Division of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, UK.
Institute of Mental Health, CLAHRC EM, University of Nottingham, Nottingham, UK.
J Clin Psychol. 2021 Jun;77(6):1330-1353. doi: 10.1002/jclp.23112. Epub 2021 Jan 22.
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.
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 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.
关于患者体验以及视频会议心理疗法（VCP）中工作联盟（WA）的重要性，目前存在争议。本研究采用两阶段解释性顺序设计，旨在调查 WA 作为 VCP 中的一种变化过程。
第 I 阶段：使用多层次建模（n=46）分析阶段性 VCP 结果和 WA 数据。第 II 阶段：从第 I 阶段招募了参与者（n=12）进行半结构访谈，使用主题框架分析进行分析。
结果表明：（1）WA 与结果之间存在显著相关性（F（1,15.19）=25.01，p<0.001），（2）前一疗程的 WA 显著预测下一疗程的结果（F（1,355.61）=4.47，p<0.05），（3）前一疗程的结果显著预测下一疗程的 WA（F（1,55.3）=15.19，p<0.001），有三个核心主题解释了患者体验（与媒介的互动、与治疗师的联系、以及通过媒介进行工作）。结果进行了讨论，并建议未来进行研究。
