The working alliance in stuttering treatment: a neglected variable?
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, relative...
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| Veröffentlicht in: | International journal of language & communication disorders 2019-07, Vol.54 (4), p.606-619 |
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| container_title | International journal of language & communication disorders |
| container_volume | 54 |
| creator | Sønsterud, Hilda Kirmess, Melanie Howells, Kirsten Ward, David Feragen, Kristin Billaud Halvorsen, Margrethe Seeger |
| description | 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. |
| doi_str_mv | 10.1111/1460-6984.12465 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6617998</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1221145</ericid><sourcerecordid>2251598767</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5805-7ba915dab5b768a101b00075796683df3ac6503b85ef6fb42ffc3f54f1ffc953</originalsourceid><addsrcrecordid>eNqFUU1P3DAQtVCr8tUzp9JIXLgEPE7sOD20qrZQQCtx2bvleO3F4HXAdkD8-zoNrAqX-jKjmef33ughdAD4BPI7hZrhkrW8PgFSM7qFdjaTD7mvGC8JJ2Qb7cZ4izEmQOET2q4wZyy3O2i2uNHFUx_urF8V0jkrvdKF9UVMQ0o6jOMUtExr7dO3QhZer5xWSS-LRxms7Jz-sY8-Gumi_vxS99Di_Gwxuyjn178vZz_npaIc07LpZAt0KTvaNYxLwNBlRw1tWsZ4tTSVVIziquNUG2a6mhijKkNrA7lpabWHvk-090O31kuVDQXpxH2waxmeRS-teLvx9kas-keRT23almeCrxOBCjYm64XvgxSAOSVitDEijl8kQv8w6JjE2kalnZNe90MUBFqoaE0oydCjd9Dbfgg-3y8IoUBb3rAmo05fJfsYgzYbu4DFmKAY8xJjXuJvgvnH4b9XbvCvkWXAlwmQw1Gb9dkVEAJQjwRs2j9Zp5__pyeu5rNfk_Ifjjutjg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2251598767</pqid></control><display><type>article</type><title>The working alliance in stuttering treatment: a neglected variable?</title><source>MEDLINE</source><source>NORA - Norwegian Open Research Archives</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Sønsterud, Hilda ; Kirmess, Melanie ; Howells, Kirsten ; Ward, David ; Feragen, Kristin Billaud ; Halvorsen, Margrethe Seeger</creator><creatorcontrib>Sønsterud, Hilda ; Kirmess, Melanie ; Howells, Kirsten ; Ward, David ; Feragen, Kristin Billaud ; Halvorsen, Margrethe Seeger</creatorcontrib><description>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.</description><identifier>ISSN: 1368-2822</identifier><identifier>ISSN: 1460-6984</identifier><identifier>EISSN: 1460-6984</identifier><identifier>DOI: 10.1111/1460-6984.12465</identifier><identifier>PMID: 30866151</identifier><language>eng</language><publisher>United States: Wiley-Blackwell</publisher><subject>Adult ; Adults ; Allied Health Personnel ; Anxiety ; client–clinician relationship ; Clinical outcomes ; Collaboration ; Correlation ; Counselor Client Relationship ; Female ; Humans ; Intervention ; Language therapy ; Male ; Mental depression ; Middle Aged ; Motivation ; Outcomes of Treatment ; Professional-Patient Relations ; Research Report ; Research Reports ; Speech ; Speech disorders ; Speech Language Pathology ; Speech Therapy ; Speech-language pathologists ; Stuttering ; Stuttering - therapy ; stuttering treatment ; Treatment Outcome ; working alliance ; Young Adult</subject><ispartof>International journal of language & communication disorders, 2019-07, Vol.54 (4), p.606-619</ispartof><rights>2019 The Authors International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists</rights><rights>2019 The Authors International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists.</rights><rights>2019 Royal College of Speech and Language Therapists</rights><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5805-7ba915dab5b768a101b00075796683df3ac6503b85ef6fb42ffc3f54f1ffc953</citedby><cites>FETCH-LOGICAL-c5805-7ba915dab5b768a101b00075796683df3ac6503b85ef6fb42ffc3f54f1ffc953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1460-6984.12465$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1460-6984.12465$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,26544,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1221145$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30866151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sønsterud, Hilda</creatorcontrib><creatorcontrib>Kirmess, Melanie</creatorcontrib><creatorcontrib>Howells, Kirsten</creatorcontrib><creatorcontrib>Ward, David</creatorcontrib><creatorcontrib>Feragen, Kristin Billaud</creatorcontrib><creatorcontrib>Halvorsen, Margrethe Seeger</creatorcontrib><title>The working alliance in stuttering treatment: a neglected variable?</title><title>International journal of language & communication disorders</title><addtitle>Int J Lang Commun Disord</addtitle><description>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.</description><subject>Adult</subject><subject>Adults</subject><subject>Allied Health Personnel</subject><subject>Anxiety</subject><subject>client–clinician relationship</subject><subject>Clinical outcomes</subject><subject>Collaboration</subject><subject>Correlation</subject><subject>Counselor Client Relationship</subject><subject>Female</subject><subject>Humans</subject><subject>Intervention</subject><subject>Language therapy</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Outcomes of Treatment</subject><subject>Professional-Patient Relations</subject><subject>Research Report</subject><subject>Research Reports</subject><subject>Speech</subject><subject>Speech disorders</subject><subject>Speech Language Pathology</subject><subject>Speech Therapy</subject><subject>Speech-language pathologists</subject><subject>Stuttering</subject><subject>Stuttering - therapy</subject><subject>stuttering treatment</subject><subject>Treatment Outcome</subject><subject>working alliance</subject><subject>Young Adult</subject><issn>1368-2822</issn><issn>1460-6984</issn><issn>1460-6984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>3HK</sourceid><recordid>eNqFUU1P3DAQtVCr8tUzp9JIXLgEPE7sOD20qrZQQCtx2bvleO3F4HXAdkD8-zoNrAqX-jKjmef33ughdAD4BPI7hZrhkrW8PgFSM7qFdjaTD7mvGC8JJ2Qb7cZ4izEmQOET2q4wZyy3O2i2uNHFUx_urF8V0jkrvdKF9UVMQ0o6jOMUtExr7dO3QhZer5xWSS-LRxms7Jz-sY8-Gumi_vxS99Di_Gwxuyjn178vZz_npaIc07LpZAt0KTvaNYxLwNBlRw1tWsZ4tTSVVIziquNUG2a6mhijKkNrA7lpabWHvk-090O31kuVDQXpxH2waxmeRS-teLvx9kas-keRT23almeCrxOBCjYm64XvgxSAOSVitDEijl8kQv8w6JjE2kalnZNe90MUBFqoaE0oydCjd9Dbfgg-3y8IoUBb3rAmo05fJfsYgzYbu4DFmKAY8xJjXuJvgvnH4b9XbvCvkWXAlwmQw1Gb9dkVEAJQjwRs2j9Zp5__pyeu5rNfk_Ifjjutjg</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Sønsterud, Hilda</creator><creator>Kirmess, Melanie</creator><creator>Howells, Kirsten</creator><creator>Ward, David</creator><creator>Feragen, Kristin Billaud</creator><creator>Halvorsen, Margrethe Seeger</creator><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T9</scope><scope>8BM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>3HK</scope><scope>5PM</scope></search><sort><creationdate>201907</creationdate><title>The working alliance in stuttering treatment: a neglected variable?</title><author>Sønsterud, Hilda ; Kirmess, Melanie ; Howells, Kirsten ; Ward, David ; Feragen, Kristin Billaud ; Halvorsen, Margrethe Seeger</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5805-7ba915dab5b768a101b00075796683df3ac6503b85ef6fb42ffc3f54f1ffc953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Allied Health Personnel</topic><topic>Anxiety</topic><topic>client–clinician relationship</topic><topic>Clinical outcomes</topic><topic>Collaboration</topic><topic>Correlation</topic><topic>Counselor Client Relationship</topic><topic>Female</topic><topic>Humans</topic><topic>Intervention</topic><topic>Language therapy</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Outcomes of Treatment</topic><topic>Professional-Patient Relations</topic><topic>Research Report</topic><topic>Research Reports</topic><topic>Speech</topic><topic>Speech disorders</topic><topic>Speech Language Pathology</topic><topic>Speech Therapy</topic><topic>Speech-language pathologists</topic><topic>Stuttering</topic><topic>Stuttering - therapy</topic><topic>stuttering treatment</topic><topic>Treatment Outcome</topic><topic>working alliance</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sønsterud, Hilda</creatorcontrib><creatorcontrib>Kirmess, Melanie</creatorcontrib><creatorcontrib>Howells, Kirsten</creatorcontrib><creatorcontrib>Ward, David</creatorcontrib><creatorcontrib>Feragen, Kristin Billaud</creatorcontrib><creatorcontrib>Halvorsen, Margrethe Seeger</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>ComDisDome</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of language & communication disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sønsterud, Hilda</au><au>Kirmess, Melanie</au><au>Howells, Kirsten</au><au>Ward, David</au><au>Feragen, Kristin Billaud</au><au>Halvorsen, Margrethe Seeger</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1221145</ericid><atitle>The working alliance in stuttering treatment: a neglected variable?</atitle><jtitle>International journal of language & communication disorders</jtitle><addtitle>Int J Lang Commun Disord</addtitle><date>2019-07</date><risdate>2019</risdate><volume>54</volume><issue>4</issue><spage>606</spage><epage>619</epage><pages>606-619</pages><issn>1368-2822</issn><issn>1460-6984</issn><eissn>1460-6984</eissn><abstract>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.</abstract><cop>United States</cop><pub>Wiley-Blackwell</pub><pmid>30866151</pmid><doi>10.1111/1460-6984.12465</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1368-2822 |
| ispartof | International journal of language & communication disorders, 2019-07, Vol.54 (4), p.606-619 |
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| source | MEDLINE; NORA - Norwegian Open Research Archives; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Adults Allied Health Personnel Anxiety client–clinician relationship Clinical outcomes Collaboration Correlation Counselor Client Relationship Female Humans Intervention Language therapy Male Mental depression Middle Aged Motivation Outcomes of Treatment Professional-Patient Relations Research Report Research Reports Speech Speech disorders Speech Language Pathology Speech Therapy Speech-language pathologists Stuttering Stuttering - therapy stuttering treatment Treatment Outcome working alliance Young Adult |
| title | The working alliance in stuttering treatment: a neglected variable? |
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