Evidence map›Paper›PMID 30395147›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2019

Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention.

Rebecca Murray, Amanda Baker, Sean Halpin, Ben Britton, Kristen McCarter, Kerrin Palazzi, Alison K Beck

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact, top 82% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. The therapeutic relationship between a client and dietitian: A systematic integrative review of empirical literature.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022
    Pooled it
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Rebecca MurraySchool of Psychology, University of Newcastle, Callaghan, NSW, Australia.
Amanda BakerSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
Sean HalpinSchool of Psychology, University of Newcastle, Callaghan, NSW, Australia.
Ben BrittonSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
Kristen McCarterSchool of Psychology, University of Newcastle, Callaghan, NSW, Australia.
Kerrin PalazziClinical Research Design, IT, and Statistical Support (CReDITSS) Unit, University of Newcastle, NSW, Australia.
Alison K BeckSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
University of Newcastle Australia · AUCalvary Mater Newcastle Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between a clinician and their client-the "therapeutic alliance" is a robust predictor of outcome in healthcare settings; yet, few interventions to improve alliance have been tested. Motivational interviewing is a client-centered approach that embodies many principles and strategies consistent with a strong therapeutic alliance. PURPOSE: To examine whether alliance is enhanced by training dietitians to deliver a motivational interviewing informed health behavior change intervention ("Eating as Treatment"; EAT) as part of routine consultations with patients with head and neck cancer. The predictive ability of motivational interviewing techniques was also assessed.

methodsA secondary analysis of the EAT stepped-wedge cluster-randomized controlled trial was conducted. Patients with head and neck cancer undergoing radiotherapy (n = 307) were treated by radiotherapy dietitians (n = 29) during the control (Treatment as Usual) or intervention (EAT) phase. Alliance was rated during the first and final weeks of radiotherapy, and again 4 and 12 weeks post-radiotherapy. Dietetic sessions were audiotaped. Week one sessions were objectively rated for dietitians' use of motivational interviewing techniques.

resultsGeneralized linear-mixed effects regressions found no effect of EAT on dietitian-rated alliance (p = .237). After excluding outliers, patient-rated alliance was 0.29 points lower after EAT training (p = .016). Post hoc analyses revealed lower patient ratings on perceived support and dietitian confidence. Hierarchical multiple regressions found that no specific motivational interviewing techniques predicted patient-rated alliance. Dietitian acknowledgment of patient challenges was related to dietitian-rated alliance (β =.15, p =.035).

conclusionsPatient and dietitian ratings of alliance were high after EAT training, but not significantly improved. Further research is needed to better understand the differential impact of intervention training and delivery on patient and clinician ratings of therapeutic alliance. CLINICAL TRIAL INFORMATION: Trial registration number ACTRN12613000320752.

Indexed as

Health BehaviorTherapeutic AllianceFemaleHead and Neck NeoplasmsHumansLinear ModelsMaleMiddle AgedMotivational InterviewingNutritionistsProgram EvaluationRandomized Controlled Trials as TopicTeachingAllianceCancer • NutritionEating as treatmentMotivational interviewing

Identifiers

PMID30395147
PMCPMC6636883
OpenAlexW2899944184

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.