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Revised Helping Alliance Questionnaire (HAQ-II)
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About Revised Helping Alliance Questionnaire (HAQ-II)
Scale Name
Revised Helping Alliance Questionnaire (HAQ-II)
Author Details
L Luborsky, J P Barber, L Siqueland, S Johnson, L M Najavits, A Frank, D Daley
Translation Availability
Not Sure
Background/Description
The Revised Helping Alliance Questionnaire (HAQ-II) is a widely used instrument that measures the therapeutic alliance between clients and clinicians. Originally developed to improve the understanding of how the therapeutic relationship influences treatment outcomes, the HAQ-II has been adapted for various clinical settings, including individual therapy and counseling. The tool emphasizes the collaborative and affective bond between the client and therapist, which is considered essential for effective therapeutic work. Its revised format improves clarity and effectiveness in measuring both the client’s and therapist’s perception of their alliance.
Administration, Scoring and Interpretation
- Explain the purpose of the questionnaire to both clients and therapists, emphasizing that responses should reflect genuine experiences and perceptions.
- Ensure confidentiality and create a comfortable setting to encourage openness.
- The HAQ-II consists of items rated on a Likert scale, covering aspects like trust, empathy, and collaborative goal-setting.
- Both clients and therapists complete the questionnaire independently to assess alignment in their perception of the therapeutic relationship.
Reliability and Validity
- Reliability: The HAQ-II has demonstrated high internal consistency, making it a reliable measure for assessing therapeutic alliance across different sessions and settings.
- Validity: The questionnaire is validated through empirical studies showing strong correlations between alliance scores and treatment success, establishing its efficacy in clinical research and practice.
Available Versions
19-Items
Reference
Luborsky, L., Barber, J. P., Siqueland, L., Johnson, S., Najavits, L. M., Frank, A., & Daley, D. (1996). The Revised Helping Alliance Questionnaire (HAq-II) : Psychometric Properties. The Journal of psychotherapy practice and research, 5(3), 260–271.
Important Link
Scale File:
Frequently Asked Questions
What aspects of the therapeutic relationship does HAQ-II measure?
The HAQ-II assesses trust, empathy, collaboration, and mutual understanding between the client and therapist.
Who can administer the HAQ-II?
It can be administered by clinicians, therapists, and researchers working with clients in therapeutic settings.
How frequently should the HAQ-II be administered?
It can be used periodically during treatment to monitor alliance progress, typically at the start, midpoint, and end of therapy.
Is the HAQ-II suitable for all types of therapy?
Yes, it is applicable to various therapeutic modalities, including individual, couple, and family therapy.
How can therapists use HAQ-II results to improve treatment?
By identifying clients’ perceptions, therapists can adapt their approach to strengthen rapport and address any alliance challenges.
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