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Development and validation of the therapeutic alliance in physiotherapy questionnaire for patients with chronic musculoskeletal pain
Authors:María Teresa Linares-Fernández  Roy La Touche  Joaquín Pardo-Montero
Affiliation:1. Faculty of Medicine, Universidad San Pablo CEU, Spain;2. Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain;3. Motion in Brains Research Group, Institut of Neuroscience and Sciences of Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain;4. Institute of Neuroscience and Craniofacial Pain (INDCRAN), Madrid, Spain;1. The Univeristy of Alabama, Tuscaloosa, AL 35487;2. HudsonAlpha Institute for Biotechnology, 800 Hudson Way, Huntsville, AL, 35806, United States;1. Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, USA;2. New York University School of Global Public Health, 715 Broadway, New York, NY, USA;3. Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, USA;4. Department of Communication, University of Utah, 255 Central Campus Dr, Salt Lake City, UT, USA;1. Murdoch Children’s Research Institute, Parkville, Australia;2. Melbourne Genomics Health Alliance, c/o Walter and Eliza Hall Institute, Parkville, Australia;3. Department of Paediatrics, University of Melbourne, Parkville, Australia;4. Victorian Clinical Genetics Services, The Royal Children''s Hospital, Parkville, Australia;5. Monash Genetics, Monash Health, Clayton, Australia;1. Univ. Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France;2. Department of Human and Social Sciences, Centre Léon Bérard, Lyon, France;3. Department of Digestive and Oncological Surgery, University of Lille, Claude Huriez University Hospital, Lille, France;4. Department of General Oncology, Centre Oscar Lambret, Lille, France;5. Department of Medical Oncology, University of Lille, Claude Huriez University Hospital, Lille, France;6. University of Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, UMR9020 – UMR-S 1277 – Canther – Cancer Heterogeneity, Plasticity and Resistance to Therapies, F-59000, Lille, France;7. Jean-Pierre Aubert Research Center, Neurosciences and Cancer, University of Lille, IMR-S 1172-JPArc, Lille, France;1. Johns Hopkins University School of Medicine, Baltimore MD – 733 N Broadway, Baltimore, MD, 21205, USA;2. University of Maryland School of Medicine, Baltimore MD – 655 W Baltimore St S, Baltimore, MD, 21201, USA;3. Children’s National Medical Center, Washington DC – 110 Irving St NW, Washington, DC, 20010, USA;1. Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Straße 7-11, 68167, Mannheim, Germany;2. Faculty of Human Sciences and Faculty of Medicine, Graduate School GROW – Gerontological Research on Well-being, University of Cologne, Albertus-Magnus-Platz, 50923, Cologne, Germany;3. Federal Centre for Health Education, Maarweg 149-161, 50825, Cologne, Germany;4. Department for General Medicine and Health Services Research, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany;5. Department of Pediatrics, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany;6. Division of Pediatric Epidemiology, Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Centre of the Johannes Gutenberg-University, Obere Zahlbacher Straße 69, 55131, Mainz, Germany
Abstract:ObjectiveThe purpose of this study is to present the development and analysis of the factorial structure and psychometric properties of a new self-administered questionnaire (Therapeutic Alliance in Physiotherapy Questionnaire-Patients [CAF-P]) designed to measure therapeutic alliance in physiotherapy.MethodsThe sample included 204 patients with chronic pain attending nine primary care centres. The CAF-P was developed and validated using standard methodology, which included developing items, cognitive debriefing and psychometric validation.ResultsCAF-P has excellent internal consistency, with Cronbach’s α of 0.91 and an intraclass correlation coefficient (ICC) of 0.87. We propose a structure of two factors that explain 55.80 % of the variance. The convergent validity showed a moderate positive correlation with the probability of recommending treatment and with the level of satisfaction.ConclusionsThe CAF-P appears to be a valid and reliable instrument for measuring the therapeutic alliance perceived by patients in physiotherapy.Practice implications: The results of the present study leads to further research to identify the differences in the therapeutic alliance construct between different settings or professions.
Keywords:Therapeutic alliance  Physiotherapy  Musculoskeletal pain
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