Publication

The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation

Sanches, S. A., van Busschbach, J. T., Michon, H. W. C., van Weeghel, J. & Swildens, W. E., Aug-2018, In : Psychiatric Services. 69, 8, p. 903-909 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Sanches, S. A., van Busschbach, J. T., Michon, H. W. C., van Weeghel, J., & Swildens, W. E. (2018). The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation. Psychiatric Services, 69(8), 903-909. https://doi.org/10.1176/appi.ps.201700438

Author

Sanches, Sarita A. ; van Busschbach, Jooske T. ; Michon, Harry W. C. ; van Weeghel, Jaap ; Swildens, Wilma E. / The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation. In: Psychiatric Services. 2018 ; Vol. 69, No. 8. pp. 903-909.

Harvard

Sanches, SA, van Busschbach, JT, Michon, HWC, van Weeghel, J & Swildens, WE 2018, 'The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation', Psychiatric Services, vol. 69, no. 8, pp. 903-909. https://doi.org/10.1176/appi.ps.201700438

Standard

The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation. / Sanches, Sarita A.; van Busschbach, Jooske T.; Michon, Harry W. C.; van Weeghel, Jaap; Swildens, Wilma E.

In: Psychiatric Services, Vol. 69, No. 8, 08.2018, p. 903-909.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Sanches SA, van Busschbach JT, Michon HWC, van Weeghel J, Swildens WE. The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation. Psychiatric Services. 2018 Aug;69(8):903-909. https://doi.org/10.1176/appi.ps.201700438


BibTeX

@article{5c76dfcbccac453c9c2fdf93885cf889,
title = "The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation",
abstract = "Objective: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used.Methods: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76). Working alliance was measured with the Working Alliance Inventory (WAI) from the practitioner's perspective. Rehabilitation practitioners had backgrounds in social work, nursing, or vocational rehabilitation. Multiple logistic regression and multiple regression analyses explored effects of working alliance on goal attainment and of goal attainment on subjective quality of life at 24 months. Analyses were controlled for client-and process-related predictors, baseline quality of life, and rehabilitation approach.Results: The WAI goal subscale predicted goal attainment at 24 months. No effect was found for the bond or task subscale. Goal attainment significantly predicted quality of life at 24 months. These effects were independent of the rehabilitation approach used.Conclusions: A good bond between client and practitioner is not enough to attain successful rehabilitation outcomes. Findings suggest that it is important to discuss clients' wishes and ambitions and form an agreement on goals. Attaining rehabilitation goals directly influenced the subjective quality of life of individuals with serious mental illness, which underscores the importance of investing in these forms of client support.",
keywords = "SEVERE MENTAL-ILLNESS, RANDOMIZED CONTROLLED-TRIAL, SHARED DECISION-MAKING, RATING-SCALE, VOCATIONAL-REHABILITATION, THERAPEUTIC RELATIONSHIP, POOLED ANALYSIS, HEALTH-CARE, SCHIZOPHRENIA, OUTCOMES",
author = "Sanches, {Sarita A.} and {van Busschbach}, {Jooske T.} and Michon, {Harry W. C.} and {van Weeghel}, Jaap and Swildens, {Wilma E.}",
year = "2018",
month = aug,
doi = "10.1176/appi.ps.201700438",
language = "English",
volume = "69",
pages = "903--909",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "AMER PSYCHIATRIC PUBLISHING, INC",
number = "8",

}

RIS

TY - JOUR

T1 - The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation

AU - Sanches, Sarita A.

AU - van Busschbach, Jooske T.

AU - Michon, Harry W. C.

AU - van Weeghel, Jaap

AU - Swildens, Wilma E.

PY - 2018/8

Y1 - 2018/8

N2 - Objective: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used.Methods: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76). Working alliance was measured with the Working Alliance Inventory (WAI) from the practitioner's perspective. Rehabilitation practitioners had backgrounds in social work, nursing, or vocational rehabilitation. Multiple logistic regression and multiple regression analyses explored effects of working alliance on goal attainment and of goal attainment on subjective quality of life at 24 months. Analyses were controlled for client-and process-related predictors, baseline quality of life, and rehabilitation approach.Results: The WAI goal subscale predicted goal attainment at 24 months. No effect was found for the bond or task subscale. Goal attainment significantly predicted quality of life at 24 months. These effects were independent of the rehabilitation approach used.Conclusions: A good bond between client and practitioner is not enough to attain successful rehabilitation outcomes. Findings suggest that it is important to discuss clients' wishes and ambitions and form an agreement on goals. Attaining rehabilitation goals directly influenced the subjective quality of life of individuals with serious mental illness, which underscores the importance of investing in these forms of client support.

AB - Objective: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used.Methods: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76). Working alliance was measured with the Working Alliance Inventory (WAI) from the practitioner's perspective. Rehabilitation practitioners had backgrounds in social work, nursing, or vocational rehabilitation. Multiple logistic regression and multiple regression analyses explored effects of working alliance on goal attainment and of goal attainment on subjective quality of life at 24 months. Analyses were controlled for client-and process-related predictors, baseline quality of life, and rehabilitation approach.Results: The WAI goal subscale predicted goal attainment at 24 months. No effect was found for the bond or task subscale. Goal attainment significantly predicted quality of life at 24 months. These effects were independent of the rehabilitation approach used.Conclusions: A good bond between client and practitioner is not enough to attain successful rehabilitation outcomes. Findings suggest that it is important to discuss clients' wishes and ambitions and form an agreement on goals. Attaining rehabilitation goals directly influenced the subjective quality of life of individuals with serious mental illness, which underscores the importance of investing in these forms of client support.

KW - SEVERE MENTAL-ILLNESS

KW - RANDOMIZED CONTROLLED-TRIAL

KW - SHARED DECISION-MAKING

KW - RATING-SCALE

KW - VOCATIONAL-REHABILITATION

KW - THERAPEUTIC RELATIONSHIP

KW - POOLED ANALYSIS

KW - HEALTH-CARE

KW - SCHIZOPHRENIA

KW - OUTCOMES

U2 - 10.1176/appi.ps.201700438

DO - 10.1176/appi.ps.201700438

M3 - Article

C2 - 29734920

VL - 69

SP - 903

EP - 909

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 8

ER -

ID: 61640728