Therapeutic alliance in post-acute brain injury rehabilitation: Predictors of strength of alliance and impact of alliance on outcome

Abstract

Findings indicate that family perceptions and family functioning are important determinants of therapeutic alliance for patients in PABIR. These results indicate that therapists in PABIR programmes should address family perceptions and functioning to facilitate patient bonding with the programme.

Return to Work after Stroke: Recording, Measuring, and Describing Occupational Therapy Intervention

“…They are often individually tailored and occur as part of complex systems (health and social care, employment, and education) that are prone to modification. They may be influenced by many potential 'confounders' other than the intervention in question: for example, by environmental factors (such as where the intervention takes place and access barriers -for instance, transport), treatment intensity, the therapist's expertise, whether and how feedback is given, and both 'therapist' and 'patient' factors such as personality, warmth, and communication skills, how the patient engages with the therapist and/or process, motivation, and effort (Sherer et al 2007).…”

Enfoques y fundamentos para un modelo de rehabilitación ambulatoria en personas con lesión cerebral adquirida.

“…Algunos estudios han mostrado que el involucramiento efectivo de las familias se relaciona con mejorías funcionales (45) y de adaptación46 en pacientes con ACV. Por el contrario, altos niveles de desacuerdo entre la familia y el equipo, respecto al funcionamiento del paciente, se asocia con una escasa alianza de trabajo y menor colaboración en el proceso de rehabilitación (47).…”

Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

“…Additional results cited previously may support the value of a therapeutic alliance from a comparison of TBI to other conditions. However, a study evaluating the relationship between alliance and outcomes found that therapeutic alliance strength was associated with remaining in postacute brain injury rehabilitation but not with functional status at discharge [86]. A survey of psychologists working on psychological sequelae of TBI endorsed the need to build the therapeutic alliance, and this group frequently employed a variety of techniques to strengthen it, including education about TBI and its emotional consequences, memory aids, shorter or more focused therapy sessions, involvement of family members, and behavioral techniques to help the patient better understand post-TBI functional limits [87].…”