The Computerized Cognitive Training Alliance – a proposal for a therapeutic alliance model for home-based computerized cognitive training
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The Computerized Cognitive Training Alliance – a proposal for a therapeutic alliance model for home-based computerized cognitive training. / Wilms, Inge Linda.
I: Heliyon, Bind 6, Nr. 1, e03254, 28.01.2020, s. 1-20.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The Computerized Cognitive Training Alliance – a proposal for a therapeutic alliance model for home-based computerized cognitive training
AU - Wilms, Inge Linda
PY - 2020/1/28
Y1 - 2020/1/28
N2 - BACKGROUND: To increase the number of hours available for cognitive rehabilitation, it may be an option to use the spouse or paid assistants to assist with computerized home training. However, the delegation of training responsibilities may affect the normal roles of the therapist, the spouse and the training assistants. OBJECTIVE: This article suggests a new model for understanding the impact of computerized home training on the therapeutic alliance between the therapist, the patient and training assistants. Aspects of this knowledge are relevant also for the development and use of computerized training systems in clinical settings. METHOD: Qualitative Interpretative Phenomenological Analysis (IPA) of semi-structured interviews was used to analyses the experience gained during home-based computerized cognitive training.RESULTS: Home-based computerized training enforces the delegation of aspects of the therapeutic alliance established between the therapist and the patient. The perceived authority of assistants and computer training systems may differ from the authority established through the patient/therapist alliance. Information may be lost in transition impacting skills and expertise long-term. CONCLUSION: Roles and responsibilities between the therapist, the assistants and the computerized training system need to be clearly defined. A Cognitive Training Alliance model is being proposed which takes into consideration the challenges of delegating training responsibility to computer systems and non-professional assistants.
AB - BACKGROUND: To increase the number of hours available for cognitive rehabilitation, it may be an option to use the spouse or paid assistants to assist with computerized home training. However, the delegation of training responsibilities may affect the normal roles of the therapist, the spouse and the training assistants. OBJECTIVE: This article suggests a new model for understanding the impact of computerized home training on the therapeutic alliance between the therapist, the patient and training assistants. Aspects of this knowledge are relevant also for the development and use of computerized training systems in clinical settings. METHOD: Qualitative Interpretative Phenomenological Analysis (IPA) of semi-structured interviews was used to analyses the experience gained during home-based computerized cognitive training.RESULTS: Home-based computerized training enforces the delegation of aspects of the therapeutic alliance established between the therapist and the patient. The perceived authority of assistants and computer training systems may differ from the authority established through the patient/therapist alliance. Information may be lost in transition impacting skills and expertise long-term. CONCLUSION: Roles and responsibilities between the therapist, the assistants and the computerized training system need to be clearly defined. A Cognitive Training Alliance model is being proposed which takes into consideration the challenges of delegating training responsibility to computer systems and non-professional assistants.
KW - Faculty of Social Sciences
KW - Psychology
KW - Clinical psychology
KW - Spousal impact
KW - The cognitive training alliance model
KW - Home training
KW - Caretaker involvement
KW - Computer-based cognitive rehabilitation
U2 - 10.1016/j.heliyon.2020.e03254
DO - 10.1016/j.heliyon.2020.e03254
M3 - Journal article
C2 - 32042977
VL - 6
SP - 1
EP - 20
JO - Heliyon
JF - Heliyon
SN - 2405-8440
IS - 1
M1 - e03254
ER -
ID: 162600093