Arid
DOI10.1111/1460-6984.12465
The working alliance in stuttering treatment: a neglected variable?
Sonsterud, Hilda1,2; Kirmess, Melanie3,4; Howells, Kirsten; Ward, David5; Feragen, Kristin Billaud6; Halvorsen, Margrethe Seeger1
通讯作者Sonsterud, Hilda
来源期刊INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS
ISSN1368-2822
EISSN1460-6984
出版年2019
卷号54期号:4页码:606-619
英文摘要Background Multiple factors can influence the working alliance and treatment outcome in speech and language therapy. The 'working alliance' is an important concept in treatment and can be described as the degree to which a treatment dyad is engaged in collaborative, purposive work. To date, relatively little attention has been paid to this concept within speech and language treatment in general, and within stuttering treatment research in particular. Aims To investigate the role of the working alliance within stuttering treatment, and to evaluate whether the quality of the working alliance correlated with clients' concept of motivation and treatment outcomes 6 months post-therapy. Methods & Procedures Eighteen adults (21-61 years) participated in this multiple single-case treatment study, with treatment facilitated by an experienced speech and language therapist. The working alliance was investigated using the Working Alliance Inventory-Short Version Revised (WAI-SR), an Extended version of the Client Preferences for Stuttering Treatment (CPST-E), the Overall Assessment of Speakers' Experience of Stuttering-Adult version (OASES-A), the Wright & Ayre Stuttering Self-Rating Profile (WASSP) and the Hospital Anxiety and Depression Scale (HADS). Outcomes & Results Analyses demonstrated significant associations between the working alliance and client motivation (r = 0.781) and treatment outcomes (r = 0.644) 6 months post-treatment. The association between client-led goals and therapy tasks appeared particularly important. Conclusions & Implications : The working alliance between speech and language therapists and persons who stutter matters. Within the alliance, the level of client-clinician agreement on treatment goals and therapy tasks may be of greater importance than the bond between client and clinician. Further research with greater numbers of participants is warranted.
英文关键词stuttering stuttering treatment client-clinician relationship working alliance motivation treatment outcome
类型Article
语种英语
国家Norway ; England
开放获取类型hybrid, Green Accepted, Green Published
收录类别SCI-E ; SSCI
WOS记录号WOS:000473991500007
WOS关键词THERAPEUTIC ALLIANCE ; SOCIAL ANXIETY ; THERAPIST ; SPEECH ; ADULTS ; REHABILITATION ; INTERVENTIONS ; ADOLESCENTS ; VALIDATION ; EXPERIENCE
WOS类目Audiology & Speech-Language Pathology ; Linguistics ; Rehabilitation
WOS研究方向Audiology & Speech-Language Pathology ; Linguistics ; Rehabilitation
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/216463
作者单位1.Univ Oslo, Dept Psychol, Oslo, Norway;
2.Statped, Dept Speech & Language Disorders, Oslo, Norway;
3.Univ Oslo, Dept Special Needs Educ, Oslo, Norway;
4.Sunnaas Rehabil Hosp, Bjornemyr, Norway;
5.Univ Reading, Speech Res Lab, Reading, Berks, England;
6.Oslo Univ Hosp, Ctr Rare Disorders, Oslo, Norway
推荐引用方式
GB/T 7714
Sonsterud, Hilda,Kirmess, Melanie,Howells, Kirsten,et al. The working alliance in stuttering treatment: a neglected variable?[J],2019,54(4):606-619.
APA Sonsterud, Hilda,Kirmess, Melanie,Howells, Kirsten,Ward, David,Feragen, Kristin Billaud,&Halvorsen, Margrethe Seeger.(2019).The working alliance in stuttering treatment: a neglected variable?.INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS,54(4),606-619.
MLA Sonsterud, Hilda,et al."The working alliance in stuttering treatment: a neglected variable?".INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 54.4(2019):606-619.
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