Abstract
Background: Therapeutic alliance (TA) between the patient and therapist has been related to positive therapeutic outcomes. Because Internet-based interventions are increasingly being implemented, a tool is needed to measure the TA with Internet-based self-guided programs. The Working Alliance Inventory for online interventions (WAI-TECH-SF) was adapted based on the WAI Short Form (Hatcher & Gillaspy, 2006). The objectives of this study were: (1) to analyse the psychometric properties of the WAI-TECH-SF; (2) to explore the differences in the WAI-TECH-SF scores according to different categories of the sample; and (3) to analyse whether the WAI-TECH-SF can predict therapeutic outcomes and satisfaction with the treatment. Methods: 193 patients diagnosed with depression were included and received blended Cognitive-Behavioural Therapy. Measures of preferences, satisfaction, and credibility about the treatment, TA with the online program, depressive symptoms, and satisfaction with the treatment were administered. Results: An exploratory factor analysis revealed a one-dimensional structure with adequate internal consistency. Linear regression analyses showed that the WAI-TECH-SF predicted changes in depressive symptoms and satisfaction with the treatment. Conclusions: WAI-TECH-SF is a reliable questionnaire to assess the TA between the patient and the online program, which is associated with positive therapeutic outcomes and satisfaction with the treatment.
Highlights
Evidence shows that the therapeutic alliance (TA) has a relevant influence on therapeutic outcomes [1]
The objectives of this study were: (1) to explore the psychometric structure of a questionnaire designed to assess the Therapeutic alliance (TA) with an online program in a self-guided IBI and CBT program in a sample of depressive patients in the context of the National Health Systems of different European countries; (2) to analyse whether there were differences in the Working Alliance Inventory (WAI)-TECH-SF scores based on several socio-demographic variables, initial symptoms of depression, preference for any of the treatments offered, and expectations and credibility towards the treatment; and (3) to study the capacity of the WAI-TECH-SF scores to predict the therapeutic outcomes and satisfaction with the treatment
With regard to the psychometric properties of the WAI-TECH-SF, a unidimensional structure emerged in the EFA that accounted for 73.49% of the explained variance
Summary
Evidence shows that the therapeutic alliance (TA) ( called the working alliance) has a relevant influence on therapeutic outcomes [1]. Therapeutic alliance (TA) between the patient and therapist has been related to positive therapeutic outcomes. The Working Alliance Inventory for online interventions (WAI-TECH-SF) was adapted based on the WAI Short Form (Hatcher & Gillaspy, 2006). The objectives of this study were: (1) to analyse the psychometric properties of the WAI-TECH-SF; (2) to explore the differences in the WAI-TECH-SF scores according to different categories of the sample; and (3) to analyse whether the WAI-TECH-SF can predict therapeutic outcomes and satisfaction with the treatment. Satisfaction, and credibility about the treatment, TA with the online program, depressive symptoms, and satisfaction with the treatment were administered. Linear regression analyses showed that the WAI-TECH-SF predicted changes in depressive symptoms and satisfaction with the treatment. Conclusions: WAI-TECH-SF is a reliable questionnaire to assess the TA between the patient and the online program, which is associated with positive therapeutic outcomes and satisfaction with the treatment
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