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The Working Alliance Inventory for guided Internet interventions (WAI-I).

Juan Martín Gómez Penedo1, Thomas Berger1, Martin Grosse Holtforth1,2

  • 1Department of Clinical Psychology and Psychotherapy, University of Bern, Switzerland.

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|June 27, 2019
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Summary

The Working Alliance Inventory adapted for guided Internet interventions (WAI-I) is a reliable and valid tool for assessing therapeutic alliance in online mental health. This finding supports further research and development in digital mental healthcare.

Keywords:
Internet-based interventionsWorking Alliance Inventoryonline interventionstherapeutic allianceworking alliance

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Area of Science:

  • Psychology
  • Psychiatry
  • Digital Health

Background:

  • Guided Internet interventions are increasingly used for mental health treatment.
  • Assessing the therapeutic alliance is crucial for understanding treatment effectiveness.
  • Existing tools may not be optimized for the unique context of online interventions.

Purpose of the Study:

  • To analyze the psychometric properties of the Working Alliance Inventory adapted for guided Internet interventions (WAI-I).
  • To validate the WAI-I as a reliable and accurate measure of therapeutic alliance in digital mental health settings.

Main Methods:

  • Confirmatory factor analyses (CFA) were conducted on data from 223 patients undergoing a guided Internet intervention for depression.
  • The study examined two- and three-factor solutions for the WAI-I.
  • Internal consistency (Cronbach's α) and external validity (correlations with satisfaction and attitudes questionnaires) were assessed.

Main Results:

  • A two-factor solution for the WAI-I demonstrated a very good model fit.
  • The WAI-I exhibited evidence of factor independency, adequate internal consistency, and external validity.
  • The instrument effectively captured the therapeutic alliance in the context of guided Internet interventions.

Conclusions:

  • The WAI-I is a reliable and valid instrument for measuring therapeutic alliance in guided Internet interventions.
  • This validated tool can facilitate process-outcome research and treatment development in digital mental health.
  • The findings support the use of the WAI-I to enhance the understanding and efficacy of online psychological treatments.