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. 2005 Oct;40(10):844-52.
doi: 10.1007/s00127-005-0972-4. Epub 2005 Sep 27.

Testing the Working Alliance Inventory (WAI) in a French primary care setting: predictive value and factor structure

Nicole Guédeney  1 , Jacques Fermanian, Florence Curt, Antonia Bifulco
Affiliations

Testing the Working Alliance Inventory (WAI) in a French primary care setting: predictive value and factor structure

Nicole Guédeney et al. Soc Psychiatry Psychiatr Epidemiol. 2005 Oct.

Abstract

Background: Working alliance has shown a predictive value of the outcome in different therapeutic settings but was not yet studied in a non-medical setting.

Methods: The predictive value and the factor structure of the Working Alliance Inventory (WAI) [36-item client version; as reported by Horvath and Greenberg (J Couns Psychol 36:223-233, 1989)] were studied in a French primary care setting on a sample of 130 adults accessing social services.

Results: The WAI total score completed after the first meeting was positively predictive of quality of the working alliance 4 months later. An exploratory factor analysis produced two orthogonal factors which explained 45.12% of the total variance: a first factor (23 items) labelled 'positive expectations about the usefulness of help' and a second factor (13 items) labelled 'absence of suspicion about the effects of help'.

Conclusions: The WAI is shown to be applicable to primary care social work settings to measure the working alliance phenomenon and predict disruption of practitioner-client relationship.

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