Preliminary Findings on the Use of Session Questionnaires to Improve Clinician-Client Alliance With Special Consideration to Clinical Education ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client ... Article
Article  |   June 01, 2015
Preliminary Findings on the Use of Session Questionnaires to Improve Clinician-Client Alliance With Special Consideration to Clinical Education
Author Affiliations & Notes
  • Anu Subramanian
    Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN
  • Financial Disclosure: Anu Subramanian is a clinical associate professor at Purdue University.
    Financial Disclosure: Anu Subramanian is a clinical associate professor at Purdue University.×
  • Nonfinancial Disclosure: Anu Subramanian has previously published in the subject area.
    Nonfinancial Disclosure: Anu Subramanian has previously published in the subject area.×
Article Information
Research Issues, Methods & Evidence-Based Practice / Professional Issues & Training / Articles
Article   |   June 01, 2015
Preliminary Findings on the Use of Session Questionnaires to Improve Clinician-Client Alliance With Special Consideration to Clinical Education
SIG 11 Perspectives on Administration and Supervision, June 2015, Vol. 25, 50-60. doi:10.1044/aas25.1.50
History: Received March 26, 2015 , Revised May 1, 2015 , Accepted May 1, 2015
SIG 11 Perspectives on Administration and Supervision, June 2015, Vol. 25, 50-60. doi:10.1044/aas25.1.50
History: Received March 26, 2015; Revised May 1, 2015; Accepted May 1, 2015

ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client and clinician is the use of outcome questionnaires. In the current study, eight parents of toddlers who attended therapy sessions at a university clinic responded to a session outcome questionnaire that included both rating scale and descriptive questions. Six graduate students completed a survey that included a question about the utility of the questionnaire. Results indicated that the descriptive questions added value and information compared to using only the rating scale. The students were varied in their responses regarding the effectiveness of the questionnaire to increase their comfort with parents. Information gathered from the questionnaire allowed for specific feedback to graduate students to change behaviors and created opportunities for general discussions regarding effective therapy techniques. In addition, the responses generated conversations between the client and clinician focused on clients' concerns. Involving the stakeholder in identifying both effective and ineffective aspects of therapy has advantages for clinical practice and education.

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