Development and validation of the Working Alliance Inventory Dutch version for use in rehabilitation setting.

Background: In rehabilitation, therapeutic alliance is associated with improvements in clinical outcomes. The Working Alliance Inventory (WAI) measures therapeutic alliance and is frequently used in rehabilitation research; however, it has not been validated for rehabilitation. Objectives: To determ...

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Published in:Physiotherapy Theory & Practice Vol. 35; no. 12; pp. 1292 - 1304
Main Authors: Paap, Davy, Schrier, Ernst, Dijkstra, Pieter U.
Format: research Journal Article
Published: Taylor & Francis Ltd Dec2019
Online Access:View this record in EBSCOhost
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      dt: Dec2019
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2018.1471112
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        atl: Development and validation of the Working Alliance Inventory Dutch version for use in rehabilitation setting.
      aug:
        au:
          Paap, Davy
          Schrier, Ernst
          Dijkstra, Pieter U.
        affil: Physical Therapy Sciences, program in Clinical Health Sciences, University Medical Center Utrecht, Utrecht, Netherlands
      sug:
        subj:
          Professional-Patient Relations Evaluation
          Instrument Construction
          Instrument Validation
          Internal Consistency
          Content Validity
          Construct Validity
          Rehabilitation Centers
          Human
          Scales
          Face Validity
          Hypothesis
          Visual Analog Scaling
          Coefficient alpha
          Pilot Studies
          Convenience Sample
          Data Analysis Software
          T-Tests
          Analysis of Variance
          Male
          Female
          Confidence Intervals
          Male
          Female
      ab: Background: In rehabilitation, therapeutic alliance is associated with improvements in clinical outcomes. The Working Alliance Inventory (WAI) measures therapeutic alliance and is frequently used in rehabilitation research; however, it has not been validated for rehabilitation. Objectives: To determine content validity, internal consistency and construct validity of the Working Alliance Inventory Rehabilitation Dutch Version (WAI-ReD). Methods: In phase 1, content and face validity of the WAI-ReD was judged by professionals (n = 15) and in phase 2 by patients (n = 22). In phase 3, 14 hypotheses were tested in patients (n = 138) regarding: content validity (i.e., missing items, floor, and ceiling effects); internal consistency; and construct validity (i.e., factor structural testing correlations of WAI-ReD scores with Session Rating Scale (SRS), the Helping Alliance Questionnaire II (HAQ-II), and Visual Analog Scale of Pain (VASpain)). Results: After phase 1 and phase 2, the WAI-ReD was formulated and tested. Content validity; missing items were negligible. Ceiling effects were present in all domains. Internal consistency; Cronbach's α ranged between 0.804 and 0.927. Construct validity; correlations between WAI-ReD, SRS, HAQ-II, and VASpain fell within the hypothesized ranges. Conclusion: Eleven of the 14 hypotheses were not rejected confirming good clinimetric properties of the WAI-ReD. The WAI-ReD can be used in rehabilitation to measure therapeutic alliance.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Unknown
    language: English
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