Therapeutic alliance, self-efficacy, and agency as mechanisms of change in blended care and routine psychotherapy

Key Points

• This research aims to explore how therapeutic alliance, self-efficacy, and agency contribute to change in blended care and routine psychotherapy.
• Analyzed therapeutic interactions in blended care and psychotherapy settings
• Assessed self-efficacy levels among participants
• Examined agency as a facilitator in the therapeutic process
• Identified dynamic and reciprocal associations among therapeutic alliance, self-efficacy, and agency
• Uncovered unexpected patterns in blended care groups that require further investigation