Moreira João, Domingues Lúcia, Silva Margarida, Caeiro Carmen
Department of Physical Medicine and Rehabilitation, Hospital Amato Lusitano, Unidade Local de Saúde de Castelo Branco, 6000-085 Castelo Branco, Portugal.
Instituto Politécnico de Setúbal, Escola Superior de Saúde, 2914-503 Setúbal, Portugal.
Healthcare (Basel). 2024 Dec 5;12(23):2455. doi: 10.3390/healthcare12232455.
BACKGROUND/OBJECTIVES: Implementing a person-centered practice is considered a priority in healthcare, and the development of a solid and positive therapeutic relationship is a fundamental element. This study conducted a cross-cultural adaptation of the Person-Centered Therapeutic Relationship in Physiotherapy Scale to European Portuguese and contributed to its validation through the study of its structural validity and internal consistency.
This study was conducted from October 2021 to July 2023 and included two phases: a methodological study of cross-cultural adaptation (phase 1) and a transversal study to assess the psychometric properties (phase 2). Structural validity was analyzed using exploratory factor analysis and internal consistency was estimated using Cronbach's alpha (α). A -value < 0.05 was considered to indicate statistical significance.
The Person-Centered Therapeutic Relationship in Physiotherapy Scale was successfully culturally adapted to European Portuguese (phase 1). During phase 2, 203 individuals [mean age: 50.16 ± 13.10 years (range 18-80 years)] with musculoskeletal conditions, mostly female (63.1%), were recruited. The factorial solution explained 74.7% of the total variability and retained three factors, grouping items 9 to 15 in a common factor (professional empowerment and therapeutic communication). Adequate internal consistency was found (Cronbach's α = 0.889).
This study culturally adapted an instrument to European Portuguese, which allows the assessment of the person-centered therapeutic relationship in physiotherapy, presenting adequate internal consistency. Future studies should contribute to the remaining validation of the instrument so that it can be available to the Portuguese population.
背景/目的：实施以患者为中心的实践被视为医疗保健的优先事项，而建立牢固且积极的治疗关系是一个基本要素。本研究对《物理治疗中以患者为中心的治疗关系量表》进行了跨文化改编，使其适用于欧洲葡萄牙语，并通过对其结构效度和内部一致性的研究，为该量表的验证做出了贡献。
本研究于2021年10月至2023年7月进行，包括两个阶段：跨文化改编的方法学研究（第1阶段）和评估心理测量特性的横断面研究（第2阶段）。使用探索性因子分析来分析结构效度，并使用克朗巴赫α系数（α）来估计内部一致性。P值<0.05被认为具有统计学意义。
《物理治疗中以患者为中心的治疗关系量表》成功地在文化上适应了欧洲葡萄牙语（第1阶段）。在第2阶段，招募了203名患有肌肉骨骼疾病的个体[平均年龄：50.16±13.10岁（范围18 - 80岁）]，其中大多数为女性（63.1%）。因子分析结果解释了总变异的74.7%，并保留了三个因子，将第9至15项归为一个共同因子（专业赋权和治疗性沟通）。发现内部一致性良好（克朗巴赫α系数=0.889）。
本研究在文化上使一种工具适用于欧洲葡萄牙语，该工具可用于评估物理治疗中以患者为中心的治疗关系，且具有良好的内部一致性。未来的研究应有助于该工具的其余验证工作，以便葡萄牙人群能够使用。
