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Andrew Powell

The purpose of this narrative review is to highlight the potential relevance of therapeutic alliance as a concept to aid the conceptualization, design, and development of effective interventions that aim to increase the physical activity (PA) levels of older adults. Therapeutic alliance has been

Open access

TO OUR READERS: The copyright has changed in the ahead of print version of the following article: Powell, A. Therapeutic alliance and its potential application to physical activity interventions for older adults: A narrative review. Journal of Aging and Physical Activity . Advance online

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Eleftherios Paraskevopoulos, Georgios Gioftsos, Georgios Georgoudis, and Maria Papandreou

patient–provider relationship was highlighted in this study either through task-related support or through confidence in athletes when performing their exercise rehabilitation program. Thus, it can be speculated that an important contributor to ERA may be the development of therapeutic alliance (TA

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Abby Haynes, Catherine Sherrington, Geraldine Wallbank, David Lester, Allison Tong, Dafna Merom, Chris Rissel, and Anne Tiedemann

-directed goals. Together, these points strongly resonate with the concept of therapeutic alliance. Key factors in a sound therapeutic alliance are shared goal-setting and decision making, resulting in a tailored action plan that is congruent with the client’s values and circumstances and the development of a

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Jenny H. Conviser, Amanda Schlitzer Tierney, and Riley Nickols

the MDTT, and choosing activities that are positively engaging ( Plateau, Arcelus, McDermott, & Meyer, 2015 ). Identify agreed upon parameters for treatment and return to play and avoid rushing to complete treatment or re-establish full training and competition. Prioritize the therapeutic alliance

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Graig M. Chow, Lindsay M. Garinger, Jaison Freeman, Savanna K. Ward, and Matthew D. Bird

essential. Clinical and counseling research indicates that the therapeutic alliance, client expectations and preferences, and collaboration impact dropout rates by increasing the perceived benefits of services ( Tryon & Winograd, 2011 ). Interestingly, none of the practitioners discussed allowing the

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Nicole T. Gabana, Aaron D’Addario, Matteo Luzzeri, Stinne Soendergaard, and Y. Joel Wong

related to the athlete’s disposition and worldview (e.g., having a propensity toward gratitude; attributing success to a Creator; directing appreciation toward God). Paying due attention to these associations may enhance the therapeutic alliance and provide clinicians with starting points for discussion

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Carol R. Glass, Claire A. Spears, Rokas Perskaudas, and Keith A. Kaufman

skill, we encourage future research to include a measure of the therapeutic alliance or group cohesion, especially when comparing MSPE to other intervention programs. Finally, outcomes might be enhanced by increasing coach involvement, so that coaches could participate in MSPE with their athletes and

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Shelby J. Martin and Timothy Anderson

therapeutic alliance, which has been shown to increase patient self-disclosure and engagement in therapy ( Norcross & Wampold, 2011 ), may help facilitate this conversation and decrease treatment dropout among athletes. By working to destigmatize eating disorders and help-seeking for EP on an individual, team