{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:21:31Z","timestamp":1790896891438,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T00:00:00Z","timestamp":1552435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Multiple factors can influence the working alliance and treatment outcome in speech and language therapy. The \u2018working alliance\u2019 is an important concept in treatment and can be described as the degree to which a treatment dyad is engaged in collaborative, purposive work. To date, relatively little attention has been paid to this concept within speech and language treatment in general, and within stuttering treatment research in particular.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To investigate the role of the working alliance within stuttering treatment, and to evaluate whether the quality of the working alliance correlated with clients\u2019 concept of motivation and treatment outcomes 6 months post\u2010therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods &amp; Procedures<\/jats:title>\n                    <jats:p>Eighteen adults (21\u201061 years) participated in this multiple single\u2010case treatment study, with treatment facilitated by an experienced speech and language therapist. The working alliance was investigated using the Working Alliance Inventory\u2014Short Version Revised (WAI\u2010SR), an Extended version of the Client Preferences for Stuttering Treatment (CPST\u2010E), the Overall Assessment of Speakers\u2019 Experience of Stuttering\u2014Adult version (OASES\u2010A), the Wright &amp; Ayre Stuttering Self\u2010Rating Profile (WASSP) and the Hospital Anxiety and Depression Scale (HADS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes &amp; Results<\/jats:title>\n                    <jats:p>Analyses demonstrated significant associations between the working alliance and client motivation (r = 0.781) and treatment outcomes (r = 0.644) 6 months post\u2010treatment. The association between client\u2010led goals and therapy tasks appeared particularly important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions &amp; Implications<\/jats:title>\n                    <jats:p>: The working alliance between speech and language therapists and persons who stutter matters. Within the alliance, the level of client\u2013clinician agreement on treatment goals and therapy tasks may be of greater importance than the bond between client and clinician. Further research with greater numbers of participants is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.12465","type":"journal-article","created":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T17:38:39Z","timestamp":1552498719000},"page":"606-619","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["The working alliance in stuttering treatment: a neglected variable?"],"prefix":"10.1111","volume":"54","author":[{"given":"Hilda","family":"S\u00f8nsterud","sequence":"first","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"},{"name":"Statped Department of Speech and Language Disorders  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Kirmess","sequence":"additional","affiliation":[{"name":"Department of Special Needs Education University of Oslo  Oslo Norway"},{"name":"Sunnaas Rehabilitation Hospital  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Howells","sequence":"additional","affiliation":[{"name":"Independent scholar  Wilmslow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ward","sequence":"additional","affiliation":[{"name":"University of Reading Speech Research Laboratory  Reading UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin Billaud","family":"Feragen","sequence":"additional","affiliation":[{"name":"Oslo University Hospital Centre for Rare Disorders  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margrethe Seeger","family":"Halvorsen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(02)00146-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20583"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.75.6.842"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12171"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0085885"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2011\/10-0034)"},{"key":"e_1_2_9_8_1","volume-title":"Understanding Hope After Stroke: A Systematic Review of the Literature Using Concept Analysis","author":"Bright F. 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