Agnew Relationship Measure-5 (ARM-5)

synopsis（简介）

The ARM-5 is widely used by clinicians engaging in Feedback Informed Treatment  and is designed to be used used close to the end of a therapy session at regular intervals (either every session, 2nd session or every 3rd session).

The scale is the 5-item version of the Agnew Relationship Measure (ARM; Agnew, Davies, Stiles, Hardy, Barkham, & Shapiro, 1998), and is a self-report measure designed to assess the client-therapist alliance.

Given that therapeutic alliance is among the best predictors of treatment success, this tool can help clinicians identify risk of dropout as well as track any ruptures/repairs in the alliance. The ARM-5 has been shown to be equivalent to other scales such as the Session Rating Scale (SRS) in terms of predicting client outcomes (Bouchard, 2018).

The ARM-5 has been shown to be equivalent to other scales such as the Session Rating Scale (SRS) in terms of predicting client outcomes (Bouchard, 2018). The ARM-5 assesses three dimensions of alliance known to be important for treatment efficacy:Bond、Partnership、Confidence in therapy

ARM-5量表被广泛应用于临床医生的反馈式治疗中，其设计目的是在治疗疗程即将结束时定期使用（每次、第二次或第三次）。

该量表是阿格纽关系测量法（ARM；Agnew、Davies、Stiles、Hardy、Barkham 和 Shapiro，1998 年）的 5 个项目版本，是一种自我报告测量法，旨在评估客户与治疗师之间的联盟关系。

鉴于治疗联盟是治疗成功的最佳预测因素之一，该工具可以帮助临床医生识别辍学风险，并跟踪联盟中的任何破裂/修复情况。在预测客户结果方面，ARM-5 已被证明与会话评分量表（SRS）等其他量表相当（Bouchard，2018 年）。

在预测客户结果方面，ARM-5 已被证明与会话评分量表（SRS）等其他量表相当（Bouchard，2018）。ARM-5评估联盟的三个维度，已知这三个维度对治疗效果非常重要：纽带、伙伴关系、对治疗的信心。

Scoring and Interpretation（评分解释）

A total raw score ranging from 5 to 35 indicates the overall level of therapeutic alliance. In addition, scores are presented as “mean scores”, indicating the average responses (from 1 to 7). A percentile rank is presented using the mean and standard deviation from the Cahil et al. (2011) sample, indicating the level of alliance compared to a normative sample. The percentile should be interpreted with caution, however, given the data is significantly skewed with evident ceiling effects (max percentile = 91.4).

Research shows there is minimal psychometrically significant distinction between the three subscales (Bond, Partnership and Confidence). Therefore clinicians are encouraged to use the total alliance score, which is the most reliable and useful measure.

Bond (item 1) is the measure that encompasses the classic dimensions of client-therapist bond and feelings of therapist supportiveness.
Partnership (items 2 and 3) measures agreement on tasks, and agreement on goals.
Confidence (items 4 and 5) measures the client’s confidence in the treatment approach, as well as the perceived confidence the therapist has in their own techniques. Confidence has been identified as the strongest predictor of positive outcome, reflecting the therapist’s and client’s joint sense of progress and investment.

原始总分从 5 到 35 分不等，表示治疗联盟的总体水平。此外，分数以 "平均分 "的形式呈现，表示平均回答（从 1 到 7）。百分位数采用 Cahil 等人（2011 年）样本的平均值和标准差，表示与常模样本相比的联盟水平。然而，由于数据明显偏斜，且有明显的上限效应（最大百分位数 = 91.4），因此在解释百分位数时应谨慎。
研究表明，三个分量表（"纽带"、"伙伴关系 "和 "信心"）之间的心理统计学差异很小。因此，我们鼓励临床医生使用联盟总分，这是最可靠、最有用的测量方法。
结合（项目 1）是包含客户-治疗师结合和治疗师支持感等经典维度的测量。
伙伴关系（第 2 项和第 3 项）测量任务上的一致意见和目标上的一致意见。
信心（第 4 项和第 5 项）衡量客户对治疗方法的信心，以及治疗师对自身技术的信心。信心被认为是预测积极结果的最有力的指标，反映了治疗师和客户共同的进步感和投资感。