Faculty of Medicine, Universidad San Pablo CEU, Spain.
Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain; Motion in Brains Research Group, Institut of Neuroscience and Sciences of Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain; Institute of Neuroscience and Craniofacial Pain (INDCRAN), Madrid, Spain.
Patient Educ Couns. 2021 Mar;104(3):524-531. doi: 10.1016/j.pec.2020.09.024. Epub 2020 Sep 20.
The purpose of this study is to present the development and analysis of the factorial structure and psychometric properties of a new self-administered questionnaire (Therapeutic Alliance in Physiotherapy Questionnaire-Patients [CAF-P]) designed to measure therapeutic alliance in physiotherapy.
The sample included 204 patients with chronic pain attending nine primary care centres. The CAF-P was developed and validated using standard methodology, which included developing items, cognitive debriefing and psychometric validation.
CAF-P has excellent internal consistency, with Cronbach's α of 0.91 and an intraclass correlation coefficient (ICC) of 0.87. We propose a structure of two factors that explain 55.80 % of the variance. The convergent validity showed a moderate positive correlation with the probability of recommending treatment and with the level of satisfaction.
The CAF-P appears to be a valid and reliable instrument for measuring the therapeutic alliance perceived by patients in physiotherapy.
The results of the present study leads to further research to identify the differences in the therapeutic alliance construct between different settings or professions.
本研究旨在介绍一种新的自我管理问卷（物理治疗中的治疗联盟问卷-患者版 [CAF-P]）的开发和分析，该问卷旨在测量物理治疗中的治疗联盟。
该样本包括 204 名在 9 个初级保健中心就诊的慢性疼痛患者。CAF-P 是使用标准方法开发和验证的，包括开发项目、认知剖析和心理测量验证。
CAF-P 具有极好的内部一致性，克朗巴赫的 α 为 0.91，组内相关系数（ICC）为 0.87。我们提出了一个由两个因素构成的结构，该结构解释了 55.80%的方差。收敛有效性显示与治疗推荐概率和满意度水平呈中度正相关。
CAF-P 似乎是一种有效且可靠的工具，可用于测量患者在物理治疗中感知到的治疗联盟。
本研究的结果促使进一步研究以确定不同环境或专业之间治疗联盟结构的差异。
