The "good enough" facilitator: elucidating the role of working alliance in the mechanism of facilitation.

ABSTRACT:

Background

While facilitation is a widely used implementation strategy with proven effectiveness, the development of the facilitator-recipient relationship, i.e., working alliance, has received limited attention. However, we hypothesize that working alliance may be part of the mechanism by which facilitation activates change. This study aimed to examine the associations between working alliance, facilitation, and change in clinical care in a hybrid type 3 trial of a manualized intervention, Getting to Implementation (GTI).

Methods

This concurrent triangulation mixed-methods study was conducted at 12 sites in a stepped-wedge trial. We collected surveys using the Working Alliance Inventory-Short instrument (WAI), which includes three subscales of goal alignment, task alignment

SUBMITTER: Yakovchenko V 

PROVIDER: S-EPMC11863522 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature