Effect of a Standardized Training Program to Enhance the Therapeutic Alliance in Patients with Low Back Pain: A Mixed-Methods Analytical Approach.

Journal of Allied Health Pub Date : 2023-01-01
William J Hanney, Dominick Haynes, Megan Cundiff, Marino Bucci, Morey J Kolber, Kelby Kaplan, Abigail T Wilson
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Abstract

Background: Therapeutic alliance improves pain, disability, and quality of life outcomes. The purpose of this study was to investigate the effectiveness of a training protocol aimed at enhancing the therapeutic alliance in patients with chronic low back pain.

Methods: 19 physical therapists (DPT) and 16 student physical therapists (SPT) completed a therapeutic alliance training course with a quantitative questionnaire completed before and after the training along with a follow-up qualitative interview. Quantitative results were analyzed for differences resulting from participation in the training, while qualitative results were analyzed via interview transcription analysis by independent researchers blinded to the participants.

Results: All three groups (SPT/DPT combined, SPT, DPT) demonstrated a significant improvement in feeling comfortable in building a strong therapeutic alliance (p<0.01). The themes of Training Enhances Consciousness, Communication is Key, and Personalized Approach emerged from qualitative interviews indicating that the course was valuable in improving their approach to therapeutic alliance, communication, and individualized interventions contribute to a successful therapeutic alliance.

Conclusion: The results of this study demonstrate the efficacy of therapeutic alliance training and suggest potential to enhance therapeutic alliance through a training protocol.

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标准化训练计划对增强腰痛患者治疗联盟的影响:一种混合方法分析方法。
背景:联合治疗可改善疼痛、残疾和生活质量。本研究的目的是探讨旨在增强慢性腰痛患者治疗联盟的训练方案的有效性。方法:19名物理治疗师(DPT)和16名学生物理治疗师(SPT)完成治疗联盟培训课程,在培训前后分别填写定量问卷,并进行随访的定性访谈。定量结果分析因参与培训而产生的差异,定性结果分析由独立研究人员对参与者进行访谈转录分析。结果:三组患者(SPT/DPT联合治疗、SPT、DPT)在建立强治疗联盟时的感觉舒适度均有显著改善(结论:本研究结果证明了治疗联盟训练的有效性,并提示通过训练方案加强治疗联盟的潜力。
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来源期刊
Journal of Allied Health
Journal of Allied Health Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
45
期刊介绍: The Journal of Allied Health is the official publication of the Association of Schools of Allied Health Professions (ASAHP) . The Journal is the only interdisciplinary allied health periodical, publishing scholarly works related to research and development, feature articles, research abstracts and book reviews. Readers of The Journal comprise allied health leaders, educators, faculty and students. Subscribers to The Journal consist of domestic and international college and university libraries, health organizations and hospitals. Almost 20% of subscribers, in the last three years, have been from outside of the United States. Subscribers include the World Health Organization, the American Medical Association and major universities.
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