Seon W. Kim, Ph.D., is a 2023 graduate of the PhD Program in Marriage and Family Therapy at Antioch University, New England

Dissertation Committee:

  • Denzel L. Jones, Ph.D., Committee Chair
  • Kevin Lyness, Ph.D., Committee Member
  • Randall Dwanger, M.D., Committee Member


Therapeutic Alliance, Treatment Outcome, Treatment Completion, Clinical Videoconferencing, Marital Status, Substance Use Disorder, COVID-19

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This study aimed to contribute to understanding the relationship between therapeutic alliance (TA) and treatment outcome (TO) when comparing conventional (in-person treatment, IPT) with clinical videoconference-delivered treatment models in substance use disorder populations (SUD) during a global pandemic. Also, noting the importance of marital and family relationships in the treatment of substance use disorders, this study explored how marital status influenced the interaction of the therapeutic alliance and treatment outcomes. Utilizing the secondary data collected from an outpatient SUD treatment facility, this quantitative study conducted a moderated linear regression and moderated binary logistic regression to analyze the data. The results have confirmed that therapeutic alliance still significantly influences the treatment outcomes of clinical videoconferencing. However, the significant negative association also indicated that the way therapeutic alliance works in clinical videoconferencing may differ from in-person therapy. It showed that the TA-TO interaction was least robust in CV and best when combined with both IPT and CV. Also, the fact impact of the global pandemic must be considered in its influence on the study. Future studies should continue to expand on this finding to identify how TA-TO in IPT, CV, and both interact in the post-pandemic era.


Seon W. Kim

ORCID Scholar ID# 0009-0006-5271-615X