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Moving Beyond Rapport: The Importance of Active Facilitation of Therapeutic Alliance in Adult Acquired Brain Injury Rehabilitation.

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Title: Moving Beyond Rapport: The Importance of Active Facilitation of Therapeutic Alliance in Adult Acquired Brain Injury Rehabilitation.
Authors: Sohlberg, McKay Moore1, O’Neil-Pirozzi, Therese M.2,3 t.oneil-pirozzi@neu.edu, Ness, Bryan4, Meulenbroek, Peter5, Byom, Lindsey6, Lemoncello, Rik7
Source: American Journal of Speech-Language Pathology. Nov2024, Vol. 33 Issue 6, p3129-3138. 10p.
Subject Terms: *Interprofessional relations, *Motivation (Psychology), *Clinical competence, *Adults, Rehabilitation for brain injury patients, Speech therapy education, Attitudes of medical personnel, Patient-professional relations, Trust, Therapeutic alliance, Self-consciousness (Awareness), Medical practice
Abstract: Purpose: Therapeutic alliance (TA) is critical to rehabilitation outcomes for adults with acquired brain injuries (ABIs). The purpose of this viewpoint article is to review factors that contribute to TA and to suggest ways speechlanguage pathologists (SLPs) can integrate these factors into their ABI rehabilitation practice. Method: We evaluated literature describing client and clinician factors shown to affect—or not affect—TA in ABI rehabilitation and mapped findings onto suggested practices that SLPs may use to actively promote TA with their clients. Informed by our findings and TA frameworks, we integrated findings into a novel clinician self-reflection tool: the Therapeutic Alliance Reflection Checklist. Conclusions: TA is a key ingredient in ABI rehabilitation. We contend that SLPs can, and should, actively facilitate TA with clients; the self-reflection checklist can assist. We advocate for continued TA research and improved measurement across rehabilitation settings. We further contend that training in active TA-promoting skills is a critical component of speech-language pathology education. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Moving Beyond Rapport: The Importance of Active Facilitation of Therapeutic Alliance in Adult Acquired Brain Injury Rehabilitation.
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  Data: <searchLink fieldCode="AR" term="%22Sohlberg%2C+McKay+Moore%22">Sohlberg, McKay Moore</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22O’Neil-Pirozzi%2C+Therese+M%2E%22">O’Neil-Pirozzi, Therese M.</searchLink><relatesTo>2,3</relatesTo><i> t.oneil-pirozzi@neu.edu</i><br /><searchLink fieldCode="AR" term="%22Ness%2C+Bryan%22">Ness, Bryan</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Meulenbroek%2C+Peter%22">Meulenbroek, Peter</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Byom%2C+Lindsey%22">Byom, Lindsey</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Lemoncello%2C+Rik%22">Lemoncello, Rik</searchLink><relatesTo>7</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Nov2024, Vol. 33 Issue 6, p3129-3138. 10p.
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  Data: *<searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+for+brain+injury+patients%22">Rehabilitation for brain injury patients</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+therapy+education%22">Speech therapy education</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutic+alliance%22">Therapeutic alliance</searchLink><br /><searchLink fieldCode="DE" term="%22Self-consciousness+%28Awareness%29%22">Self-consciousness (Awareness)</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+practice%22">Medical practice</searchLink>
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  Label: Abstract
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  Data: Purpose: Therapeutic alliance (TA) is critical to rehabilitation outcomes for adults with acquired brain injuries (ABIs). The purpose of this viewpoint article is to review factors that contribute to TA and to suggest ways speechlanguage pathologists (SLPs) can integrate these factors into their ABI rehabilitation practice. Method: We evaluated literature describing client and clinician factors shown to affect—or not affect—TA in ABI rehabilitation and mapped findings onto suggested practices that SLPs may use to actively promote TA with their clients. Informed by our findings and TA frameworks, we integrated findings into a novel clinician self-reflection tool: the Therapeutic Alliance Reflection Checklist. Conclusions: TA is a key ingredient in ABI rehabilitation. We contend that SLPs can, and should, actively facilitate TA with clients; the self-reflection checklist can assist. We advocate for continued TA research and improved measurement across rehabilitation settings. We further contend that training in active TA-promoting skills is a critical component of speech-language pathology education. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=180662873
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        Value: 10.1044/2024_AJSLP-23-00495
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              Text: Nov2024
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