequential investigation of the working alliance as a change process in videoconferencing psychotherapy. Journal of Clinical Psychology, 77 (6). pp. 1330-1353. ISSN 1097-4679

Full content URL: https://doi.org/10.1002/jclp.23112

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An explanatory sequential investigation of the working alliance as a change process in videoconferencing psychotherapy
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Abstract

Objectives and Design
Debate exists as to patient experience, and the importance, of the working alliance (WA) in videoconferencing psychotherapy (VCP). This study used a two-phase explanatory sequential design to investigate the WA as a change process in VCP.

Methods
Phase I: sessional VCP outcome and WA data were analysed using multilevel modelling (n = 46). Phase II: participants (n = 12) from Phase I were recruited to semi-structured interviews, analysed using thematic framework analysis.

Results and Conclusions
Results demonstrate: (1) a significant correlation between WA and outcome (F(1, 15.19) = 25.01, p < 0.001), (2) previous session WA significantly predicted outcome in the next session (F(1, 355.61) = 4.47, p < 0.05), and (3) previous session outcome significantly predicted next session WA (F(1, 55.3) = 15.19, p < 0.001), with three core themes explaining patient experience (engaging with the medium, connection with the therapist, and working via the medium). Results are discussed and future research recommended.

Keywords:videoconferencing psychotherapy, working alliance, CBT
Subjects:B Subjects allied to Medicine > B940 Counselling
C Biological Sciences > C840 Clinical Psychology
Divisions:College of Social Science > School of Psychology
ID Code:45196
Deposited On:14 Jun 2021 13:38

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