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

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    Date
    2021
    Author
    Norwood, Carl
    Sabin-Farrell, Rachel
    Malins, Samuel
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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.
    URI
    https://repository.nottinghamshirehealthcare.nhs.uk/handle/123456789/3638
    https://onlinelibrary.wiley.com/doi/10.1002/jclp.23112
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