The influence of therapeutic alliance on adult obesity interventions in primary care: A systematic review protocol

Sturgiss, Elizabeth; Elmitt, Nicholas; Agostino, Jason; Douglas, Kirsty; Clark, Alexander M.

doi:10.31128/ajgp-03-18-4538

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Long-standing evidence in the field of psychotherapy suggests that the levels of empathy displayed by professionals strongly predict positive patient outcomes in psychology-based treatments. This suggests that it is important that the role of empathy is directly examined in relation to the outcomes of PA interventions for older adults, given that like psychotherapeutic interventions, they aim to enact some form of healthy, adaptive behaviour, centred on interactions between professional and service-user, or ‘change agent’ and ‘change seeker’ [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

How the LiveWell Dorset lifestyle behaviour change service influences older adults’ physical activity behaviour: A generic qualitative study

Powell

Thomas

2021

Public Health in Practice

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Section: Discussionmentioning

confidence: 99%

How the LiveWell Dorset lifestyle behaviour change service influences older adults’ physical activity behaviour: A generic qualitative study

Powell

Thomas

2021

Public Health in Practice

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Obesity management in primary care: systematic review exploring the influence of therapeutic alliance

et al. 2021

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Purpose To identify the influence of the therapeutic alliance on the effectiveness of obesity interventions delivered in primary care. Method Systematic review of randomized controlled trials of primary care interventions for adult patients living with obesity. Comprehensive search strategy using the terms ‘obesity’, ‘primary care’ and ‘intervention’ of seven databases from 1 January 1998 to March 2018. Primary outcome was difference in weight loss in interventions where a therapeutic alliance was present. Results From 10 636 studies, 11 (3955 patients) were eligible. Only one study had interventions that reported all aspects of therapeutic alliance, including bond, goals and tasks. Meta-analysis was not included due to high statistical heterogeneity and low numbers of trials; as per our protocol, we proceeded to narrative synthesis. Some interventions included the regular primary care practitioner in management; very few included collaborative goal setting and most used prescriptive protocols to direct care. Conclusions We were surprised that so few trials reported the inclusion of elements of the therapeutic alliance when relational aspects of primary care are critical for effectiveness. Interventions could be developed to maximize therapeutic relationships and research reports should describe interventions comprehensively. Systematic review registration number CRD42018091338 in PROSPERO (International prospective register of systematic reviews).

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Effects of Therapeutic Alliance in Interpersonal Psychotherapy Among Adolescent Girls With Loss-of-Control Eating

Ruzicka,

Shomaker,

Pyle

et al. 2024

APT

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The influence of therapeutic alliance on adult obesity interventions in primary care: A systematic review protocol

Cited by 3 publications

References 21 publications

How the LiveWell Dorset lifestyle behaviour change service influences older adults’ physical activity behaviour: A generic qualitative study

How the LiveWell Dorset lifestyle behaviour change service influences older adults’ physical activity behaviour: A generic qualitative study

Obesity management in primary care: systematic review exploring the influence of therapeutic alliance

Effects of Therapeutic Alliance in Interpersonal Psychotherapy Among Adolescent Girls With Loss-of-Control Eating

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