Artikel ; Online: The effect of the alliance on social recovery outcomes and usage in a moderated online social therapy for first-episode psychosis.
2024 Band 97, Heft 2, Seite(n) 354–371
Abstract: Objectives: We investigated the effect of the therapeutic alliance on both change in social recovery outcomes and usage of a moderated online social therapy platform for first-episode psychosis (FEP), Horyzons.: Design: Secondary analysis of a single ...
Abstract | Objectives: We investigated the effect of the therapeutic alliance on both change in social recovery outcomes and usage of a moderated online social therapy platform for first-episode psychosis (FEP), Horyzons. Design: Secondary analysis of a single group pilot trial. Methods: Clients completed an alliance measure adapted for guided digital interventions at mid-treatment. A series of multi-level models evaluated change in outcomes by mid- and post-treatment assessments (relative to baseline) as a function of the overall alliance. Quasi-Poisson models evaluated the effect of the overall alliance on aggregated counts of platform usage. Exploratory analyses repeated these models in terms of the bond (human-human) or the task/goal (human-program) alliance. Results: Stronger overall alliance at mid-treatment predicted lower loneliness at mid-treatment and lower social anxiety at mid- and post-treatment. It was also associated with higher completion of therapy activities and authoring of comments and reactions. A strong bond with an online therapist was associated with lower loneliness and higher perceived social support at mid-treatment, lower social anxiety at post-treatment as well as a higher number of reactions made on the social network. Stronger alliance with the platform's tasks and goals facilitated lower social anxiety at both follow-up assessments and was further associated with higher completion of therapy activities and reactions in the social network. Conclusions: The alliance may impact aspects of social recovery and usage in digital interventions for FEP. Specific aspects of the alliance (human-human and human-program relationships) should be considered in future research. |
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Mesh-Begriff(e) | Humans ; Female ; Psychotic Disorders/therapy ; Psychotic Disorders/psychology ; Male ; Therapeutic Alliance ; Adult ; Young Adult ; Pilot Projects ; Loneliness/psychology ; Social Support ; Internet-Based Intervention ; Treatment Outcome |
Sprache | Englisch |
Erscheinungsdatum | 2024-02-14 |
Erscheinungsland | England |
Dokumenttyp | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2063873-5 |
ISSN | 2044-8341 ; 1476-0835 |
ISSN (online) | 2044-8341 |
ISSN | 1476-0835 |
DOI | 10.1111/papt.12522 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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