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The therapeutic relationship in telephone-delivered support for people undertaking rehabilitation: a mixed-methods interaction analysis

The therapeutic relationship in telephone-delivered support for people undertaking rehabilitation: a mixed-methods interaction analysis
The therapeutic relationship in telephone-delivered support for people undertaking rehabilitation: a mixed-methods interaction analysis
Purpose: The aim of this study was to identify communication features that may affect the
development of the therapeutic relationship during telephone support sessions for people
undertaking self-directed therapy.

Methods: Recorded telephone support sessions of 61 people
with chronic dizziness were analysed for communication behaviour using the Roter Interaction
Analysis System (RIAS). Working alliance was assessed and was correlated with the RIAS to
determine whether communication behaviour affected the therapeutic relationship. Thematic
qualitative analysis of support sessions was then carried out to explore the content of sessions
with high or low levels of person-centredness.

Results: The level of person-centredness was
related to the therapeutic relationship. High person-centred sessions were more likely to
address concerns and include therapist reassurances about the safety of the treatment and its
side effects.

Conclusion: It is possible for rehabilitation therapists to build a strong therapeutic
relationship very quickly and over the telephone. Person-centred communication is important
for the development of the therapeutic relationship during telephone-delivered support.
This research suggests how person-centred communicative behaviours, such as reassurance,
encouragement and approval could be incorporated into practice
0963-8288
1060-1065
Muller, Ingrid
2569bf42-51bd-40da-bbfd-dd4dbbd62cad
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Muller, Ingrid
2569bf42-51bd-40da-bbfd-dd4dbbd62cad
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Muller, Ingrid, Kirby, Sarah and Yardley, Lucy (2015) The therapeutic relationship in telephone-delivered support for people undertaking rehabilitation: a mixed-methods interaction analysis. Disability and Rehabilitation, 37 (12), 1060-1065. (doi:10.3109/09638288.2014.955134). (PMID:25156569)

Record type: Article

Abstract

Purpose: The aim of this study was to identify communication features that may affect the
development of the therapeutic relationship during telephone support sessions for people
undertaking self-directed therapy.

Methods: Recorded telephone support sessions of 61 people
with chronic dizziness were analysed for communication behaviour using the Roter Interaction
Analysis System (RIAS). Working alliance was assessed and was correlated with the RIAS to
determine whether communication behaviour affected the therapeutic relationship. Thematic
qualitative analysis of support sessions was then carried out to explore the content of sessions
with high or low levels of person-centredness.

Results: The level of person-centredness was
related to the therapeutic relationship. High person-centred sessions were more likely to
address concerns and include therapist reassurances about the safety of the treatment and its
side effects.

Conclusion: It is possible for rehabilitation therapists to build a strong therapeutic
relationship very quickly and over the telephone. Person-centred communication is important
for the development of the therapeutic relationship during telephone-delivered support.
This research suggests how person-centred communicative behaviours, such as reassurance,
encouragement and approval could be incorporated into practice

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Accepted/In Press date: August 2014
Published date: 26 May 2015
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 368493
URI: http://eprints.soton.ac.uk/id/eprint/368493
ISSN: 0963-8288
PURE UUID: dcc98e0f-630b-4cd5-993f-15a45d50ccce
ORCID for Ingrid Muller: ORCID iD orcid.org/0000-0001-9341-6133
ORCID for Sarah Kirby: ORCID iD orcid.org/0000-0003-1759-1356
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 02 Sep 2014 15:59
Last modified: 15 Mar 2024 03:32

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