Evidence map›Paper›PMID 38457374›Full record

ArticlePloS one2024

Identifying central elements of the therapeutic alliance in the setting of telerehabilitation: A qualitative study.

Barbara Seebacher, Carole Geimer, Julia Neu, Maria Schwarz, Gudrun Diermayr

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Development and Validation of the WAI-Tele-Reha-G: A Measure of Therapeutic Alliance in Telerehabilitation.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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  7. Healing vs. hurting words: the power of language in pain perception-a narrative review.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Review
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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

5 authors.

Barbara SeebacherClinical Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0001-5699-9077
Carole GeimerSchool of Therapeutic Sciences, SRH University Heidelberg, Heidelberg, Germany.
Julia NeuSchool of Therapeutic Sciences, SRH University Heidelberg, Heidelberg, Germany.
Maria SchwarzDepartment of Psychosocial Rehabilitation, Clinic for Rehabilitation Münster, Münster, Österreich.
Gudrun DiermayrSchool of Therapeutic Sciences, SRH University Heidelberg, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTherapeutic alliance is a relevant aspect of healthcare and may influence patient outcomes. So far, little is known about the therapeutic alliance in telerehabilitation. PURPOSE: To identify and describe central elements of therapeutic alliance in the setting of telerehabilitation and compare it to those in conventional rehabilitation.

methodsIn this qualitative study, a literature search and in-depth semi-structured interviews with rehabilitation and telerehabilitation experts were conducted from 15.5.-10.8.2020 on elements influencing the therapeutic alliance in rehabilitation and telerehabilitation. Using a combined deductive and inductive approach, qualitative content analysis was used to identify categories and derive central themes.

resultsThe elements bond, communication, agreement on goals and tasks and external factors were identified in the literature search and informed the development of the interview guide. Twelve purposively sampled experts from the fields of physiotherapy, occupational therapy, speech and language therapy, psychology, general medicine, sports science and telerehabilitation software development participated in the interviews. We identified three central themes: building effective communication; nurturing a mutual relationship of trust and respect; and agreement on goals and tasks and drivers of motivation.

conclusionsIn this qualitative study, key elements of therapeutic alliance in rehabilitation confirmed those reported in the literature, with additional elements in telerehabilitation comprising support from others for ensuring physical safety and technical connectedness, caregivers acting as co-therapists and applying professional touch, and promoting patient autonomy and motivation using specific strategies.

Indexed as

Occupational TherapyTelerehabilitationTherapeutic AllianceHumansPhysical Therapy ModalitiesQualitative Research

Identifiers

PMID38457374
PMCPMC10923432

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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.