{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:54:20Z","timestamp":1791406460560,"version":"4.3.3"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.pec.2026.109468","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T16:08:38Z","timestamp":1767715718000},"page":"109468","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Exploration of telehealth delivery modes and therapeutic alliance within an allied health student-led clinic."],"prefix":"10.1016","volume":"145","author":[{"given":"Briana Dahlia","family":"Ryan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4598-2055","authenticated-orcid":false,"given":"Kristie","family":"Matthews","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8684-3302","authenticated-orcid":false,"given":"Katrina","family":"Long","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3150-6154","authenticated-orcid":false,"given":"Terry","family":"Haines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pec.2026.109468_bib1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1046\/j.1440-1614.2003.01131.x","article-title":"The therapeutic alliance: The key to effective patient outcome? A descriptive review of the evidence in community mental health case management","volume":"37","author":"Howgego","year":"2003","journal-title":"Aust NZ J Psychiatry"},{"key":"10.1016\/j.pec.2026.109468_bib2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1300\/J004v19n02_03","article-title":"Therapeutic relationships re-defined","volume":"19","author":"Cole","year":"2002","journal-title":"Occup Ther Ment Health"},{"key":"10.1016\/j.pec.2026.109468_bib3","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1037\/h0085885","article-title":"The generalizability of the psychoanalytic concept of the working alliance","volume":"16","author":"Bordin","year":"1979","journal-title":"Psychother Theory Res Pract"},{"key":"10.1016\/j.pec.2026.109468_bib4","first-page":"e504","article-title":"Parent engagement and therapeutic alliance in allied health teletherapy programs","volume":"30","author":"Fairweather","year":"2021","journal-title":"Health Soc Care Community"},{"key":"10.1016\/j.pec.2026.109468_bib5","doi-asserted-by":"crossref","first-page":"477","DOI":"10.2522\/ptj.20130118","article-title":"Enhanced therapeutic alliance modulates pain intensity and muscle pain sensitivity in patients with chronic low back pain: an experimental controlled study","volume":"94","author":"Fuentes","year":"2014","journal-title":"Phys Ther"},{"issue":"4","key":"10.1016\/j.pec.2026.109468_bib6","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1080\/10503307.2015.1114687","article-title":"Convergence in patient\u2013therapist therapeutic alliance ratings and its relation to outcome in chronic depression treatment","volume":"27","author":"Laws","year":"2017","journal-title":"Psychother Res"},{"key":"10.1016\/j.pec.2026.109468_bib7","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1111\/1460-6984.12368","article-title":"Speech and language therapists\u2019 perspectives of therapeutic alliance construction and maintenance in aphasia rehabilitation post-stroke","volume":"53","author":"Lawton","year":"2018","journal-title":"Int J Lang Commun Disord"},{"issue":"4","key":"10.1016\/j.pec.2026.109468_bib8","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1002\/capr.12753","article-title":"The linear pattern of therapeutic alliance development: Exploring the relationship between alliance trajectories over time and the outcomes of systemic psychotherapy treatment for adaptation disorders","volume":"24","author":"Prusi\u0144ski","year":"2024","journal-title":"Couns Psychother Res"},{"key":"10.1016\/j.pec.2026.109468_bib9","first-page":"85","article-title":"Exploring the meaning of value-based occupational therapy services from the perspectives of managers, therapists and clients","volume":"10","author":"Ren Wong","year":"2021","journal-title":"R Coll Occup Ther"},{"key":"10.1016\/j.pec.2026.109468_bib10","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s10591-021-09570-0","article-title":"Cultivating the therapeutic alliance in a telemental health setting","volume":"43","author":"Glass","year":"2021","journal-title":"Contemp Fam Ther"},{"issue":"8","key":"10.1016\/j.pec.2026.109468_bib11","first-page":"76","article-title":"Technology-based mental health treatment and the impact on the therapeutic alliance","volume":"21","author":"Lopez","year":"2019","journal-title":"Psychiatry Digit Age"},{"key":"10.1016\/j.pec.2026.109468_bib12","doi-asserted-by":"crossref","first-page":"26","DOI":"10.21037\/mhealth-23-15","article-title":"Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review","volume":"9","author":"Andino","year":"2023","journal-title":"Mhealth"},{"key":"10.1016\/j.pec.2026.109468_bib13","first-page":"72","article-title":"Exploring telemental health practice before, during, and after the COVID-19 pandemic","volume":"30","author":"Zhu","year":"2021","journal-title":"Int Soc Telemed eHealth"},{"key":"10.1016\/j.pec.2026.109468_bib14","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1111\/ap.12126","article-title":"Going the Extra Mile\u201d: Satisfaction and alliance findings from an evaluation of videoconferencing telepsychology in rural Western Australia","volume":"50","author":"Richardson","year":"2015","journal-title":"Aust Psychol"},{"key":"10.1016\/j.pec.2026.109468_bib15","doi-asserted-by":"crossref","DOI":"10.2196\/49942","article-title":"Comparison of telephone and video telehealth consultations: systematic review","volume":"25","author":"Byambasuren","year":"2023","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.pec.2026.109468_bib16","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1002\/cpp.2315","article-title":"Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta-analysis","volume":"25","author":"Norwood","year":"2018","journal-title":"Clin Psychol Psychother"},{"key":"10.1016\/j.pec.2026.109468_bib17","article-title":"Therapeutic alliance in videoconferencing psychotherapy compared to psychotherapy in person: A systematic review and meta-analysis","volume":"28","author":"Seuling","year":"2023","journal-title":"J Telemed Telecare"},{"key":"10.1016\/j.pec.2026.109468_bib18","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1921\/jpts.v13i2-3.858","article-title":"The benefits and challenges of student-led clinics within an Irish context","volume":"13","author":"Kavanagh","year":"2015","journal-title":"J Pract Teach Learn"},{"key":"10.1016\/j.pec.2026.109468_bib19","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1186\/s12872-020-01602-1","article-title":"Effect of student-led health interventions on patient outcomes for those with cardiovascular disease or cardiovascular disease risk factors: A systematic review","volume":"20","author":"Suen","year":"2020","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.pec.2026.109468_bib20","first-page":"37","article-title":"Measuring health outcomes, experience of care and cost of healthcare in student-led healthcare services: A literature review","volume":"23","author":"Simmons","year":"2022","journal-title":"Focus Health Prof Educ"},{"key":"10.1016\/j.pec.2026.109468_bib21","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s10900-017-0402-z","article-title":"Population health outcomes of a student-led free health clinic for an underserved population: A naturalistic study","volume":"43","author":"Stuhlmiller","year":"2017","journal-title":"J Community Health"},{"key":"10.1016\/j.pec.2026.109468_bib22","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/tct.12214","article-title":"Novel clinical learning from a student-led clinic","volume":"11","author":"Bostick","year":"2014","journal-title":"Clin Teach"},{"key":"10.1016\/j.pec.2026.109468_bib23","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","article-title":"The behaviour change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behaviour change interventions","volume":"46","author":"Michie","year":"2013","journal-title":"Ann Behav Med"},{"key":"10.1016\/j.pec.2026.109468_bib24","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1093\/fampra\/cmy113","article-title":"Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys","volume":"36","author":"Sturgiss","year":"2019","journal-title":"Fam Pract"},{"key":"10.1016\/j.pec.2026.109468_bib25","series-title":"The Working Alliance as a Conceptual Framework of Patient Centredness: The Development of the Primary Care Working Alliance Inventory","author":"Chan","year":"2008"},{"key":"10.1016\/j.pec.2026.109468_bib26","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3389\/fpsyg.2022.945294","article-title":"The Working Alliance Inventory\u2019s measurement properties: A systematic review","volume":"13","author":"Paap","year":"2022","journal-title":"Front Psychol"},{"key":"10.1016\/j.pec.2026.109468_bib27","doi-asserted-by":"crossref","first-page":"23","DOI":"10.3399\/bjgpopen20X101131","article-title":"Exploring the psychometric properties of the Working Alliance Inventory in general practice: a cross-sectional study","volume":"5","author":"Hunik","year":"2021","journal-title":"BJGP Open"},{"key":"10.1016\/j.pec.2026.109468_bib28","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1198\/000313006X152207","article-title":"On the so-called \u201cHuber Sandwich Estimator\u201d and \u201cRobust Standard Errors\u201d","volume":"60","author":"Freeman","year":"2012","journal-title":"Am Stat"},{"issue":"3","key":"10.1016\/j.pec.2026.109468_bib29","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1089\/tmj.2021.0074","article-title":"Environmental considerations for effective telehealth encounters: a narrative review and implications for best practice","volume":"28","author":"Duane","year":"2022","journal-title":"Telemed eHealth"},{"key":"10.1016\/j.pec.2026.109468_bib30","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1037\/a0035554","article-title":"Therapeutic alliance in face-to-face and telephone-administered cognitive behavioral therapy","volume":"82","author":"Stiles-Shields","year":"2014","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.pec.2026.109468_bib31","doi-asserted-by":"crossref","first-page":"3234","DOI":"10.3390\/nu14153234","article-title":"Effect of early and intensive telephone or electronic nutrition counselling delivered to people with upper gastrointestinal cancer on quality of life: a three-arm randomised controlled trial","volume":"14","author":"Huggins","year":"2022","journal-title":"Nutrients"},{"key":"10.1016\/j.pec.2026.109468_bib32","doi-asserted-by":"crossref","DOI":"10.2196\/16112","article-title":"Impact of the method of delivering electronic health behavior change interventions in survivors of cancer on engagement, health behaviors, and health outcomes: systematic review and meta-analysis","volume":"22","author":"Furness","year":"2020","journal-title":"J Med Internet Res"},{"issue":"1","key":"10.1016\/j.pec.2026.109468_bib33","first-page":"89","article-title":"Patient perceptions of audio-only versus video telehealth visits: a qualitative study among patients in an academic medical center setting","volume":"5","author":"Kruis","year":"2024","journal-title":"Telemed Rep"},{"key":"10.1016\/j.pec.2026.109468_bib34","article-title":"Outcomes, skill acquisition, and the alliance: Similarities and differences between clinical trial and student therapists","volume":"24","author":"Goldstein","year":"2020","journal-title":"Behav Res Ther"},{"key":"10.1016\/j.pec.2026.109468_bib35","doi-asserted-by":"crossref","DOI":"10.2196\/54636","article-title":"Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review","volume":"26","author":"Haydon","year":"2024","journal-title":"J Med Internet Res"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126000017?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126000017?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:24:54Z","timestamp":1791404694000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399126000017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":35,"alternative-id":["S0738399126000017"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2026.109468","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exploration of telehealth delivery modes and therapeutic alliance within an allied health student-led clinic.","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2026.109468","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109468"}}