Nübling Rüdiger, Kraft Maria, Henn Jessica, Kriz David, Lutz Wolfgang, Schmidt Jürgen, Wittmann Werner, Bassler Markus
GfQG Gesellschaft für Qualität im Gesundheitswesen, Karlsruhe.
FB I - Psychologie, Klinische Psychologie und Psychotherapie, Universität Trier.
Psychother Psychosom Med Psychol. 2017 Nov;67(11):465-476. doi: 10.1055/s-0043-111083. Epub 2017 Aug 30.
The Helping Alliance Questionnaire developed by Luborsky was psychometricly examined for the first time and translated into German by Bassler et al. in the mid-1990s. It consists of 11 Items, which are summarized to the scales "relation to the therapist" and "satisfaction with therapeutic outcome". HAQ is now one of the most used instruments to measure therapeutic alliance. The goal of this study was to test the psychometric properties based on three large patient samples in different treatment settings. Analyses were conducted based on 2 samples of patients in inpatient psychosomatic/psychotherapeutic rehabilitation (n=655, n=2494) and one sample in outpatient psychotherapy (n=1477). Exploratory factor analyses and for verification confirmatory factor analyses were applied. Furthermore reliability and validity analysis were conducted. The 2-factorial structure found in literature was replicated with an increasing stability at the end of treatment. Item 2 and 3 had inconsistent factor loadings at different points of measurement and study. Reliability and validity indices were satisfying to good. The fit of the model, on the other hand, was less satisfying and suggests a solution without Item 2 and 3. For reasons of content as well as for reasons of dissemination, it is pleaded for the maintenance of the existing item assignments in the HAQ for the present.
由卢伯斯基开发的《帮助联盟问卷》首次进行了心理测量学检验，并于20世纪90年代中期由巴斯勒等人翻译成德语。它由11个项目组成，这些项目被归纳为“与治疗师的关系”和“对治疗结果的满意度”量表。HAQ现在是测量治疗联盟最常用的工具之一。本研究的目的是基于不同治疗环境中的三个大型患者样本测试其心理测量学特性。分析是基于住院身心/心理治疗康复患者的两个样本（n = 655，n = 2494）和门诊心理治疗的一个样本（n = 1477）进行的。应用了探索性因素分析和用于验证的验证性因素分析。此外，还进行了信度和效度分析。文献中发现的二因素结构在治疗结束时以越来越高的稳定性得到了重复。项目2和3在不同的测量点和研究中具有不一致的因素负荷。信度和效度指标令人满意至良好。另一方面，模型的拟合度不太令人满意，表明需要去掉项目2和3的解决方案。出于内容以及传播的原因，目前主张维持HAQ中现有的项目分配。
