Alliance and Treatment Outcome in Family-Involved Treatment for Youth Problems: A Three-Level Meta-analysis.

The effect size for the correlation between alliance change scores and outcome just failed to reach significance, showing a trend ( r = .281, CI − .023, .538; p = .067), which suggests that alliances that improve during the treatment process might lead to more favorable treatment outcomes.

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If we take into account that our meta-analysis on alliance change scores and treatment outcome showed a marginally significant larger effect size compared to the association between level of alliance and outcome, our findings underline the importance of viewing the alliance as a dynamic process rather than a static, single-moment entity.

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Results of the analysis on the association between alliance change scores and treatment outcome showed a trend toward significance indicating a moderate association of r = .281, which is considerably larger than the correlation between level of alliance with fixed moment measures and treatment outcome ( r = .18).

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