- Title
- Early therapeutic alliance, treatment retention, and 12-month outcomes in a healthy lifestyles intervention for people with psychotic disorders
- Creator
- Andrews, Michelle; Baker, Amanda L.; Callister, Robin; Halpin, Sean A.; Lewin, Terry J.; Richmond, Robyn; Kay-Lambkin, Frances J.; Filia, Sacha L.; Castle, David; Williams, Jill M.; Clark, Vanessa
- Relation
- NHMRC.569210 http://purl.org/au-research/grants/nhmrc/569210
- Relation
- Journal of Nervous and Mental Disease Vol. 204, Issue 12, p. 894-902
- Publisher Link
- http://dx.doi.org/10.1097/NMD.0000000000000585
- Publisher
- Lippincott Williams & Wilkins
- Resource Type
- journal article
- Date
- 2016
- Description
- Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were examined in a subsample of smokers with a psychotic disorder (N = 178) participating in a healthy lifestyles study comparing a telephone versus face-to-face delivered intervention. Therapeutic alliance was assessed using the Agnew Relationship Measure; primary outcomes were treatment retention and changes in symptoms and health behaviors. Contrary to expectations, early alliance did not predict treatment retention. However, elements of both client- and therapist-rated alliance predicted some clinical outcomes (e.g., higher confidence in the therapeutic alliance at session 1 predicted improvements in 12-month depression). Some modest interactions between early alliance and intervention condition were also identified (e.g., clients initially with lower self-perceived initiative, or higher therapist-perceived bonding benefited preferentially from the telephone-delivered intervention), highlighting the need to further examine the interplay between therapeutic alliance and treatment modality.
- Subject
- predictors; psychosis; telephone-delivered treatment modality; therapeutic alliance; treatment retention
- Identifier
- http://hdl.handle.net/1959.13/1348025
- Identifier
- uon:30134
- Identifier
- ISSN:0022-3018
- Language
- eng
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