The effect of the alliance on social recovery outcomes and usage in a moderated online social therapy for first-episode psychosis.
Horyzons
digital interventions
engagement
schizophrenia
social recovery
working relationship
Journal
Psychology and psychotherapy
ISSN: 2044-8341
Titre abrégé: Psychol Psychother
Pays: England
ID NLM: 101135751
Informations de publication
Date de publication:
14 Feb 2024
14 Feb 2024
Historique:
revised:
27
12
2023
received:
04
08
2023
accepted:
29
01
2024
medline:
14
2
2024
pubmed:
14
2
2024
entrez:
14
2
2024
Statut:
aheadofprint
Résumé
We investigated the effect of the therapeutic alliance on both change in social recovery outcomes and usage of a moderated online social therapy platform for first-episode psychosis (FEP), Horyzons. Secondary analysis of a single group pilot trial. Clients completed an alliance measure adapted for guided digital interventions at mid-treatment. A series of multi-level models evaluated change in outcomes by mid- and post-treatment assessments (relative to baseline) as a function of the overall alliance. Quasi-Poisson models evaluated the effect of the overall alliance on aggregated counts of platform usage. Exploratory analyses repeated these models in terms of the bond (human-human) or the task/goal (human-program) alliance. Stronger overall alliance at mid-treatment predicted lower loneliness at mid-treatment and lower social anxiety at mid- and post-treatment. It was also associated with higher completion of therapy activities and authoring of comments and reactions. A strong bond with an online therapist was associated with lower loneliness and higher perceived social support at mid-treatment, lower social anxiety at post-treatment as well as a higher number of reactions made on the social network. Stronger alliance with the platform's tasks and goals facilitated lower social anxiety at both follow-up assessments and was further associated with higher completion of therapy activities and reactions in the social network. The alliance may impact aspects of social recovery and usage in digital interventions for FEP. Specific aspects of the alliance (human-human and human-program relationships) should be considered in future research.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : North Carolina Department of Health and Human Services
Informations de copyright
© 2024 The British Psychological Society.
Références
Alvarez-Jimenez, M., Alcazar-Corcoles, M. A., González-Blanch, C., Bendall, S., McGorry, P. D., & Gleeson, J. F. (2014). Online, social media and mobile technologies for psychosis treatment: A systematic review on novel user-led interventions. Schizophrenia Research, 156(1), 96-106. https://doi.org/10.1016/j.schres.2014.03.021
Alvarez-Jimenez, M., Bendall, S., Lederman, R., Wadley, G., Chinnery, G., Vargas, S., Larkin, M., Killackey, E., McGorry, P. D., & Gleeson, J. F. (2013). On the HORYZON: Moderated online social therapy for long-term recovery in first episode psychosis. Schizophrenia Research, 143(1), 143-149. https://doi.org/10.1016/j.schres.2012.10.009
Alvarez-Jimenez, M., Gleeson, J. F., Bendall, S., Penn, D. L., Yung, A. R., Ryan, R. M., Eleftheriadis, D., D'Alfonso, S., Rice, S., Miles, C., Russon, P., Lederman, R., Chambers, R., Gonzalez-Blanch, C., Lim, M. H., Killackey, E., McGorry, P. D., & Nelson, B. (2018). Enhancing social functioning in young people at ultra high risk (UHR) for psychosis: A pilot study of a novel strengths and mindfulness-based online social therapy. Schizophrenia Research, 202, 369-377. https://doi.org/10.1016/j.schres.2018.07.022
Alvarez-Jimenez, M., Koval, P., Schmaal, L., Bendall, S., O'Sullivan, S., Cagliarini, D., D'Alfonso, S., Rice, S., Valentine, L., Penn, D. L., Miles, C., Russon, P., Phillips, J., McEnery, C., Lederman, R., Killackey, E., Mihalopoulos, C., Gonzalez-Blanch, C., Gilbertson, T., … Gleeson, J. F. M. (2021). The Horyzons project: A randomized controlled trial of a novel online social therapy to maintain treatment effects from specialist first-episode psychosis services. World Psychiatry, 20(2), 233-243. https://doi.org/10.1002/wps.20858
Anderson, R. E. E., Spence, S. H., Donovan, C. L., March, S., Prosser, S., & Kenardy, J. (2012). Working alliance in online cognitive behavior therapy for anxiety disorders in youth: Comparison with clinic delivery and its role in predicting outcome. Journal of Medical Internet Research, 14(3), e88. https://doi.org/10.2196/jmir.1848
Arnold, C., Villagonzalo, K. A., Meyer, D., Farhall, J., Foley, F., Kyrios, M., & Thomas, N. (2019). Predicting engagement with an online psychosocial intervention for psychosis: Exploring individual- and intervention-level predictors. Internet Interventions, 18, 100266. https://doi.org/10.1016/j.invent.2019.100266
Berger, T. (2017). The therapeutic alliance in internet interventions: A narrative review and suggestions for future research. Psychotherapy Research, 27(5), 511-524. https://doi.org/10.1080/10503307.2015.1119908
Berry, K., Salter, A., Morris, R., James, S., & Bucci, S. (2018). Assessing therapeutic Alliance in the context of mHealth interventions for mental health problems: Development of the Mobile Agnew relationship measure (mARM) questionnaire. Journal of Medical Internet Research, 20(4), e90. https://doi.org/10.2196/jmir.8252
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252-260. https://doi.org/10.1037/h0085885
Bourke, E., Barker, C., & Fornells-Ambrojo, M. (2021). Systematic review and meta-analysis of therapeutic alliance, engagement, and outcome in psychological therapies for psychosis. Psychology and Psychotherapy, 94, 822-853. https://doi.org/10.1111/papt.12330
Browne, J., Wright, A. C., Berry, K., Mueser, K. T., Cather, C., Penn, D. L., & Kurtz, M. M. (2021). The alliance-outcome relationship in individual psychosocial treatment for schizophrenia and early psychosis: A meta-analysis. Schizophrenia Research, 231, 154-163. https://doi.org/10.1016/j.schres.2021.04.002
Carpenter, J. K., Curtiss, J., & Hofmann, S. G. (2017). The nature and treatment of social anxiety: Maintenance factors, treatment components, and maximizing treatment response. In Treatments for psychological problems and syndromes (pp. 56-73). John Wiley & Sons Ltd.
Coyne, A. E., Constantino, M. J., Ravitz, P., & McBride, C. (2018). The interactive effect of patient attachment and social support on early alliance quality in interpersonal psychotherapy. Journal of Psychotherapy Integration, 28(1), 46-59. https://doi.org/10.1037/int0000074
Enders, C. (2022). Applied missing data analysis (Second ed.). Guilford Press.
Engel, L., Alvarez-Jimenez, M., Cagliarini, D., D'Alfonso, S., Faller, J., Valentine, L., Koval, P., Bendall, S., O'Sullivan, S., Rice, S., Miles, C., Penn, D. L., Phillips, J., Russon, P., Lederman, R., Killackey, E., Lal, S., Maree Cotton, S., Gonzalez-Blanch, C., … Mihalopoulos, C. (2023). The cost-effectiveness of a novel online social therapy to maintain treatment effects from first-episode psychosis services: Results from the Horyzons randomized controlled trial. Schizophrenia Bulletin. Advance Online Publication. https://doi.org/10.1093/schbul/sbad071
Flückiger, C., Del Re, A. C., Wampold, B. E., Symonds, D., & Horvath, A. O. (2012). How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis. Journal of Counseling Psychology, 59(1), 10-17. https://doi.org/10.1037/a0025749
Fortuna, K. L., Walker, R., Fisher, D. B., Mois, G., Allan, S., & Deegan, P. E. (2019). Enhancing standards and principles in digital mental health with recovery-focused guidelines for mobile, online, and remote monitoring technologies. Psychiatric Services, 70(12), 1080-1081. https://doi.org/10.1176/appi.ps.201900166
Gire, N., Farooq, S., Naeem, F., Duxbury, J., McKeown, M., Kundi, P. S., Chaudhry, I. B., & Husain, N. (2017). mHealth based interventions for the assessment and treatment of psychotic disorders: A systematic review. MHealth, 3, 33. https://doi.org/10.21037/mhealth.2017.07.03
Goldberg, S. B., Jiwani, Z., Bolt, D. M., Riordan, K. M., Davidson, R. J., & Hirshberg, M. J. (2023). Evidence for bidirectional, cross-lagged associations between alliance and psychological distress in an unguided mobile-health intervention. Clinical Psychological Science, 21677026231184890.
Goldsmith, L. P., Lewis, S. W., Dunn, G., & Bentall, R. P. (2015). Psychological treatments for early psychosis can be beneficial or harmful, depending on the therapeutic alliance: An instrumental variable analysis. Psychological Medicine, 45(11), 2365-2373. https://doi.org/10.1017/S003329171500032X
Gómez Penedo, J. M., Babl, A. M., Holtforth, M., grosse Hohagen, F., Krieger, T., Lutz, W., Meyer, B., Moritz, S., Klein, J. P., & Berger, T. (2020). The association of therapeutic alliance with long-term outcome in a guided internet intervention for depression: Secondary analysis from a randomized control trial. Journal of Medical Internet Research, 22(3), e15824. https://doi.org/10.2196/15824
Gómez Penedo, J. M., Berger, T., grosse Holtforth, M., Krieger, T., Schröder, J., Hohagen, F., Meyer, B., Moritz, S., & Klein, J. P. (2020). The working Alliance inventory for guided internet interventions (WAI-I). Journal of Clinical Psychology, 76(6), 973-986. https://doi.org/10.1002/jclp.22823
Gottlieb, J. D., Romeo, K. H., Penn, D. L., Mueser, K. T., & Chiko, B. P. (2013). Web-based cognitive-behavioral therapy for auditory hallucinations in persons with psychosis: A pilot study. Schizophrenia Research, 145(1-3), 82-87. https://doi.org/10.1016/j.schres.2013.01.002
Granholm, E., Ben-Zeev, D., Link, P. C., Bradshaw, K. R., & Holden, J. L. (2012). Mobile assessment and treatment for schizophrenia (MATS): A pilot trial of an interactive text-messaging intervention for medication adherence, socialization, and auditory hallucinations. Schizophrenia Bulletin, 38(3), 414-425. https://doi.org/10.1093/schbul/sbr155
Hadjistavropoulos, H. D., Pugh, N. E., Hesser, H., & Andersson, G. (2017). Therapeutic Alliance in internet-delivered cognitive behaviour therapy for depression or generalized anxiety. Clinical Psychology & Psychotherapy, 24(2), 451-461. https://doi.org/10.1002/cpp.2014
Hargreaves, A., Dillon, R., Castorina, M., Furey, E., Walsh, J., Fitzmaurice, B., Hallahan, B., Corvin, A., Robertson, I., & Donohoe, G. (2018). Predictors of adherence to low support, computerised, cognitive remediation training in psychosis. Psychosis, 10(4), 298-306. https://doi.org/10.1080/17522439.2018.1522542
Hatcher, R. L., & Gillaspy, J. A. (2006). Development and validation of a revised short version of the working Alliance inventory. Psychotherapy Research, 16(1), 12-25.
Henson, P., Peck, P., & Torous, J. (2019). Considering the therapeutic Alliance in digital mental health interventions. Harvard Review of Psychiatry, 27(4), 268-273. https://doi.org/10.1097/HRP.0000000000000224
Herrero, R., Vara, M. D., Miragall, M., Botella, C., García-Palacios, A., Riper, H., Kleiboer, A., & Baños, R. M. (2020). Working alliance inventory for online interventions-short form (WAI-TECH-SF): The role of the therapeutic alliance between patient and online program in therapeutic outcomes. International Journal of Environmental Research and Public Health, 17(17), 1-16. https://doi.org/10.3390/ijerph17176169
Hewitt, J., & Coffey, M. (2005). Therapeutic working relationships with people with schizophrenia: Literature review. Journal of Advanced Nursing, 52(5), 561-570.
Hollis, C., Sampson, S., Simons, L., Davies, E. B., Churchill, R., Betton, V., Butler, D., Chapman, K., Easton, K., Gronlund, T. A., Kabir, T., Rawsthorne, M., Rye, E., & Tomlin, A. (2018). Identifying research priorities for digital technology in mental health care: Results of the James Lind Alliance priority setting partnership. The Lancet Psychiatry, 5(10), 845-854. https://doi.org/10.1016/S2215-0366(18)30296-7
Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61(4), 561-573.
Kaiser, J., Hanschmidt, F., & Kersting, A. (2021). The association between therapeutic alliance and outcome in internet-based psychological interventions: A meta-analysis. Computers in Human Behavior, 114, 106512. https://doi.org/10.1016/j.chb.2020.106512
Kane, J. M., Robinson, D. G., Schooler, N. R., Mueser, K. T., Penn, D. L., Rosenheck, R. A., Addington, J., Brunette, M. F., Correll, C. U., Estroff, S. E., Marcy, P., Robinson, J., Meyer-Kalos, P. S., Gottlieb, J. D., Glynn, S. M., Lynde, D. W., Pipes, R., Kurian, B. T., Miller, A. L., … Heinssen, R. K. (2016). Comprehensive versus usual community care for first-episode psychosis: 2-year outcomes from the NIMH RAISE early treatment program. American Journal of Psychiatry, 173(4), 362-372. https://doi.org/10.1176/appi.ajp.2015.15050632
Karekla, M., Kasinopoulos, O., Neto, D. D., Ebert, D. D., Van Daele, T., Nordgreen, T., Höfer, S., Oeverland, S., & Jensen, K. L. (2019). Best practices and recommendations for digital interventions to improve engagement and adherence in chronic illness sufferers. European Psychologist, 24(1), 49-67. https://doi.org/10.1027/1016-9040/a000349
Kuznetsova, A., Brockhoff, P. B., & Christensen, R. H. B. (2017). lmerTest package: Tests in linear mixed effects models. Journal of Statistical Software, 82(13), 1-26. https://doi.org/10.18637/JSS.V082.I13
Lal, S., Gleeson, J. F., D'Alfonso, S., Lee, H., Etienne, G., Joober, R., Lepage, M., & Alvarez-Jimenez, M. (2023). Digital health innovation to prevent relapse and support recovery in young people with first-episode psychosis: A pilot study of Horyzons-Canada. Schizophrenia, 9(1), 21. https://doi.org/10.1038/s41537-023-00352-1
Lederman, R., Wadley, G., Gleeson, J., Bendall, S., & Álvarez-Jiménez, M. (2014). Moderated online social therapy: Designing and evaluating technology for mental health. ACM Transactions on Computer-Human Interaction (TOCHI), 21(1), 1-26. https://doi.org/10.1145/2513179
Lim, M. H., Gleeson, J. F. M., Alvarez-Jimenez, M., & Penn, D. L. (2018). Loneliness in psychosis: A systematic review. Social Psychiatry and Psychiatric Epidemiology, 53(3), 221-238. https://doi.org/10.1007/s00127-018-1482-5
Lüdecke, D. (2018). Ggeffects: Tidy data frames of marginal effects from regression models. Journal of Open Source Software, 3(26), 772. https://doi.org/10.21105/joss.00772
Ludwig, K. A., Browne, J. W., Nagendra, A., Gleeson, J. F., D'Alfonso, S., Penn, D. L., & Alvarez-Jimenez, M. (2021). Horyzons USA: A moderated online social intervention for first episode psychosis. Early Intervention in Psychiatry, 15(2), 335-343. https://doi.org/10.1111/eip.12947
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470.
McEnery, C., Lim, M. H., Tremain, H., Knowles, A., & Alvarez-Jimenez, M. (2019). Prevalence rate of social anxiety disorder in individuals with a psychotic disorder: A systematic review and meta-analysis. Schizophrenia Research, 208, 25-33. https://doi.org/10.1016/j.schres.2019.01.045
Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010). Dropout from internet-based treatment for psychological disorders. British Journal of Clinical Psychology, 49(4), 455-471. https://doi.org/10.1348/014466509X472138
Michail, M., Birchwood, M., & Tait, L. (2017). Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis. Brain Sciences, 7(5), 45. https://doi.org/10.3390/brainsci7050045
Nesi, J., Dredge, R., Maheux, A. J., Roberts, S. R., Fox, K. A., & Choukas-Bradley, S. (2023). Peer experiences via social media. In Encyclopedia of child and adolescent health (1st ed., pp. 182-185). Elsevier Science.
O'Sullivan, S., Schmaal, L., Alfonso, S. D., Toenders, Y., Valentine, L., McEnery, C., Bendall, S., Nelson, B., Gleeson, J. F., & Alvarez-Jimenez, M. (2022). Characterizing use of a multicomponent digital intervention to predict treatment outcomes in first-episode psychosis: Cluster analysis. JMIR Mental Health, 9(4), e29211. https://doi.org/10.2196/29211
Perski, O., Blandford, A., West, R., & Michie, S. (2017). Conceptualising engagement with digital behaviour change interventions: A systematic review using principles from critical interpretive synthesis. Translational Behavioral Medicine, 7(2), 254-267. https://doi.org/10.1007/s13142-016-0453-1
Pokowitz, E. L., Stiles, B. J., Thomas, R., Bullard, K., Ludwig, K. A., Gleeson, J. F., Alvarez-Jimenez, M., Perkins, D. O., & Penn, D. L. (2023). User experiences of an American-adapted moderated online social media platform for first-episode psychosis: Qualitative analysis. Digital Health, 9, 20552076231176700. https://doi.org/10.1177/20552076231176700
Rus-Calafell, M., Garety, P., Sason, E., Craig, T. J. K., & Valmaggia, L. R. (2018). Virtual reality in the assessment and treatment of psychosis: A systematic review of its utility, acceptability and effectiveness. Psychological Medicine, 48(3), 362-391. https://doi.org/10.1017/S0033291717001945
Rus-Calafell, M., & Schneider, S. (2020). Are we there yet?!-A literature review of recent digital technology advances for the treatment of early psychosis. MHealth, 6, 3. https://doi.org/10.21037/mhealth.2019.09.14
Russell, D. W. (1996). UCLA loneliness scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20-40. https://doi.org/10.1207/s15327752jpa6601_2
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 11, 68-78. https://doi.org/10.1037/0003-066X.55.1.68
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719-727. https://doi.org/10.1037/0022-3514.69.4.719
Shattock, L., Berry, K., Degnan, A., & Edge, D. (2018). Therapeutic alliance in psychological therapy for people with schizophrenia and related psychoses: A systematic review. Clinical Psychology & Psychotherapy, 25(1), e60-e85. https://doi.org/10.1002/cpp.2135
Sherbourne, C., & Stewart, A. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705-714.
Španiel, F., Hrdlicka, J., Novák, T., Kozeny, J., Höschl, C., Mohr, P., & Motlová, L. B. (2012). Effectiveness of the information technology-aided program of relapse prevention in schizophrenia (ITAREPS): A randomized, controlled, double-blind study. Journal of Psychiatric Practice, 18(4), 269-280.
Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working Alliance inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(3), 207-210. https://doi.org/10.1037/1040-3590.1.3.207
Tremain, H., McEnery, C., Fletcher, K., & Murray, G. (2020). The therapeutic alliance in digital mental health interventions for serious mental illnesses: Narrative review. JMIR mental. Health, 7(8), e17204. https://doi.org/10.2196/17204
Valentine, L., McEnery, C., O'Sullivan, S., Gleeson, J., Bendall, S., & Alvarez-Jimenez, M. (2020). Young people's experience of a long-term social media-based intervention for first-episode psychosis: Qualitative analysis. Journal of Medical Internet Research, 22(6), e17570. https://doi.org/10.2196/17570
van Doorn, M., Monsanto, A., Boeschoten, C. M., van Amelsvoort, T., Popma, A., Öry, F. G., Alvarez-Jimenez, M., Gleeson, J., Jaspers, M. W. M., & Nieman, D. H. (2023). Moderated digital social therapy for young people with emerging mental health problems: A user-centered mixed-method design and usability study. Frontiers in Digital Health, 4, 1020753. https://doi.org/10.3389/fdgth.2022.1020753
Wagner, B., Brand, J., Schulz, W., & Knaevelsrud, C. (2012). Online working alliance predicts treatment outcome for posttraumatic stress symptoms in arab war-traumatized patients. Depression and Anxiety, 29(7), 646-651. https://doi.org/10.1002/da.21962
Wehmann, E., Köhnen, M., Härter, M., & Liebherz, S. (2020). Therapeutic alliance in technology-based interventions for the treatment of depression: Systematic review. Journal of Medical Internet Research, 22(6), e17195. https://doi.org/10.2196/17195
Winstone, L., Mars, B., Haworth, C. M. A., & Kidger, J. (2023). Types of social media use and digital stress in early adolescence. Journal of Early Adolescence, 43(3), 294-319. https://doi.org/10.1177/02724316221105560