Petek Davorina, Pušnik Ambrož, Selič Polona, Cedilnik-Gorup Eva, Trontelj Žan, Riou Marine, Yves Le Reste Jean
University of Ljubljana, Faculty of Medicine, Department of Family Medicine, Poljanski nasip 58, 1000 Ljubljana, Slovenia.
University of Ljubljana, Faculty of Medicine, Vrazov trg 2, 1000 Ljubljana, Slovenia.
Zdr Varst. 2019 Jan 21;58(1):21-30. doi: 10.2478/sjph-2019-0003. eCollection 2019 Mar.
Therapeutic alliance is a term most commonly associated with psychotherapeutic treatment, but recently its use has become increasingly significant in the other fields of medicine. An increasing amount of evidence implies that the quality of the therapeutic alliance between the doctor and patient substantially affects treatment outcomes. A European consensus chose the Working Alliance Inventory - Short Revised (WAI-SR) scale as the most efficient for European primary care. This paper presents the process of establishing the semantic and cultural equivalence of the two WAI-SR scales in Slovene.
As a part of a larger international project, a group of four experts translated the two WAI SR scales (physician and patient versions) from English into Slovene. Twenty-six Slovenian family medicine doctors participated in the process of obtaining semantic, idiomatic, experiential and conceptual equivalence in translation using a Delphi consensus procedure. Afterward, a cultural equivalence was made to adapt the translations within the national context.
Agreement on translation was achieved after two Delphi rounds. The back-translation and cultural equivalence were accomplished without major problems, with some minor additional linguistic corrections.
A Slovene version of the WAI-SR scale was successfully adapted and is available for further scale validation and research on therapeutic alliance.
治疗联盟是一个最常与心理治疗相关联的术语，但最近它在医学的其他领域中的应用变得越来越重要。越来越多的证据表明，医生与患者之间治疗联盟的质量会显著影响治疗结果。一项欧洲共识选择了工作联盟量表简版修订版（WAI-SR）作为欧洲初级保健中最有效的量表。本文介绍了斯洛文尼亚语版的两个WAI-SR量表建立语义和文化等效性的过程。
作为一个更大的国际项目的一部分，一组四位专家将两个WAI-SR量表（医生版和患者版）从英语翻译成斯洛文尼亚语。二十六位斯洛文尼亚家庭医学医生参与了使用德尔菲共识程序在翻译中获得语义、习语、经验和概念等效性的过程。之后，进行了文化等效性调整，以使翻译在本国语境中适用。
经过两轮德尔菲法后达成了翻译共识。回译和文化等效性的完成没有重大问题，只是进行了一些小的额外语言修正。
WAI-SR量表的斯洛文尼亚语版本已成功改编完成，可用于进一步的量表验证和治疗联盟研究。
