This study evaluates therapeutic alliance as a mediator of the relationship between dosage and clinical outcomes for the Family Check‐Up (FCU) Online, a telehealth adaptation of an evidence‐based parenting intervention for parents of middle school youth. The sample consisted of N = 111 parents with children in middle school who received the FCU Online as part of an ongoing clinical trial. They were randomly assigned to receive telehealth coaching and participated in the intervention and follow‐up assessment 12 months later. Data was collected using parent and child questionnaires as well as engagement data collected as part of the online intervention, using both parents and children as reporters of parent behavioral change. Using parent report measures, there was clear support for a mediation model, with parent report of alliance predicting parent self‐report ratings of clinical progress (parent behavior change) at 12‐month follow‐up. However, for the child‐report data, there was no clear relationship between dosage or therapeutic alliance with child reports of parenting. Clinical implications and future research directions are discussed.

中文翻译：

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治疗联盟作为以关系为中心、以家庭为中心的远程医疗干预中行为结果的预测因子

本研究评估了治疗联盟作为家庭检查 (FCU) Online 的剂量和临床结果之间关系的中介，这是针对中学生家长的循证育儿干预的远程医疗适应。该样本由 N = 111 名有中学孩子的父母组成，他们在正在进行的临床试验中接受了 FCU Online。他们被随机分配接受远程医疗辅导，并在 12 个月后参与干预和随访评估。使用父母和孩子问卷以及作为在线干预的一部分收集的参与数据收集数据，使用父母和孩子作为父母行为变化的报告者。使用家长报告措施，明确支持调解模式，联盟的父母报告预测父母在 12 个月的随访中对临床进展（父母行为改变）的自我报告评级。然而，对于儿童报告数据，剂量或治疗联盟与儿童养育报告之间没有明确的关系。讨论了临床意义和未来的研究方向。