Session Alliance Inventory—Patient Version

Falkenström, Fredrik; Hatcher, Robert L.; Skjulsvik, Tommy; Larsson, Mattias Holmqvist; Holmqvist, Rolf

doi:10.1037/t39594-000

Cited by 4 publications

(4 citation statements)

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“…The items can be summed up to three subscales: bond, task, and goal. The instruments have shown adequate reliability and validity, as demonstrated for WAI-SR by Falkenström et al (2015) and WAI-S by Hatcher et al (2019). The questionnaires were scored by both the patient and the therapist immediately after every session.…”

Section: Instrumentsmentioning

confidence: 99%

The role of the working alliance in psychological treatment of substance use disorder outpatients

Gidhagen

Holmqvist

Philips

et al. 2020

Psychotherapy Research

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The main objective of this study was to explore the relationship between alliance and treatment outcome of substance use disorder (SUD) outpatients in routine care. Attachment, type of substance use, and treatment orientation were analyzed as potential moderators of this relationship. Method: Ninety-nine SUD outpatients rated their psychological distress before every session. Patients and therapists rated the alliance after every session. At treatment start and end, the patient completed the Alcohol Use Disorders Identification Test (AUDIT), the Drug Use Disorders Identification Test (DUDIT), and the Experiences in Close Relationships (ECR-S). Data were analyzed using multilevel growth curve modeling and Dynamic Structural Equation Modeling (DSEM). Results: The associations between alliance and outcome on psychological distress and substance use were, on average, weak. Within-patient associations between patient-rated alliance and outcome were moderated by self-rated attachment. Type of abuse moderated associations between therapist-rated alliance and psychological distress. No moderating effect was found for treatment orientation. Conclusions: Patients' attachment style and type of abuse may have influenced the association between alliance and problem reduction. A larger sample size is needed to confirm these findings.

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Section: Instrumentsmentioning

confidence: 99%

The role of the working alliance in psychological treatment of substance use disorder outpatients

Gidhagen

Holmqvist

Philips

et al. 2020

Psychotherapy Research

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“…We used a modified version of the Session Alliance Inventory—Patient Version [ 100 , 101 ] to repeatedly measure the working alliance between the participant and the CA. It consists of 3 items for the Bond Scale and 3 items for the Task and Goal Scale.…”

Section: Methodsmentioning

confidence: 99%

Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial

Ulrich,

Gantenbein,

Zuber

et al. 2024

J Med Internet Res

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Background Primary headaches, including migraine and tension-type headaches, are widespread and have a social, physical, mental, and economic impact. Among the key components of treatment are behavior interventions such as lifestyle modification. Scalable conversational agents (CAs) have the potential to deliver behavior interventions at a low threshold. To our knowledge, there is no evidence of behavioral interventions delivered by CAs for the treatment of headaches. Objective This study has 2 aims. The first aim was to develop and test a smartphone-based coaching intervention (BalanceUP) for people experiencing frequent headaches, delivered by a CA and designed to improve mental well-being using various behavior change techniques. The second aim was to evaluate the effectiveness of BalanceUP by comparing the intervention and waitlist control groups and assess the engagement and acceptance of participants using BalanceUP. Methods In an unblinded randomized controlled trial, adults with frequent headaches were recruited on the web and in collaboration with experts and allocated to either a CA intervention (BalanceUP) or a control condition. The effects of the treatment on changes in the primary outcome of the study, that is, mental well-being (as measured by the Patient Health Questionnaire Anxiety and Depression Scale), and secondary outcomes (eg, psychosomatic symptoms, stress, headache-related self-efficacy, intention to change behavior, presenteeism and absenteeism, and pain coping) were analyzed using linear mixed models and Cohen d. Primary and secondary outcomes were self-assessed before and after the intervention, and acceptance was assessed after the intervention. Engagement was measured during the intervention using self-reports and usage data. Results A total of 198 participants (mean age 38.7, SD 12.14 y; n=172, 86.9% women) participated in the study (intervention group: n=110; waitlist control group: n=88). After the intervention, the intention-to-treat analysis revealed evidence for improved well-being (treatment: β estimate=–3.28, 95% CI –5.07 to –1.48) with moderate between-group effects (Cohen d=–0.66, 95% CI –0.99 to –0.33) in favor of the intervention group. We also found evidence of reduced somatic symptoms, perceived stress, and absenteeism and presenteeism, as well as improved headache management self-efficacy, application of behavior change techniques, and pain coping skills, with effects ranging from medium to large (Cohen d=0.43-1.05). Overall, 64.8% (118/182) of the participants used coaching as intended by engaging throughout the coaching and completing the outro. Conclusions BalanceUP was well accepted, and the results suggest that coaching delivered by a CA can be effective in reducing the burden of people who experience headaches by improving their well-being. Trial Registration German Clinical Trials Register DRKS00017422; https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00017422

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“…The Session Alliance Inventory is a 6-item measure developed by Falkenström, Hatcher, Skjulsvik, Larsson, and Holmqvist (2015) and is designed for administration at every psychotherapy session. The measure is a shortened version of Horvath and Greenberg's (1989) Working Alliance Inventory.…”

Section: The Therapeutic Relationshipmentioning

confidence: 99%

“…The measure is a shortened version of Horvath and Greenberg's (1989) Working Alliance Inventory. Falkenström et al (2015) reported that the measure has good psychometric properties (see Table 7.3) and Falkenström, Ekeblad, and Holmqvist (2016) showed that improvements during one therapy session predicted reductions in depressive symptoms in the subsequent therapy session. The measure is published in Falkenstrom et al (2015).…”

Section: The Therapeutic Relationshipmentioning

confidence: 99%

Adult Depression

Persons¹,

Fresco²

2022

Preprint

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We begin this chapter with an overview of the current diagnostic criteria for Major Depressive Disorder (MDD), the epidemiology of MDD, and current theories of and therapies for MDD. We review assessment tools for obtaining a diagnosis, developing a case conceptualization and treatment plan, and monitoring change in therapy. We end with a brief discussion of some future directions of assessment of depression.

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Session Alliance Inventory—Patient Version

Cited by 4 publications

References 0 publications

The role of the working alliance in psychological treatment of substance use disorder outpatients

The role of the working alliance in psychological treatment of substance use disorder outpatients

Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial

Adult Depression

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