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Titre : | Patient- and Physical TherapistLevel Predictors of Patient-Reported Therapeutic Alliance: An Observational, Exploratory Study of Cohorts With Knee and Low Back Pain (2021) |
Auteurs : | Jason M. Beneciuk ; Lindsey Brown-Taylor ; Faris Alodaibi ; Stephen Kareha ; Rett Holmes ; Julie Fritz |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 12, 2021) |
Article en page(s) : | p. 2335-2342 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.05.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Alliance thérapeutique ; Auto-efficacité ; Douleur musculosquelettique ; Réadaptation |
Résumé : |
Objective
To identify patient- and physical therapistlevel predictors for therapeutic alliance at the end of an episode of physical therapy for knee or low back pain (LBP). Design Secondary analysis of observational cohort. Setting Outpatient physical therapy clinics. Participants Patients receiving physical therapy for knee (n=189) or LBP (n=252) and physical therapists (n=19). Candidate predictor variables included demographics, patient clinical characteristics, and physical therapist attitudes and beliefs (Pain Attitudes and Beliefs Scale for Physical Therapists) and confidence in providing patient-centered care (Self-Efficacy in Patient-Centeredness Questionnaire). Interventions Not applicable. Main Outcome Measures Patient-reported therapeutic alliance was measured using the 12-item Work Alliance InventoryShort Revised (WAI-SR). Results Final linear mixed models indicated different patient- and physical therapistlevel factor contributions in predicting final WAI-SR scores across cohorts with knee and LBP. Female sex was a consistent patient-level predictor for both knee (estimated β=1.57, P<.05 and lbp p with age baseline function contributing to cohorts knee respectively. physical therapist predictors included female sex pain attitudes beliefs scale for physiotherapists behavioral self-efficacy in patient-centeredness questionnaire exploring patient perspective subscale scores sepcq sharing information power both random effects patients nested within therapists were observed cohorts.> Conclusions These findings provide preliminary evidence for inconsistent relationships among patient- and physical therapistlevel factors and therapeutic alliance across cohorts with knee and LBP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321005062#! |