A scoping review of the working alliance in acquired brain injury rehabilitation

Disability and Rehabilitation
Kellie StaggTeresa Iacono

Abstract

The aim was to review the empirical literature to determine the nature and breadth of research into the working alliance in acquired brain injury (ABI) rehabilitation. A scoping review was conducted, beginning with a systematic search of relevant databases using key search terms. Studies with a focus on the role of the working alliance in shaping rehabilitation outcomes, and factors influencing perceptions of the working alliance were included and key information extracted. A total of 10 quantitative studies met inclusion criteria. In most studies, ratings of the working alliance were compared with other process variables or outcome measures. The working alliance was linked to positive activity and participation outcomes, including return to work, school, and driving. Client related factors such as age, level of education and approach to rehabilitation tasks were associated with client and therapist perceptions of the working alliance. The working alliance emerged as a complex process that interacts with many factors and processes at play in the rehabilitation environment. Notwithstanding the limitations of the research base, findings indicate that enhancement of the working alliance may indeed influence rehabilitation outcomes...Continue Reading

References

May 15, 2001·Brain Injury : [BI]·P S KlonoffS W Henderson
Jul 13, 2006·Neuropsychological Rehabilitation·Michael SchönbergerThomas W Teasdale
Oct 24, 2007·Brain Injury : [BI]·Pamela S KlonoffSteven W Henderson
Sep 22, 2010·Implementation Science : IS·Danielle LevacKelly K O'Brien
Jan 20, 2011·Disability and Rehabilitation·Elizabeth B Crepeau, Karen R Garren

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