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- Title
The therapeutic relationship between a client and dietitian: A systematic integrative review of empirical literature.
- Authors
Nagy, Annaliese; McMahon, Anne; Tapsell, Linda; Deane, Frank
- Abstract
Aim: Scientific evidence underpins dietetics practice; however, evidence of how the therapeutic relationship influences outcomes is limited. This integrative review aims to provide a comprehensive overview of the topic of the therapeutic relationship between clients and dietitians in the individual counselling context by summarising empirical literature into qualitative themes. Methods: An electronic literature search of the Cumulative Index of Nursing and Allied Health Literature, PsychInfo, Scopus and Web of Science databases was conducted in October 2018 and repeated in February 2021. Studies were included if they explicitly referred to the therapeutic relationship (or associated terms), were based on study data and available in full text. Extracted data were checked by a second researcher and the methodological quality was evaluated independently by two researchers using the Mixed Methods Appraisal Tool. An iterative process of qualitatively coding, categorising and comparing data to examine recurring themes was applied. Results: Seventy‐six studies met the inclusion criteria. Five themes were identified which showed the extent and nature of research in this area. Studies revealed the therapeutic relationship: (i) is valued within clinical dietetic practice, (ii) involves complex and multifactorial interactions, (iii) is perceived as having a positive influence, (iv) requires skills training and (v) is embedded in practice models and tools. Conclusion: Studies show the therapeutic relationship is a valued and multifactorial component of clinical dietetic practice and is perceived to positively influence the client and dietitian. Observational data are needed to assess the extent to which the strength of the therapeutic relationship might contribute to clients' health outcomes.
- Subjects
CINAHL database; PSYCHOLOGY information storage &; retrieval systems; COMPUTER software; EXPERIMENTAL design; RESEARCH; COUNSELING; INTERDISCIPLINARY research; DIETITIANS' attitudes; DIETETICS education; SYSTEMATIC reviews; RESEARCH methodology; PATIENT-centered care; QUANTITATIVE research; INTERVIEWING; QUALITATIVE research; COMPARATIVE studies; SEARCH engines; DESCRIPTIVE statistics; MEDICAL referrals; PATIENT-professional relations; THEMATIC analysis; INFORMATION storage &; retrieval systems; THERAPEUTIC alliance; SECONDARY analysis
- Publication
Nutrition & Dietetics, 2022, Vol 79, Issue 3, p303
- ISSN
1446-6368
- Publication type
Article
- DOI
10.1111/1747-0080.12723