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Article

Working Alliance Inventory for Online Interventions-Short Form (WAI-TECH-SF): The Role of the Therapeutic Alliance between Patient and Online Program in Therapeutic Outcomes

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Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain
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CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain
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Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071 Castellon de la Plana, Spain
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Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit, 1081-BT Amsterdam, The Netherlands
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Department of Research and Innovation GGZ InGeest, Amsterdam University Medical Center, 1081-HJ Amsterdam, The Netherlands
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Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(17), 6169; https://doi.org/10.3390/ijerph17176169
Received: 17 July 2020 / Revised: 17 August 2020 / Accepted: 19 August 2020 / Published: 25 August 2020
Background: Therapeutic alliance (TA) between the patient and therapist has been related to positive therapeutic outcomes. Because Internet-based interventions are increasingly being implemented, a tool is needed to measure the TA with Internet-based self-guided programs. The Working Alliance Inventory for online interventions (WAI-TECH-SF) was adapted based on the WAI Short Form (Hatcher & Gillaspy, 2006). The objectives of this study were: (1) to analyse the psychometric properties of the WAI-TECH-SF; (2) to explore the differences in the WAI-TECH-SF scores according to different categories of the sample; and (3) to analyse whether the WAI-TECH-SF can predict therapeutic outcomes and satisfaction with the treatment. Methods: 193 patients diagnosed with depression were included and received blended Cognitive-Behavioural Therapy. Measures of preferences, satisfaction, and credibility about the treatment, TA with the online program, depressive symptoms, and satisfaction with the treatment were administered. Results: An exploratory factor analysis revealed a one-dimensional structure with adequate internal consistency. Linear regression analyses showed that the WAI-TECH-SF predicted changes in depressive symptoms and satisfaction with the treatment. Conclusions: WAI-TECH-SF is a reliable questionnaire to assess the TA between the patient and the online program, which is associated with positive therapeutic outcomes and satisfaction with the treatment. View Full-Text
Keywords: therapeutic alliance; online interventions; therapeutic outcomes; satisfaction with the treatment therapeutic alliance; online interventions; therapeutic outcomes; satisfaction with the treatment
MDPI and ACS Style

Herrero, R.; Vara, M.D.; Miragall, M.; Botella, C.; García-Palacios, A.; Riper, H.; Kleiboer, A.; Baños, R.M. Working Alliance Inventory for Online Interventions-Short Form (WAI-TECH-SF): The Role of the Therapeutic Alliance between Patient and Online Program in Therapeutic Outcomes. Int. J. Environ. Res. Public Health 2020, 17, 6169. https://doi.org/10.3390/ijerph17176169

AMA Style

Herrero R, Vara MD, Miragall M, Botella C, García-Palacios A, Riper H, Kleiboer A, Baños RM. Working Alliance Inventory for Online Interventions-Short Form (WAI-TECH-SF): The Role of the Therapeutic Alliance between Patient and Online Program in Therapeutic Outcomes. International Journal of Environmental Research and Public Health. 2020; 17(17):6169. https://doi.org/10.3390/ijerph17176169

Chicago/Turabian Style

Herrero, Rocío, Mª D. Vara, Marta Miragall, Cristina Botella, Azucena García-Palacios, Heleen Riper, Annet Kleiboer, and Rosa M. Baños 2020. "Working Alliance Inventory for Online Interventions-Short Form (WAI-TECH-SF): The Role of the Therapeutic Alliance between Patient and Online Program in Therapeutic Outcomes" International Journal of Environmental Research and Public Health 17, no. 17: 6169. https://doi.org/10.3390/ijerph17176169

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