Lingely-Pottie Patricia, McGrath Patrick J
IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
J Telemed Telecare. 2006;12(8):396-9. doi: 10.1258/135763306779378690.
We examined the therapeutic alliance in 64 parents who completed treatment with a non-professional telephone coach in a paediatric psychosocial and behavioural intervention study called Family Help. The mean total Working Alliance Inventory score was 242.7 (95% confidence interval [CI]: 240.2, 245.2). Overall, the total scores were very high regardless of coach/parental age or gender, socioeconomic class/educational level of the parent, severity or type of the child's mental health disorder or modality of treatment delivery. The results were compared with normative data reported from other studies, which suggested that the distance therapeutic alliance scores were at least similar to face-to-face therapeutic alliance scores. The present study provides evidence that a strong, positive therapeutic alliance can exist in the absence of face-to-face contact using non-professional telephone coaches.
在一项名为“家庭帮助”的儿科心理社会和行为干预研究中,我们对64名完成非专业电话辅导治疗的家长的治疗联盟进行了考察。工作联盟量表的平均总分是242.7(95%置信区间[CI]:240.2,245.2)。总体而言,无论辅导者/家长的年龄或性别、家长的社会经济阶层/教育水平、孩子心理健康障碍的严重程度或类型,还是治疗提供方式如何,总分都非常高。我们将结果与其他研究报告的规范数据进行了比较,这些数据表明远程治疗联盟得分至少与面对面治疗联盟得分相似。本研究提供了证据,表明在使用非专业电话辅导者且不存在面对面接触的情况下,可以形成强大、积极的治疗联盟。