Trial reportPsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2015
The role of the working alliance in treatment for alcohol problems.
Trial report in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- A meta-analysis of client-therapist perspectives on the therapeutic alliance: Examining the moderating role of type of measurement and diagnosis.European psychiatry : the journal of the Association of European Psychiatrists · 2020Pooled it
- Effects of music therapy and music-based interventions in the treatment of substance use disorders: A systematic review.PloS one · 2017Pooled it
- Patient- and therapist-rated alliance predict improvements in posttraumatic stress disorder symptoms and substance use in integrated treatment.Clinical psychology & psychotherapy · 2023Trial
- The role of substance use treatment in reducing stigma after release from incarceration: A qualitative analysis.Health & justice · 2023Article
- Therapists' first impression of treatment motivation moderates the relationship between the client-rated therapeutic alliance and drinking outcomes during treatment.Alcohol, clinical & experimental research · 2023Article
- Group Cohesion and Climate in Cognitive Behavioral Therapy for Individuals with a First-Time DUI.Alcoholism treatment quarterly · 2020Article
- An Examination of Motivation to Change and Neural Alcohol Cue Reactivity Following a Brief Intervention.Frontiers in psychiatry · 2019Article
- How Social Relationships Influence Substance Use Disorder Recovery: A Collaborative Narrative Study.Substance abuse : research and treatment · 2019Article
- Advancing Analytic Approaches to Address Key Questions in Mechanisms of Behavior Change Research.Journal of studies on alcohol and drugs · 2018Article
- Who achieves low risk drinking during alcohol treatment? An analysis of patients in three alcohol clinical trials.Addiction (Abingdon, England) · 2017Article
- Download Your Doctor: Implementation of a Digitally Mediated Personal Physician Presence to Enhance Patient Engagement With a Health-Promoting Internet Application.JMIR research protocols · 2016Article
- Within treatment therapeutic alliance ratings profiles predict posttreatment frequency of alcohol use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2016Article
- Psychological Impact of the Acute COVID-19 Period on Patients With Substance Use Disorders: We are all in this Together.Basic and clinical neuroscienceArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Little research has been done on the role of the therapeutic working alliance in treatment for alcohol problems. This longitudinal study's objectives were (a) to identify predictors of working alliance and (b) to investigate whether client and/or therapist reports of the working alliance predicted posttreatment motivation and then later treatment outcome. Client and therapist perceptions of the working alliance were assessed after the first treatment session using a short form of the Working Alliance Inventory (WAI) among 173 clients taking part in the United Kingdom Alcohol Treatment Trial (UKATT) and randomized to motivational enhancement therapy (MET) or social behavior and network therapy (SBNT) with complete data on all measures of interest. Structural equation models were fitted to identify predictors of WAI scores and investigate the relationships between WAI and measures of drinking during treatment, posttreatment motivation, and successful treatment outcome (abstinent or nonproblem drinker), and measures of drinks per drinking day and nondrinking days, assessed 9 months after the conclusion of treatment. Motivation to change drinking when treatment began was a strong predictor of client-adjusted coefficient = 2.21 (95% confidence interval [CI] [0.36, 4.06]-but not therapist WAI. Client WAI predicted successful treatment outcome-adjusted odds ratios (OR) = 1.09 (95% CI [1.02, 1.17])-and had effects on drinking during treatment, and on posttreatment motivation to change. There was evidence for effect modification by treatment, with strong associations between WAI and posttreatment motivation, and evidence of WAI prediction of treatment outcomes in the MET group, but no evidence of associations for SBNT. Therapist WAI was not strongly associated with treatment outcome (adjusted OR = 1.05; 95% CI [0.99, 1.10]). The working alliance is important to treatment outcomes for alcohol problems, with client evaluation of the alliance strongly related to motivation to change drinking throughout treatment for MET. It was also much more important than therapist-rated alliance in this study. (PsycINFO Database Record
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.