Patients’ experience regarding therapeutic person-centered relationships in physiotherapy services: A qualitative study

Morera-Balaguer, Jaume; Botella-Rico, José Martín; Catalán-Matamoros, Daniel; Martínez-Segura, Olivia-Raquel; Leal-Clavel, Marina; Rodríguez‐Nogueira, Óscar

doi:10.1080/09593985.2019.1603258

Cited by 37 publications

(34 citation statements)

References 36 publications

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“…One of the strengths of this study is that it considers the point of view of the patients who received the care. Considering that the opinions of the professionals and patients can differ in important elements [49], focus groups were conducted where, besides the perceptions of physiotherapists, [23], the perceptions of the 31 patients were gathered, which was key for establishing the seven domains of the instrument [29] and for generating the items of the same.…”

Section: Discussionmentioning

confidence: 99%

“…These findings enabled us to extract the components of each construct and create a question guide to explore the barriers and facilitators for the establishment of a person-centered relationship in physiotherapy services. This stage was performed via a qualitative study based on focus groups involving physiotherapists [23] and patients of physiotherapy services [29]. The findings from this study were used to develop a conceptual framework comprised of domains and subdomains.…”

Section: Stage 1 Item Generationmentioning

confidence: 99%

“…Initially, 215 items were generated, based on the seven domains and 28 subdomains identified in the previous qualitative study (Table 1) [23,29].…”

Section: Item Generationmentioning

confidence: 99%

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Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

et al. 2020

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This study sought to develop a tool for evaluating person-centered therapeutic relationships within physiotherapy services, and to examine the content validity of the same. Methods A mixed qualitative and quantitative study was performed in three distinct phases: 1) the items were generated based on a literature review and a content analysis of focus groups of patients and physiotherapists; 2) an e-Delphi survey process was performed based on three rounds to select and refine the proposed questionnaire; 3) two rounds of cognitive interviews were conducted to evaluate the comprehension of items, the clarity of language and the appropriateness and relevance of content. Results Thirty-one items were generated based on the seven domains identified after the analysis of four focus groups of physiotherapists and four patient focus groups. Nine experts participated in the e-Delphi survey. Fifty-five patients participated in the two rounds of the cognitive pre-tests. Participating patients were from public and private physical therapy services. Based on the participants' suggestions, four items were removed, and four were added, whereas 16 were reworded.

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Section: Discussionmentioning

confidence: 99%

Section: Stage 1 Item Generationmentioning

confidence: 99%

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Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

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“…Clearly, despite the growing recognition of the value of the therapeutic relationship in the field of physiotherapy [23][24][25] and the importance of the same for the establishment of person-centered care, there is limited research to guide physiotherapists towards improving this aspect during clinical practice [26]. In addition, its evaluation is difficult due to the lack of specific or appropriate instruments to measure specific associated characteristics during physiotherapy procedures [12,23,[26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

“…First, a review and analysis of the literature was performed based on the following constructs: person-centered care and person-centered therapeutic relationship, subsequently, the main items were extracted to create a question guide to explore barriers and facilitators for the establishment of a person-centered relationship in physiotherapy services. Thereafter, a qualitative focus group study was conducted involving 21 physiotherapists [25] and 31 patients of physiotherapy services [29]. With the results obtained, a conceptual framework comprising seven domains and 28 subdomains was built with 215 items.…”

Section: Introductionmentioning

confidence: 99%

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

et al. 2020

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Objective To determine the psychometric properties of the Person-Centered Therapeutic Relationship in Physiotherapy Scale (PCTR-PT) in order to find the most appropriate fit for the tool. Methods Patients who had received treatment at the physiotherapy service of nine hospitals in Spain were invited to complete the 31 items of the PCTR-PT scale. To select the most appropriate items of the PCTR-PT, an exploratory factorial analysis (EFA) was performed using the maximum likelihood and oblique rotation (promin) methods. Factor validity, goodness-of-fit and psychometric properties were analyzed by confirmatory factor analysis (CFA). Convergent (CFA) and discriminant validity were calculated. Internal consistency was verified using the Cronbach's alpha coefficient. The intraclass correlation coefficient (ICC) was used to examine temporal stability. Results 366 patients over 18 years old who had received, at least, 15 physiotherapy treatment sessions completed the questionnaire. The results of the exploratory factor analysis revealed a tool with 15 items in four factors [Relational Bond (N items = 4); Individualized Partnership (N items = 4); Professional Empowerment (N items = 3) and Therapeutic Communication (N items = 4)], explaining 78.4% of the variance of the total variables of this tool. The confirmatory factor analysis further confirmed the four-structure model. Reliability of the tool was approved by Cronbach's alpha in all four dimensions, as all were above .70, ranging from .84 (Individualized Partnership) to .91 (Professional Empowerment). = 0.94. Test-retest was performed with two-week intervals, indicating an appropriate stability for the scale (ICC = 0.900). Conclusion The Person-Centered Therapeutic Relationship in Physiotherapy Scale (PCTR-PT) is a useful, valid and applicable instrument to evaluate the person-centered therapeutic relationship during physiotherapy interventions. It would be interesting to investigate the predictive capacity (sensitivity and specificity) of the PCTR-PT scale.

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Adaptation of the person centered therapeutic relationship patient version (PCTR‐PT) to a version for physiotherapists (PCTR‐PHYS) and evaluation of its psychometric properties

Rodríguez‐Nogueira

Morera-Balaguer

López

et al. 2023

Physiotherapy Res Intl

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Background and PurposeThe therapeutic relationship is a central component for developing person‐centered care within physiotherapy services. However, it is necessary to understand how this relationship is perceived by both parties involved. The Person Centered Therapeutic Relationship‐Patient scale (PCTR‐PT) was constructed to identify patients' perceptions. No instruments are currently available to correlate patients' and physiotherapists' perceptions of the therapeutic relationship. This study sought to adapt the PCTR‐PT to develop a version for physiotherapists, the Person Centered Therapeutic Relationship Scale for Physiotherapists (PCTR‐PHYS) and to determine its psychometric properties.MethodsA three‐stage study was performed: (1) item generation, (2) pretesting of the questionnaire, (3) analysis of psychometric properties. Factor validity and psychometric properties were analyzed by confirmatory factor analysis (CFA). Convergent validity was calculated. Internal consistency was verified using the Cronbach's alpha coefficient. The intraclass correlation coefficient (ICC) was used to examine temporal stability.ResultsThirty‐three physiotherapists participated in two rounds of cognitive interviews and 343 participated in the analysis of psychometric properties. The CFA confirmed the four‐structure model. Reliability of the tool was confirmed by Cronbach's alpha (α = 0.863) for all four dimensions, as all were above 0.70, ranging from 0.704 (relational bond) and 0.898 (therapeutic communication). Test‐retest was performed with 2‐week intervals, indicating an appropriate stability for the scale (ICC = 0.908).DiscussionThe Person Centered Therapeutic Relationship Scale for Physiotherapists is a useful, valid and applicable instrument to evaluate the person‐centered therapeutic relationship during physiotherapy interventions. It will enable the comparison of patients' and physiotherapists' perceptions. To provide person‐centered care in physiotherapy services, there is a clear need to incorporate specific resources into clinical practice to evaluate the quality of the therapeutic relationship from the perspective of both the persons being treated and the professionals providing care.

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Patients’ experience regarding therapeutic person-centered relationships in physiotherapy services: A qualitative study

Cited by 37 publications

References 36 publications

Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

Adaptation of the person centered therapeutic relationship patient version (PCTR‐PT) to a version for physiotherapists (PCTR‐PHYS) and evaluation of its psychometric properties

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