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DC Field | Value | Language |
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dc.contributor.author | Horton, A | - |
dc.contributor.author | Hebson, G | - |
dc.contributor.author | Holman, D | - |
dc.date.accessioned | 2020-10-13T15:38:26Z | - |
dc.date.available | 2020-10-13T15:38:26Z | - |
dc.date.issued | 2021-01-28 | - |
dc.identifier.citation | Horton, A., Hebson, G. and Holman, D. (2021) 'A longitudinal study of the turning points and trajectories of therapeutic relationship development in occupational and physical therapy', BMC Health Services Research, 21, 97, pp. 1-14. doi: 10.1186/s12913-021-06095-y. | en_US |
dc.identifier.uri | https://bura.brunel.ac.uk/handle/2438/21646 | - |
dc.description.abstract | © The Author(s). 2021. Background: The importance of the therapeutic relationship is widely recognised across healthcare professions. Despite the importance of therapeutic relationships, there are significant gaps in the knowledge base on how these relationships develop. To address these gaps, this study explores relationship dynamics by identifying relational turning points and trajectories in therapeutic relationships between occupational therapists and physical therapists and their patients. The implications for how a focus on these relational aspects can enhance clinical practice will be discussed. Methods: Data collection was based on the Retrospective Interview Technique and consisted of two phases. In the first phase patients and therapists were asked to tell the story of their therapeutic relationship development and as part of this, identify the turning points that occurred. In the second phase, therapists-patient dyads were observed from their first interaction to their last to identify potential turning points and at the end of the relationship a participant verification interview was conducted with both dyadic partners individually. Template analysis was used to analyse the data. Results: Therapists identified 6 distinct categories of turning points; Progress Towards Goals, Set-backs in Progress Towards Goals, Interpersonal Affective Bonding with Patients, Interpersonal Problems with Patients, Positive Feedback, and Negative Feedback. Patients identified 5 categories of turning points; Progress Towards Goals, Set- backs in Progress Towards Goals, Interpersonal Affective Bonding with Therapists, Agreement with Therapist and Change in Treatment. These turning points varied regarding their impact on the trajectory of the therapeutic relationship. The trajectory patterns identified were stable, upward, downward, and multidirectional. Conclusion: This study makes an important contribution to our understanding of therapeutic relationship dynamics in the occupational and physical therapy context. The results expose the challenges that therapists and patients face in building high-quality therapeutic relationships, the diversity of therapeutic relationships, and how these relationships develop over time. This is the first study to use a turning point analysis in research on therapeutic relationships. | en_US |
dc.language | English | - |
dc.language.iso | en | en_US |
dc.publisher | BioMed Central, part of Springer Nature | en_US |
dc.rights | Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (https://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.subject | therapeutic relationship | en_US |
dc.subject | turning point analysis | en_US |
dc.subject | therapeutic alliance | en_US |
dc.subject | helping relationship | en_US |
dc.subject | occupational therapy | - |
dc.subject | physical therapy | - |
dc.title | A longitudinal study of the turning points and trajectories of therapeutic relationship development in occupational and physical therapy | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.1186/s12913-021-06095-y | - |
dc.relation.isPartOf | BMC Health Services Research | - |
pubs.publication-status | Published | - |
Appears in Collections: | Dept of Health Sciences Research Papers |
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