The systematic review of the alliance literature for guided IPIs by Pihlaja et al [ 23 ] examined only studies for which support was delivered via email and similarly found that the strength of the alliance was predictive of outcomes in some studies, whereas in others, the direction was positive but did not reach statistical significance.
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Relationship Factors in Internet-Delivered Psychological Interventions for Veterans Experiencing Postpartum Depression: Qualitative Analysis.
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