University of León, Health Sciences School, Nursing and Physical Therapy Department, Ponferrada León, Spain.
Universidad Cardenal Herrera-CEU, CEU Universities, Physical Therapy Department, Plaza Reyes Católicos, Elche, Alicante, Spain.
PLoS One. 2020 Mar 2;15(3):e0228916. doi: 10.1371/journal.pone.0228916. eCollection 2020.
This study sought to develop a tool for evaluating person-centered therapeutic relationships within physiotherapy services, and to examine the content validity of the same.
A mixed qualitative and quantitative study was performed in three distinct phases: 1) the items were generated based on a literature review and a content analysis of focus groups of patients and physiotherapists; 2) an e-Delphi survey process was performed based on three rounds to select and refine the proposed questionnaire; 3) two rounds of cognitive interviews were conducted to evaluate the comprehension of items, the clarity of language and the appropriateness and relevance of content.
Thirty-one items were generated based on the seven domains identified after the analysis of four focus groups of physiotherapists and four patient focus groups. Nine experts participated in the e-Delphi survey. Fifty-five patients participated in the two rounds of the cognitive pre-tests. Participating patients were from public and private physical therapy services. Based on the participants' suggestions, four items were removed, and four were added, whereas 16 were reworded.
The final tool comprised 31 items divided into seven domains. The response format was based on a 5-point Likert frequency scale. The response options ranged from "strongly agree" to "strongly disagree".
本研究旨在开发一种评估物理治疗服务中以患者为中心的治疗关系的工具，并检验其内容效度。
采用混合定性和定量研究方法，分三个阶段进行：1）基于文献回顾和患者与物理治疗师焦点小组的内容分析生成条目；2）通过三轮电子德尔菲调查过程选择和精炼拟议问卷；3）进行两轮认知访谈，以评估条目的理解、语言清晰度以及内容的适当性和相关性。
基于对四个物理治疗师焦点小组和四个患者焦点小组的分析，确定了七个领域，共生成了 31 个条目。9 名专家参加了电子德尔菲调查。55 名患者参加了两轮认知预测试。参与的患者来自公立和私立物理治疗服务机构。根据参与者的建议，删除了 4 个条目，添加了 4 个条目，对 16 个条目进行了重新措辞。
最终工具包括 31 个条目，分为七个领域。反应格式基于 5 点李克特频率量表。反应选项范围从“非常同意”到“非常不同意”。
