Faculty of Business Management and Social Sciences, Section of Speech and Language Therapy, University of Applied Sciences, Osnabrueck, Germany.
SRH Technical College for Speech and Language Therapy, Bonn, Germany.
Int J Speech Lang Pathol. 2024 Apr;26(2):162-178. doi: 10.1080/17549507.2023.2197182. Epub 2023 Apr 19.
This scoping review provides an overview of empirical studies investigating therapeutic relationships between speech-language pathologists (SLPs), clients, and caregivers across all ages and clinical areas, and identifies areas of future research.
The Joanna Briggs Institute's (JBI) scoping review method was employed. Systematic searches were conducted across seven databases and four grey literature databases. Research published in English and German until 3 August 2020 was included. Data were extracted for the primary aim, terminology and theoretical foundations, research design, and focus. Central findings concerning the input-, process-, outcome-, and output-level of speech-language pathology were categorised.
Of 5479 articles, 44 articles were included in the analysis. Psychotherapy was the leading discipline for the theoretical foundation and measurement of relationship quality. Most findings focused on therapeutic attitudes, qualities, and relational actions to build the basis of a positive therapeutic relationship. A small number of studies indicated connections between clinical outcomes and the quality of the relationships.
Future research needs to address precision of terminology, expansion of qualitative and quantitative research methods, development and psychometric examination of measuring instruments specific to SLPs and the development and evaluation of concepts to support professional relationship building in speech-language pathology training and everyday work.
本范围综述概述了调查言语治疗师（SLP）、客户和护理人员之间治疗关系的实证研究，涵盖所有年龄和临床领域，并确定了未来研究的领域。
采用了 Joanna Briggs 研究所（JBI）的范围综述方法。系统地在七个数据库和四个灰色文献数据库中进行了搜索。纳入截至 2020 年 8 月 3 日发表的英文和德文研究。主要目的、术语和理论基础、研究设计和重点提取数据。将与言语病理学的投入、过程、结果和输出水平有关的主要发现进行了分类。
在 5479 篇文章中，有 44 篇文章被纳入分析。心理治疗是关系质量的理论基础和测量的主要学科。大多数研究结果都集中在治疗态度、质量和关系行为上，以建立积极治疗关系的基础。少数研究表明临床结果与关系质量之间存在联系。
未来的研究需要解决术语的精确性、扩大定性和定量研究方法、开发和心理测量检验特定于 SLP 的测量工具以及开发和评估支持言语病理学培训和日常工作中专业关系建设的概念。
