ArticleJMIR mental health2022
Therapeutic Alliance in Online and Face-to-face Psychological Treatment: Comparative Study.
Article in JMIR mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled 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.
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
29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Therapeutic alliance across delivery modalities: a systematic narrative review of alliance strength and outcome prediction in face-to-face, online, and blended psychotherapy.Journal of Zhejiang University. Science. B · 2026Pooled it
- Therapeutic Interaction Features of AI Chatbots in Depression Interventions: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Effects of acceptance and commitment therapy on negative emotions, automatic thoughts and psychological flexibility for depression and its acceptability: a meta-analysis.BMC psychiatry · 2025Pooled it
- Comparative efficacy of psychological interventions for internet gaming disorder: a meta-analysis of randomized controlled trials.Frontiers in psychiatry · 2025Pooled it
- Effectiveness of Digital Health Literacy Interventions in Older Adults: Single-Arm Meta-Analysis.Journal of medical Internet research · 2023Pooled it
- Effectiveness of a Hybrid Community-Based Heart-Healthy Lifestyle Intervention: Three-Arm Randomized Controlled Trial Integrating mHealth and Motivational Interviewing.JMIR mHealth and uHealth · 2026Trial
- User Experience and Therapeutic Alliance of Treatment Completers of Clinician-Supported Versus Self-Help Online Intervention for Eating Disorders: A Mixed Methods Approach.European eating disorders review : the journal of the Eating Disorders Association · 2025Trial
- Technology-assisted cognitive-behavioral therapy for perinatal depression delivered by lived-experience peers: a cluster-randomized noninferiority trial.Nature medicine · 2025Trial
- An empirical study of offline and online group metacognitive training in patients with schizophrenia.BMC psychiatry · 2025Trial
- Coach-Assisted eHealth With Group or Individual Support for Employees With Obesity: Randomized Controlled Trial on Weight, Body Composition, and Health Metrics.Journal of medical Internet research · 2025Trial
- Incorporating a Stepped Care Approach Into Internet-Based Cognitive Behavioral Therapy for Depression: Randomized Controlled Trial.JMIR mental health · 2024Trial
- Avatar-Mediated Telepsychotherapy in a Metaverse-Informed Virtual Environment: Qualitative Study of User Experiences and Design Requirements.Journal of medical Internet research · 2026Article
- Acuity, Diagnosis, and Community Factors in Virtual and In-Person Treatment: Qualitative Study.JMIR human factors · 2026Article
- "Therapy Beyond the Screen": A Qualitative Exploration of Tele-Therapy Experiences Among Clinical Psychologists and Speech and Language Therapists.Healthcare (Basel, Switzerland) · 2026Article
- Exploring psychological counselors' perspectives on the characteristics and dynamics of online counseling.Frontiers in psychology · 2025Article
- Rational Emotive Behavior Therapy for exercise: examining self-determined motivation, alongside readiness, confidence, and motivation to exercise.Frontiers in psychology · 2025Article
- Hybrid Virtual Group Model for Substance Use Disorder Therapy: A Scoping Review.Substance abuse and rehabilitation · 2025Review
- Effectiveness and therapeutic alliance between face-to-face and online psychological interventions. A longitudinal study.Frontiers in psychology · 2025Article
- ONLINE vs. FACE-TO-FACE group coaching to promote teachers mental health: an exploratory field study in German teachers.Frontiers in digital health · 2025Article
- From face-to-face to screen-to-screen: exploring the multifaceted dimensions of digital mental health care.Frontiers in psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the COVID-19 pandemic, the number of online mental health treatments have grown exponentially. Additionally, it seems inevitable that this technical resource is here to stay at health centers. However, there is still very little scholarly literature published on this topic, and therefore, the impact of the changes that have had to be dealt with in this regard has not been studied.
objectiveThis study aims to evaluate the differences in the establishment of the therapeutic alliance (TA) based on the intervention modality (online or face-to-face), the type of attachment, and diagnosis.
methodsA total of 291 subjects participated in the study, 149 (51.2%) of whom were men and 142 were (48.8%) women between the ages of 18 and 30 years. The instruments used were sociodemographic data, SOFTA-o (System for Observing Family Therapeutic Alliances-observational), and Relationship Questionnaire.
resultsThe results show that the treatments conducted face-to-face obtain significantly better scores in the creation of the TA than those conducted online (t=-42.045, df=289, P<.001). The same holds true with attachment, in that users with secure attachment show a better TA than those with insecure attachment (t=6.068, P<.001,), although there were no significant differences with the diagnosis (F=4.566, P=.44), age (r=0.02, P=.70), and sex (t=0.217, P=.33).
conclusionsWe believe that professionals are not yet prepared to conduct remote treatment with a degree of efficacy similar to that of face-to-face. It is essential for professionals to receive training in this new technical resource and to understand and incorporate the variants it entails into their daily practice.
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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.