# 20210824 What contribute to good therapy outcome? [[20210824 Thoughts about HOPES study]] http://www.ift-malta.com/wp-content/uploads/2012/06/change-therapy-process.pdf " 40% of what works is Relationships. Is this increase contact enhancing the frequency of contact, and building alliance? 30% Relationship factors also include behaviors provided by the therapist such as warmth, empathy, encouragement, and acceptance (Hubble et al., 1999). #therapeutic-relationship Client extra-therapeutic factors are estimated to contribute 40% to change (Miller et al., 1997). Sprenkle and Blow (2004) reported that client factors are the characteristics of personality of the client. Extra-therapeutic factors are components in the life and environment of the client that affect the occurrence of change, such as the client’s inner strengths, support system, environment, and chance events. More specific examples of these factors include faith, persistence, supportive family members, community involvement, job, or a crisis situation (Hubble et al., 1999). Relationship factors are estimated by Hubble and associates (1999) to account for 30% of the change. This set of factors represents the strength of the therapeutic alliance between the therapist and client(s). This alliance is the joint product of the therapist and client together focusing on the work of therapy (Sprenkle & Blow, 2004). Relationship factors also include behaviors provided by the therapist such as warmth, empathy, encouragement, and acceptance (Hubble et al., 1999). The last two components of the model, model/technique and hope/expectancy each attributed 15% to the change process. The model/technique component consists of the therapist’s theoretical orientation, therapeutic methods, strategies, or tactics implemented to move clients to take some action to improve themselves or their situation (Hubble et al., 1999). These factors represent the unique parts to specific theories of therapy (Sprenkle & Blow, 2004). Lastly, hope or expectancy refers to the client becoming hopeful and believing in the credibility of the treatment (Sprenkle & Blow, 2004)." "