Gerger Heike, Buergler Sarah, Sezer Dilan, Grethler Marc, Gaab Jens, Locher Cosima
Division of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, Switzerland.
School of Psychology, University of Plymouth, Plymouth, United Kingdom.
Front Psychiatry. 2020 Jan 10;10:897. doi: 10.3389/fpsyt.2019.00897. eCollection 2019.
Over the last years, the interest in understanding health improvements that occur due to non-specific treatment effects, rather than in response to the specific active treatment ingredients, increased. Nevertheless, investigations on patients' idiosyncratic perspectives on the non-specific aspects of the healing encounter or of the treatment itself that contribute to placebo effects are still rare. The (HEAL) offer a unique and parsimonious set of instruments to measure patients' views on a variety of non-specific aspects of the caring encounter. The HEAL items can be administered as computerized adaptive tests or short forms that assess the , the , , , , as well as . So far, no German version of the HEAL exists. The original 168 HEAL items were translated into German (HEAL-D) applying a translation-back-translation procedure. We examined the psychometric properties of HEAL-D in a sample of 165 participants who reported at least one healthcare visit during the last year. The German short forms of HEAL (HEAL-D-SF) showed good internal consistency and test-retest reliability. The factor structure observed in the English original items showed low to moderate model fit in our sample. The development of a German version of HEAL in addition to the original English items offers new possibilities for investigating patients' idiosyncratic perspectives on the non-specific aspects of treatments across language borders. We will close with presenting possible clinical application as well as promising and relevant future research directions using HEAL-D-SF, including for instance large-scale, cross-national investigations.
在过去几年中，人们越来越关注因非特异性治疗效果而非特定活性治疗成分所带来的健康改善。然而，关于患者对有助于安慰剂效应的治疗接触或治疗本身非特异性方面的特殊观点的研究仍然很少。“治疗体验与生活质量评估工具”（HEAL）提供了一套独特且简洁的工具，用于衡量患者对护理接触各种非特异性方面的看法。HEAL项目可以作为计算机自适应测试或简短形式进行施测，以评估患者对护理接触的满意度、治疗期望、医患关系、治疗态度、治疗意义感以及治疗体验。到目前为止，尚无HEAL的德语版本。最初的168个HEAL项目通过翻译-回译程序被翻译成德语（HEAL-D）。我们在165名参与者的样本中检验了HEAL-D的心理测量特性，这些参与者报告在过去一年中至少有一次医疗就诊经历。德语版的HEAL简短形式（HEAL-D-SF）显示出良好的内部一致性和重测信度。在英语原版项目中观察到的因素结构在我们的样本中显示出低到中等的模型拟合度。除了原始的英语项目外，开发德语版的HEAL为跨语言研究患者对治疗非特异性方面的特殊观点提供了新的可能性。我们将以介绍使用HEAL-D-SF的可能临床应用以及有前景和相关性的未来研究方向来结束本文，例如大规模的跨国调查。
