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Rodríguez-Nogueira Ó, Balaguer JM, Nogueira López A, Merino JR, Zamora-Conesa V, Moreno-Poyato AR. Adaptation of the person centered therapeutic relationship patient version (PCTR-PT) to a version for physiotherapists (PCTR-PHYS) and evaluation of its psychometric properties. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2023; 28:e2007. [PMID: 37070170 DOI: 10.1002/pri.2007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 03/27/2023] [Accepted: 04/03/2023] [Indexed: 04/19/2023]
Abstract
BACKGROUND AND PURPOSE The therapeutic relationship is a central component for developing person-centered care within physiotherapy services. However, it is necessary to understand how this relationship is perceived by both parties involved. The Person Centered Therapeutic Relationship-Patient scale (PCTR-PT) was constructed to identify patients' perceptions. No instruments are currently available to correlate patients' and physiotherapists' perceptions of the therapeutic relationship. This study sought to adapt the PCTR-PT to develop a version for physiotherapists, the Person Centered Therapeutic Relationship Scale for Physiotherapists (PCTR-PHYS) and to determine its psychometric properties. METHODS A three-stage study was performed: (1) item generation, (2) pretesting of the questionnaire, (3) analysis of psychometric properties. Factor validity and psychometric properties were analyzed by confirmatory factor analysis (CFA). Convergent validity was calculated. Internal consistency was verified using the Cronbach's alpha coefficient. The intraclass correlation coefficient (ICC) was used to examine temporal stability. RESULTS Thirty-three physiotherapists participated in two rounds of cognitive interviews and 343 participated in the analysis of psychometric properties. The CFA confirmed the four-structure model. Reliability of the tool was confirmed by Cronbach's alpha (α = 0.863) for all four dimensions, as all were above 0.70, ranging from 0.704 (relational bond) and 0.898 (therapeutic communication). Test-retest was performed with 2-week intervals, indicating an appropriate stability for the scale (ICC = 0.908). DISCUSSION The Person Centered Therapeutic Relationship Scale for Physiotherapists is a useful, valid and applicable instrument to evaluate the person-centered therapeutic relationship during physiotherapy interventions. It will enable the comparison of patients' and physiotherapists' perceptions. To provide person-centered care in physiotherapy services, there is a clear need to incorporate specific resources into clinical practice to evaluate the quality of the therapeutic relationship from the perspective of both the persons being treated and the professionals providing care.
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Affiliation(s)
- Óscar Rodríguez-Nogueira
- Department of Nursing and Physiotherapy, SALBIS Research Group, Universidad de León, Ponferrada, León, Spain
| | - Jaume Morera Balaguer
- Physical Therapy Department, CEU Universities, Universidad Cardenal Herrera-CEU, Alicante, Spain
| | - Abel Nogueira López
- Department of Physical Education and Sports, Universidad de León, León, Spain
| | - Juan Roldán Merino
- Campus Docent Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, Barcelona, Spain
| | - Víctor Zamora-Conesa
- Physical Therapy Department, CEU Universities, Universidad Cardenal Herrera-CEU, Alicante, Spain
| | - Antonio R Moreno-Poyato
- Mental health, psychosocial and complex nursing care research group (NURSEARCH), Barcelona, Spain
- Facultat de Medicina i Ciències de la Salut, Escola d´Infermeria Departament d'Infermeria de Salut Pública, Salut Mental I Materno Infantil, Universitat de Barcelona, Barcelona, Spain
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Arbillaga-Etxarri A, Lista-Paz A, Alcaraz-Serrano V, Escudero-Romero R, Herrero-Cortina B, Balañá Corberó A, Sebio-García R, Vilaró J, Gimeno-Santos E. [Respiratory physiotherapy in post-COVID-19: a decision-making algorithm for clinical practice]. OPEN RESPIRATORY ARCHIVES 2022; 4:100139. [PMID: 38620962 PMCID: PMC8507569 DOI: 10.1016/j.opresp.2021.100139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 09/13/2021] [Indexed: 01/06/2023] Open
Abstract
The outbreak of COVID-19 has posed a great challenge for the healthcare system which has been later aggravated by the need of managing clinical manifestations and potential sequelae in COVID-19 survivors. In this context, respiratory Physiotherapy emerges as a cornerstone in the interdisciplinary management warranted in this population. Given that the implementation and resources available for the interdisciplinary therapeutic interventions in Spain is scarce, it is essential to perform a comprehensive, exhaustive and personalised assessment. This will allow us to establish more accurate selection criteria in order to optimise the use of existing human and material resources. To this end, we propose here a decision-making algorithm for clinical practice to assess the clinical manifestations in people recovered from COVID-19 based on well-established, validated tests and assessment tools. This algorithm can be used at any clinical practice environment (primary care/community or hospital-based), combined with a patient-centered model and the use of community and e-Health resources and its application to improve the Physiotherapy care of these patients in the COVID-19 era.
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Affiliation(s)
- Ane Arbillaga-Etxarri
- Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Deusto, Gipuzkoa, España
| | - Ana Lista-Paz
- Facultad de Fisioterapia, Universidade da Coruña, A Coruña, España
| | - Victoria Alcaraz-Serrano
- Fundación Clínic para la Investigación Biomédica, Hospital Clínic de Barcelona, Barcelona, España
- Instituto de Salud Global de Barcelona (ISGlobal), Barcelona, España
- Facultad de Ciencias de la Salud Blanquerna, Universidad Ramon Llull, Barcelona, España
| | | | - Beatriz Herrero-Cortina
- Hospital Clínico Universitario Lozano Blesa, Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, España
- Universidad San Jorge, Campus Universitario, Zaragoza, España
| | - Ana Balañá Corberó
- Facultad de Ciencias de la Salud Blanquerna, Universidad Ramon Llull, Barcelona, España
- Servicio de Neumología, Hospital del Mar-IMIM, Barcelona, España
| | - Raquel Sebio-García
- Servicio de Rehabilitación, Hospital Clínic de Barcelona, Barcelona, España
- Instituto de Investigaciones Biomédicas Agustí Pi i Sunyer (IDIBAPS), Barcelona, España
| | - Jordi Vilaró
- Facultad de Ciencias de la Salud Blanquerna, Universidad Ramon Llull, Barcelona, España
- Global Research on Wellbeing (GRoW), Universidad Ramon Llull, Barcelona, España
| | - Elena Gimeno-Santos
- Instituto de Salud Global de Barcelona (ISGlobal), Barcelona, España
- Facultad de Ciencias de la Salud Blanquerna, Universidad Ramon Llull, Barcelona, España
- Servicio de Rehabilitación, Hospital Clínic de Barcelona, Barcelona, España
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McCabe E, Roduta Roberts M, Miciak M, Sun H(L, Gross DP. An investigation of the measurement properties of the physiotherapy therapeutic relationship measure in patients with musculoskeletal conditions. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2021. [DOI: 10.1080/21679169.2021.2005138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Erin McCabe
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | | | - Maxi Miciak
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | | | - Douglas P. Gross
- Department of Physical Therapy, University of Alberta, Edmonton, Canada
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McCabe E, Miciak M, Roduta Roberts M, Sun HL, Gross DP. Measuring therapeutic relationship in physiotherapy: conceptual foundations. Physiother Theory Pract 2021; 38:2339-2351. [PMID: 34632921 DOI: 10.1080/09593985.2021.1987604] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
The "therapeutic relationship" in physiotherapy refers to the beneficial or healing relationship between the patient and physiotherapist. Interest in researching therapeutic relationships in physiotherapy is growing and there is a need for a measure of therapeutic relationship with a strong conceptual foundation. Body of paper:We begin with a general discussion of the state of therapeutic relationship measurement in physiotherapy research - notably, how current research is based on measures borrowed and adapted from psychotherapy. Then, we introduce Miciak's physiotherapy therapeutic relationship framework, discuss why it offers a solid foundation for measurement development, and describe the key concepts in the framework. We then discuss various approaches to measuring therapeutic relationship, illustrating how Miciak's framework could be used to inform their development. We end by discussing current challenges in measuring therapeutic relationship and how these could be addressed.
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Affiliation(s)
- Erin McCabe
- Faculty of Rehabilitation Medicine, 3-48 Corbett Hall,University of Alberta, Edmonton, Alberta, Canada
| | - Maxi Miciak
- Faculty of Rehabilitation Medicine, 3-48 Corbett Hall,University of Alberta, Edmonton, Alberta, Canada
| | - Mary Roduta Roberts
- Department of Occupational Therapy, University of Alberta, 2-64 Corbett Hall, Edmonton,Alberta, Canada
| | - Haowei Linda Sun
- Division of Hematology, Department of Medicine, 4-112 Clinical Sciences Building, University of Alberta, Edmonton, Canada
| | - Douglas P Gross
- Department of Physical Therapy, 2-50 Corbett Hall, University of Alberta, Edmonton, Alberta, Canada
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Eversole J, Grimm A, Patel N, John K, Garcia AN. Why Measure Patient Experience in Physical Therapy? Arch Physiother 2021; 11:11. [PMID: 33934705 PMCID: PMC8091659 DOI: 10.1186/s40945-021-00105-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 03/12/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Patient experience is an important component of quality and patient centered health care not fully explored in physical therapy. MAIN BODY This article addresses (1) concept of patient experience, (2) importance of capturing the patient experience, (3) measures to capture patient experience and whether these measures exhibit psychometrically sound measurement properties, (4) relationship between patient experience and clinical effectiveness outcomes, and (5) clinical applications of patient experience measures in the outpatient physical therapy setting, including suggestions for future studies. SHORT CONCLUSION Employing patient experience measures into physical therapy practice may be an important key to improve clinical effectiveness outcomes and provide excellent patient-centered care delivery. An area of continued research should be focused on demonstrating the generalizability and measurement properties of patient reported experience measures for the musculoskeletal outpatient physical therapy population focusing first on the most common musculoskeletal conditions such as cervical, low back, and shoulder pain.
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Affiliation(s)
- Jacob Eversole
- College of Pharmacy & Health Sciences, Doctor of Physical Therapy Program, Campbell University, 4150 US 421 South, Lillington, NC, 27546, USA
| | - Ashton Grimm
- College of Pharmacy & Health Sciences, Doctor of Physical Therapy Program, Campbell University, 4150 US 421 South, Lillington, NC, 27546, USA
| | - Nikita Patel
- College of Pharmacy & Health Sciences, Doctor of Physical Therapy Program, Campbell University, 4150 US 421 South, Lillington, NC, 27546, USA
| | - Kelly John
- College of Pharmacy & Health Sciences, Doctor of Physical Therapy Program, Campbell University, 4150 US 421 South, Lillington, NC, 27546, USA
| | - Alessandra N Garcia
- College of Pharmacy & Health Sciences, Doctor of Physical Therapy Program, Campbell University, 4150 US 421 South, Lillington, NC, 27546, USA.
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Die personenzentrierte therapeutische Beziehung in der Physiotherapie: Entwicklung und Inhaltsvalidität eines Messinstruments. PHYSIOSCIENCE 2021. [DOI: 10.1055/a-1326-0058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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McCabe E, Miciak M, Roduta Roberts M, Sun H(L, Kleiner MJ, Holt CJ, Gross DP. Development of the Physiotherapy Therapeutic Relationship Measure. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2021. [DOI: 10.1080/21679169.2020.1868572] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Erin McCabe
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Maxi Miciak
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | | | | | | | | | - Douglas P. Gross
- Department of Physical Therapy, University of Alberta, Edmonton, Canada
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