Gutiérrez-Sánchez Daniel, Pérez-Cruzado David, Cuesta-Vargas Antonio I
Department of Physiotherapy, Clinimetric Group FE-14, Biomedical Research Institute of Malaga, Malaga, Spain.
Department of Nursing and Podiatry, University of Malaga, Malaga, Spain.
Physiother Can. 2021 Summer;73(3):212-217. doi: 10.3138/ptc-2019-0077.
Interest in measuring the therapeutic alliance has grown in recent years in both the clinical field and the literature. Several instruments can be used to measure the therapeutic alliance in physiotherapy, and choosing the most appropriate one is challenging. The purpose of this systematic review was to (1) identify the instruments that have been used to evaluate the therapeutic alliance in physiotherapy and (2) appraise the methodological quality of studies of the psychometric properties of these instruments. The researchers carried out a systematic search in MEDLINE, SciELO, PsycINFO, Theseus, Cochrane Library, and Open Grey. Only articles published in English and Spanish were included. The articles were evaluated by two independent reviewers in accordance with the - (COSMIN) and Preferred Reporting items for Systematic Review and Meta-Analysis standards, using the four-point COSMIN checklist. Four studies were included in this review, and four instruments evaluated the therapeutic alliance in physiotherapy. The methodological quality of the studies was fair for most of the psychometric characteristics analyzed. The Working Alliance Inventory is the best instrument to measure therapeutic alliance and the measure that had the greatest number of psychometric properties evaluated against the COSMIN standard. More studies of high methodological quality are required to evaluate the psychometric properties of the instruments used to assess the therapeutic alliance in physiotherapy.
近年来，临床领域和文献中对测量治疗联盟的兴趣都有所增加。有几种工具可用于测量物理治疗中的治疗联盟，选择最合适的工具具有挑战性。本系统评价的目的是：（1）确定用于评估物理治疗中治疗联盟的工具；（2）评估这些工具心理测量特性研究的方法学质量。研究人员在MEDLINE、SciELO、PsycINFO、Theseus、Cochrane图书馆和Open Grey中进行了系统检索。仅纳入以英文和西班牙文发表的文章。文章由两名独立评审员根据《测量属性的批判性评估》（COSMIN）以及系统评价和Meta分析的首选报告项目标准，使用四点COSMIN清单进行评估。本评价纳入了四项研究，四项工具评估了物理治疗中的治疗联盟。对于分析的大多数心理测量特征，研究的方法学质量一般。工作联盟量表是测量治疗联盟的最佳工具，也是根据COSMIN标准评估的心理测量属性数量最多的测量工具。需要更多方法学质量高的研究来评估用于评估物理治疗中治疗联盟的工具的心理测量特性。
