"Sharing Success with Someone": Building therapeutic alliance in physiotherapist-delivered physical activity coaching for healthy aging.

Therapeutic alliance, a goal-orientated partnership between clients and practitioners, can enhance program engagement and adherence, and improve treatment outcomes and satisfaction. To develop an empirical model that describes how therapeutic alliances can be operationalized in clinical and research...

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Publicado en:Physiotherapy Theory & Practice Vol. 38; no. 13; pp. 2771 - 2788
Autores principales: Haynes, Abby, Sherrington, Catherine, Ramsay, Elisabeth, Kirkham, Catherine, Manning, Shona, Wallbank, Geraldine, Hassett, Leanne, Tiedemann, Anne
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
      vid: 38
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      pub: Taylor & Francis Ltd
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        atl: "Sharing Success with Someone": Building therapeutic alliance in physiotherapist-delivered physical activity coaching for healthy aging.
      aug:
        au:
          Haynes, Abby
          Sherrington, Catherine
          Ramsay, Elisabeth
          Kirkham, Catherine
          Manning, Shona
          Wallbank, Geraldine
          Hassett, Leanne
          Tiedemann, Anne
        affil: Institute for Musculoskeletal Health, University of Sydney and Sydney Local Health District, Level 10N King George V Building Royal Prince Alfred Hospital, Camperdown, NSW, Australia
      sug:
        subj:
          Healthy Aging
          Therapeutic Alliance
          Physical Therapists
          Mentorship
          Physical Activity
          Models, Theoretical
          Research, Physical Therapy
          Human
          Secondary Analysis
          Interviews
          Focus Groups
          Thematic Analysis
          Collaboration
          Decision Making
          Trust
          Professional-Patient Relations
          Clinical Competence
          Semi-Structured Interview
          Female
          Adult
          Middle Age
          Physical Therapist Attitudes
          Home Visits
          Physical Therapists Education
          Feedback
          Assistive Technology
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Therapeutic alliance, a goal-orientated partnership between clients and practitioners, can enhance program engagement and adherence, and improve treatment outcomes and satisfaction. To develop an empirical model that describes how therapeutic alliances can be operationalized in clinical and research settings and use this in our evaluation of the Coaching for Healthy Ageing (CHAnGE) trial. Secondary analysis of interviews with participants in the CHAnGE trial (n = 32) and a focus group with the physiotherapists who delivered health coaching in that trial (n = 3). Analysis was inductive (thematic) and deductive (using a therapeutic alliance model derived from a literature review and informed by earlier analyses). Data from participants and physiotherapists indicated that health coaching in CHAnGE built effective therapeutic alliances (i.e. it facilitated collaborative decision-making and trusting person-centered relationships) which were underpinned by professional skills and structural supports. Components of the intervention that strengthened therapeutic alliance were health coaching training, home visits, the coaching format, and provision of free activity monitors. This study identifies key concepts and practical 'building blocks' of therapeutic alliance, showing how these were operationalized within an intervention. This may help those in clinical and research settings to recognize the importance and characteristics of therapeutic alliance and put it into practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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