Therapeutic alliance with case managers in first-episode psychosis

Chua, Yi Chian; Tang, Charmaine; Abdin, Edimansyah; Vaingankar, Janhavi Ajit; Shahwan, Shazana; Cetty, Laxman; Yong, Yee Huei; Hon, Charlene; Ang, Suying; Verma, Swapna; Subramaniam, Mythily

doi:10.1016/j.ajp.2022.103122

Cited by 2 publications

(1 citation statement)

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“… 28 In the present study, the modified three-factor model of the WAI-C with 32 items was adopted for the purpose of the analysis given that it has proven to be suitable for measuring TA between the CP and service user from the latter's perspective (for more details, refer to Chua and colleagues). 29 …”

Section: Methodsmentioning

confidence: 99%

The relationship between therapeutic alliance, frequency of consultation and uptake of telemedicine among patients seeking treatment for early psychosis: A moderated mediation model

AshaRani,

Tan,

Samari

et al. 2024

DIGITAL HEALTH

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Background Telehealth services ensure the delivery of healthcare services to a wider range of consumers through online platforms. Nonetheless, the acceptance and uptake of telehealth remain elusive. This study aims to understand the (a) uptake and (b) acceptability of telemedicine, (c) if therapeutic alliance mediates the relationship between the frequency of consultations with clinicians and the uptake of telemedicine in patients with early psychosis, and (d) role of education in moderating the relationship between therapeutic alliance and the uptake of telemedicine for their mental healthcare. Methods A convenience sample of outpatients ( n = 109) seeking treatment for early psychosis and their care providers ( n = 106) were recruited from a tertiary psychiatric care centre. Sociodemographic and clinical characteristics, therapeutic alliance (Working Alliance Inventory), and telemedicine use were captured through self-administered surveys. The moderated mediation analysis was performed using PROCESS macro 3.4.1 with therapeutic alliance and level of education as the mediating and moderating factors, respectively. Results The acceptance of telemedicine was high (possibly will use: 47.7%; definitely will use: 26.6%) whilst the uptake was low (11%). Therapeutic alliance mediated the relationship between the frequency of consultation and the uptake of telemedicine ( β: 0.326; CI: 0.042, 0.637). This effect was moderated by the level of education ( β: −0.058; p < 0.05). Conclusion Therapeutic alliance mediates the relationship between the frequency of consultations and the uptake of telemedicine services with the level of education moderating this mediation. Focusing on the patients with lower education to improve their telemedicine knowledge and therapeutic alliance might increase the uptake.

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Section: Methodsmentioning

confidence: 99%