Journal of Telemedicine and Telecare > Volume 14, Number 5 > Pp. 236-240

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RESEARCH Original articles

A paediatric therapeutic alliance occurs with distance intervention

Patricia Lingley-Pottie ^*   and Patrick J McGrath ^* 

^* IWK Health Centre, Halifax; Departments of Psychology, Pediatrics and Psychiatry, Dalhousie University, Halifax, Canada

Correspondence: Patricia Lingley-Pottie, 5850/5980 University Avenue, IWK Health Centre, 8^th Floor, Rm. K8531, PO Box 9700, Halifax, Nova Scotia B3K 6R8, Canada (Fax: +1 902 470 7912; Email: patricia.pottie{at}iwk.nshealth.ca)

We investigated whether a distance therapeutic alliance occurs when children receive manualized, cognitive-behavioural treatment via telephone, in the absence of face-to-face contact. The therapeutic alliance scores were measured in 55 child–parent pairs. The mean total Working Alliance Inventory child scores were 236 (95% confidence interval [CI]: 232, 240) and the mean parent scores were 245 (95% CI: 242, 247). Parent scores were significantly higher than child scores, although the difference may not be clinically meaningful. This study provides evidence that a strong therapeutic alliance does occur between child–coach and parent–coach pairs when treatment is delivered from a distance by non-professionals. The term ‘child’ encompasses both children and adolescents.

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