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Development and validation of the Working Alliance Inventory Dutch version for use in rehabilitation setting

机译:在康复环境中使用的工作联盟清单荷兰版的开发与验证

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Background: In rehabilitation, therapeutic alliance is associated with improvements in clinical outcomes. The Working Alliance Inventory (WAI) measures therapeutic alliance and is frequently used in rehabilitation research; however, it has not been validated for rehabilitation. Objectives: To determine content validity, internal consistency and construct validity of the Working Alliance Inventory Rehabilitation Dutch Version (WAI-ReD). Methods: In phase 1, content and face validity of the WAI-ReD was judged by professionals (n = 15) and in phase 2 by patients (n = 22). In phase 3, 14 hypotheses were tested in patients (n = 138) regarding: content validity (i.e., missing items, floor, and ceiling effects); internal consistency; and construct validity (i.e., factor structural testing correlations of WAI-ReD scores with Session Rating Scale (SRS), the Helping Alliance Questionnaire II (HAQ-II), and Visual Analog Scale of Pain (VAS(pain))). Results: After phase 1 and phase 2, the WAI-ReD was formulated and tested. Content validity; missing items were negligible. Ceiling effects were present in all domains. Internal consistency; Cronbach's alpha ranged between 0.804 and 0.927. Construct validity; correlations between WAI-ReD, SRS, HAQ-II, and VAS(pain) fell within the hypothesized ranges. Conclusion: Eleven of the 14 hypotheses were not rejected confirming good clinimetric properties of the WAI-ReD. The WAI-ReD can be used in rehabilitation to measure therapeutic alliance.
机译:背景:在康复中,治疗联盟与临床结果的改善有关。工作联盟库存(WAI)衡量治疗联盟,经常用于康复研究;但是,它尚未验证康复。目标:确定内容有效性,内部一致性和建设工作联盟库存康复荷兰语版本(Wai-Rep)的有效性。方法:在阶段1中,Wai-red的含量和面部有效性由患者(n = 22)通过专业人士(n = 15)和阶段2判断。在第3阶段,在患者(n = 138)中测试了14个假设(即,缺少物品,地板和天花板效应);内部一致性;并构建有效性(即,WAI-RED分数与会话评级规模(SRS)的结构测试相关性,帮助联盟问卷II(HAQ-II)和疼痛的视觉模拟规模(VAS(疼痛)))。结果:1相和2相,配制并测试Wai-red。内容有效期;缺少物品可以忽略不计。所有领域都存在天花板效应。内部一致性; Cronbach的alpha范围在0.804和0.927之间。构建有效性; Wai-Red,SRS,Haq-II和VAS(疼痛)之间的相关性在假设范围内落下。结论:14个假设的11个未被拒绝证实Wai-Red的良好分支性质。 Wai-red可用于康复以测量治疗联盟。

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