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Therapeutic Alliance in Substance Dependence Treatment: HAq-II Comparisons between Social Workers and Nurses
Journal of Social Service Research ( IF 1.193 ) Pub Date : 2020-05-13 , DOI: 10.1080/01488376.2020.1755412
Michael Fendrich 1 , Jessica Becker 1
Affiliation  

Abstract

As social workers and nurses comprise much of the substance dependence treatment team, it is critical to evaluate how well they perform in a context where they bring different professional orientations and perform different treatment roles. The therapeutic alliance (TA) is one clinical outcome indicator that is potentially predictive of client engagement and retention, two prerequisites for successful treatment. TA in substance dependence treatment has been measured using the Revised Helping Alliance Questionnaire (HAq-II), a 19-item likert-type measure assessing clients’ perceived “therapeutic alliance” with the therapists who are treating them. Through secondary analysis of the 2006-2010 Addiction Health Evaluation and Disease (AHEAD) Management Study, the authors examined alcohol or other drug-dependent participants (N = 60) who completed the HAq-II for the social workers and nurses. Findings reveal that social workers’ scores were significantly higher than scores for the nurses. On average, social workers received a score 8.5 points higher than nurses (p < 0.001). Implications for the participation of social workers and other health professionals in interprofessional addiction treatment teams and directions for future research are discussed.



中文翻译:

药物依赖治疗中的治疗联盟:社会工作者与护士的HAq-II比较

抽象的

由于社会工作者和护士组成了物质依赖治疗小组的大部分,因此至关重要的是,在他们带来不同专业取向和履行不同治疗职责的情况下,评估他们的表现如何。治疗联盟(TA)是一项临床结果指标,可以潜在地预测客户的参与和保留,这是成功治疗的两个先决条件。药物依赖性治疗中的技术援助已使用修订的帮助联盟问卷调查表(HAq-II)进行了评估,这是一项19项李克特式量度,用于评估客户与正在治疗的治疗师的感知“治疗联盟”。通过对2006-2010年成瘾健康评估和疾病(AHEAD)管理研究的二级分析,作者检查了酒精或其他依赖药物的参与者(N = 60),他们为社会工作者和护士完成了HAq-II。调查结果表明,社会工作者的分数明显高于护士的分数。平均而言,社会工作者的得分比护士高8.5分(p <0.001)。讨论了社会工作者和其他卫生专业人员参加跨行业成瘾治疗小组的意义以及未来研究的方向。

更新日期:2020-05-13
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