French Adaptation and Validation of the Helping Alliance Questionnaires for Child, Parents, and Therapist

Abstract

Objectives: To adapt the Helping Alliance Questionnaires for Child and Parents (HAQ-CP) into French and to assess their validity and reproducibility for use with the child, parent, and therapist.Method: First, the 3 US versions of the questionnaires were translated into French by 3 French-English bilingual translators (who were native speakers), and the translations were then discussed by an expert committee to ensure that the concept explored within the French context was efficiently targeted. Second, the psychometric properties of the French version were investigated in a cross-sectional, multicentre study. The questionnaires were completed by 148 children and adolescents, aged 9 years or older and with various conditions, who were followed in 3 university hospital outpatient clinics and 2 ambulatory psychiatry units, and also by their parents and therapists. Results:The instruments were quick and easy to administer, and acceptability was good. All 3 versions proved unidimensional in factorial analysis (80% of variance was explained) with high internal construct validity (Cronbach's a = 0.8). Reproducibility was satisfactory (intraclass correlation coefficients were as follows: child, 0.84; parent, 0.84; and therapist, 0.87). Concordance of the 3 alliance assessments was moderate. Conclusion:This work provides child psychiatrists with a valid measure of the therapeutic alliance. Its predictive value, while recognized in adults, remains to be demonstrated in children. (Can J Psychiatry 2006;51:913-922) Information on funding and support and author affiliations appears at the end of the article. Clinical Implications· It is feasible to measure the therapeutic alliance as seen by children and adolescents in psychiatric care, as well as by their parents and their therapist. · The HAQ-CP has been successfully adapted for a French population. · The HAQ-CP offers a model of translation and cultural adaptation of a questionnaire. Limitations· The study of reproducibility posed problems. · Possible selection bias occurred when therapists occasionally excluded certain patients with whom the therapy was not proceeding satisfactorily.

Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals

“…They are not specific to the adolescent population and could be used only after modification to include parents and to adapt the description of items so that they are understandable by adolescents. Accordingly, neither the Adolescent Working Alliance Inventory (AWAI) [79] nor the Helping Alliance Questionnaire for Children and Parents (HAQ-CP) [80], both used in studies of AN in adolescents [71,73], includes an item covering the dialogue between adolescents, parents and healthcare professionals, nor do they include any item exploring whether each knows and understands the others' positions about the treatment. The concept of therapeutic alliance cannot be reduced solely to mutual agreements about care and to the interpersonal relationships between adolescents and healthcare providers; it must also take into consideration the existence of a space for dialogue between the protagonists, where divergences and disagreements can be articulated to enable each party to know the other's position.…”

Caracterização dos estudos sobre medidas de aliança terapêutica: revisão da literatura

“…Andrade-González e Fernández-Liria, 2015b; Corbella et al, 2011;Delsignore et al, 2014;Kermarrec et al, 2006;Soygüt e Isikli, 2008;Soygüt e Uluç, 2009;Vöhringer et al, 2013; Waizmann e Roussos, 2011). De modo geral, as análises das propriedades psicométricas dos estudos envolveram a apresentação de estatísticas descritivas (média das pontuações dos instrumentos), coeficiente de consistência interna (alpha; alfa de Cronbach), análise da estrutura fatorial (AF), teste t, análises correlacionais indicativas de validades preditiva, convergente e discriminante, além de análises de variância.…”

“…Seis estudos (Accurso et al, 2012;Bickman et al, 2012;Hukkelberg e Ogden, 2016;Mamodhoussen et al, 2005;Shelef e Diamond, 2008) tiveram como público-alvo famílias, incluindo crianças/jovens e seus cuidadores, com exceção do estudo de Mamodhoussen et al (2005) (Fjermestad et al, 2012;Kermarrec et al, 2006;Lamers e Vermeiren, 2015;McLeod et al, 2017) foram desenvolvidos apenas com crianças e jovens, que apresentaram os seguintes quadros clínicos: transtornos de ansiedade, transtornos do humor, comportamentos disruptivos, transtornos do espectro autista, transtornos alimentares, transtornos do sono, transtornos de personalidade, transtornos de aprendizagem, transtorno de hiperatividade com déficit de atenção, transtorno de eliminação e problemas relacionais. (Miragall et al, 2015) 12 Objetivos, Tarefas e Vínculo WAV-12R 12 Objetivos, Tarefas e Vínculo PPWAI (Fuertes et al, 2017) 12 Objetivos, Tarefas e Vínculo TASCP (Accurso et al, 2012) 12 Aliança postiva e Aliança negativa BAI (Mallinckrodt e Tekie, 2015) 16 Objetivos/Tarefas e Vínculo TAQS (Bickman et al, 2012) 5 Objetivos, Tarefas e Vínculo FEQ (Lamers e Vermeiren, 2015) 18 Aliança dos Pais (Parent Alliance), Aliança de Tarefa Juvenil (Youth Task Alliance), Aliança Pessoal Juvenil (Youth Personal Alliance) e Hostilidade Juvenil (Youth Hostility) LGB-WASES (Burkard et al, 2009) 32 Vínculo emocional, Estabelecimento de Tarefas e Definição de Objetivos (Tanzilli et al, 2017) 90 Irritado/Autorizado (Angry/entitled), Ansioso/Preocupado (Anxious/preoccupied), Seguro/Engajado (Secure/engaged), Evitador/Contradependente (Avoidant/counterdependent) e Sexualizado (Sexualized)…”

“…Conceito de AT formulado por Luborsky, no qual ela é entendida como a experiência do cliente no tratamento ou no relacionamento potencialmente cooperativo com o terapeuta. HAQ-CP (Kermarrec et al, 2006) 15 Questionário da Criança: unidimensional (Aliança); Questionário dos Pais: bidimensional (Aliança e Nível de compreensão entre terapeuta e criança) HAQ-R (Hatcher et al, 1995;Hatcher e Barends, 1996) 7…”

Preliminary and ongoing French multicenter prospective naturalistic study of adverse events of antipsychotic treatment in naive children and adolescents

“…The study also includes a follow-up of thyroid function, prolactin, insulin, HOMA, HbA1C, vitamin D and C-reactive protein. Four self-administered questionnaires are proposed to child and parent: (1) Sheehan Disability Scale (SDS) for the evaluation of functional impairment in school, social and family life [48], (2) Helping Alliance Questionnaire (HAQ) to assess the relation between the patient, his family and the therapist [49], (3) Pediatric Adverse Event Rating Scale (PAERS) for the evaluation of side effects, (4) Questionnaire of Eating and Weight Patterns (QEWP) to specify eating disorders like bulimia or binge eating [50]. An electrocardiogram with the measurement of the QT interval is performed at baseline, 6 and 12 months.…”