Distance therapeutic alliance: the participant's experience

ANS Adv Nurs Sci. Oct-Dec 2007;30(4):353-66. doi: 10.1097/01.ANS.0000300184.94595.25.


Access barriers to services result in extensive wait times. Distance delivery systems with no face-to-face contact are not yet widely accepted because of uncertainty about whether therapeutic alliance can exist. In this study, 131 participants completed a questionnaire designed to explore their distance treatment experience. The majority described positive comments about the relationship formed with their telephone coach including the strength/quality, coach attributes, and the inapprehension to disclose information to the coach. Moreover, 97% reported preference for distance treatment. Acceptance and integration of evidence-based distance delivery systems are a promising approach to primary healthcare reform.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Child Behavior Disorders / rehabilitation
  • Community Health Workers*
  • Depression, Postpartum / rehabilitation
  • Family Health
  • Female
  • Humans
  • Male
  • Medically Underserved Area
  • Mental Disorders / rehabilitation*
  • Middle Aged
  • Nova Scotia
  • Parenting
  • Patient Satisfaction*
  • Professional-Patient Relations*
  • Remote Consultation*
  • Rural Health Services
  • Telephone