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Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys

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Adaption and validation of the Working Alliance Inventory for General Practice : qualitative review and cross-sectional surveys. / Sturgiss, Elizabeth A.; Rieger, Elizabeth; Haesler, Emily; Ridd, Matthew J.; Douglas, Kirsty; Galvin, Shelley L.

In: Family Practice, Vol. 36, No. 4, cmy113, 31.07.2019, p. 516-522.

Research output: Contribution to journalArticle

Harvard

Sturgiss, EA, Rieger, E, Haesler, E, Ridd, MJ, Douglas, K & Galvin, SL 2019, 'Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys', Family Practice, vol. 36, no. 4, cmy113, pp. 516-522. https://doi.org/10.1093/fampra/cmy113

APA

Sturgiss, E. A., Rieger, E., Haesler, E., Ridd, M. J., Douglas, K., & Galvin, S. L. (2019). Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys. Family Practice, 36(4), 516-522. [cmy113]. https://doi.org/10.1093/fampra/cmy113

Vancouver

Author

Sturgiss, Elizabeth A. ; Rieger, Elizabeth ; Haesler, Emily ; Ridd, Matthew J. ; Douglas, Kirsty ; Galvin, Shelley L. / Adaption and validation of the Working Alliance Inventory for General Practice : qualitative review and cross-sectional surveys. In: Family Practice. 2019 ; Vol. 36, No. 4. pp. 516-522.

Bibtex

@article{dbefd2d637bd4b42be3b123137949f76,
title = "Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys",
abstract = "Background Relational aspects of primary care are important, but we have no standard measure for assessment. The “working alliance” incorporates elements of the therapeutic relationship, shared decision making, goal setting, and communication skills. The Working Alliance Inventory (short form) (WAI-SF) has been used in adult psychology and a high score on the survey is associated with improved outcomes for clients.ObjectiveTo adapt the WAI-SF for use between general practitioners (GPs) and patients and to test its concurrent validity with measures of shared decision making and the doctor-patient relationship, and discriminant validity with measures of social desirability.Methods Two rounds of online survey feedback from 55 GPs and 47 patients were used to adapt the WAI-SF – the WAI-GP. The tool was then completed by 142 patients in waiting rooms after seeing their GP, and by 16 GPs at the end of their session. Concurrent validity with measures of shared decision making and patient-doctor depth of relationship was determined using Spearman Rho correlations. Patients also completed two social desirability surveys and discriminant validity with WAI-GP was assessed.ResultsFollowing feedback, the survey was re-worded to remove phrases that were perceived as judgmental or irrelevant. The patient measure of the WAI-GP was strongly correlated with Dyadic OPTION (rho = 0.705, p =0.0001); and Patient-doctor Depth of Relationship scale (rho = 0.591, p 0.0001); and not with measures of social desirability.ConclusionThe psychometric properties of the WAI-GP supports its use for measuring GP-patient alliance. Possibilities for use include assessing the influence of therapeutic alliance on the effectiveness of interventions.",
keywords = "General practice, physician-patient relations, primary health care, quality of care, quantitative evaluation, survey methods",
author = "Sturgiss, {Elizabeth A.} and Elizabeth Rieger and Emily Haesler and Ridd, {Matthew J.} and Kirsty Douglas and Galvin, {Shelley L.}",
year = "2019",
month = "7",
day = "31",
doi = "10.1093/fampra/cmy113",
language = "English",
volume = "36",
pages = "516--522",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "4",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - Adaption and validation of the Working Alliance Inventory for General Practice

T2 - qualitative review and cross-sectional surveys

AU - Sturgiss, Elizabeth A.

AU - Rieger, Elizabeth

AU - Haesler, Emily

AU - Ridd, Matthew J.

AU - Douglas, Kirsty

AU - Galvin, Shelley L.

PY - 2019/7/31

Y1 - 2019/7/31

N2 - Background Relational aspects of primary care are important, but we have no standard measure for assessment. The “working alliance” incorporates elements of the therapeutic relationship, shared decision making, goal setting, and communication skills. The Working Alliance Inventory (short form) (WAI-SF) has been used in adult psychology and a high score on the survey is associated with improved outcomes for clients.ObjectiveTo adapt the WAI-SF for use between general practitioners (GPs) and patients and to test its concurrent validity with measures of shared decision making and the doctor-patient relationship, and discriminant validity with measures of social desirability.Methods Two rounds of online survey feedback from 55 GPs and 47 patients were used to adapt the WAI-SF – the WAI-GP. The tool was then completed by 142 patients in waiting rooms after seeing their GP, and by 16 GPs at the end of their session. Concurrent validity with measures of shared decision making and patient-doctor depth of relationship was determined using Spearman Rho correlations. Patients also completed two social desirability surveys and discriminant validity with WAI-GP was assessed.ResultsFollowing feedback, the survey was re-worded to remove phrases that were perceived as judgmental or irrelevant. The patient measure of the WAI-GP was strongly correlated with Dyadic OPTION (rho = 0.705, p =0.0001); and Patient-doctor Depth of Relationship scale (rho = 0.591, p 0.0001); and not with measures of social desirability.ConclusionThe psychometric properties of the WAI-GP supports its use for measuring GP-patient alliance. Possibilities for use include assessing the influence of therapeutic alliance on the effectiveness of interventions.

AB - Background Relational aspects of primary care are important, but we have no standard measure for assessment. The “working alliance” incorporates elements of the therapeutic relationship, shared decision making, goal setting, and communication skills. The Working Alliance Inventory (short form) (WAI-SF) has been used in adult psychology and a high score on the survey is associated with improved outcomes for clients.ObjectiveTo adapt the WAI-SF for use between general practitioners (GPs) and patients and to test its concurrent validity with measures of shared decision making and the doctor-patient relationship, and discriminant validity with measures of social desirability.Methods Two rounds of online survey feedback from 55 GPs and 47 patients were used to adapt the WAI-SF – the WAI-GP. The tool was then completed by 142 patients in waiting rooms after seeing their GP, and by 16 GPs at the end of their session. Concurrent validity with measures of shared decision making and patient-doctor depth of relationship was determined using Spearman Rho correlations. Patients also completed two social desirability surveys and discriminant validity with WAI-GP was assessed.ResultsFollowing feedback, the survey was re-worded to remove phrases that were perceived as judgmental or irrelevant. The patient measure of the WAI-GP was strongly correlated with Dyadic OPTION (rho = 0.705, p =0.0001); and Patient-doctor Depth of Relationship scale (rho = 0.591, p 0.0001); and not with measures of social desirability.ConclusionThe psychometric properties of the WAI-GP supports its use for measuring GP-patient alliance. Possibilities for use include assessing the influence of therapeutic alliance on the effectiveness of interventions.

KW - General practice

KW - physician-patient relations

KW - primary health care

KW - quality of care

KW - quantitative evaluation

KW - survey methods

UR - http://www.scopus.com/inward/record.url?scp=85070879253&partnerID=8YFLogxK

U2 - 10.1093/fampra/cmy113

DO - 10.1093/fampra/cmy113

M3 - Article

VL - 36

SP - 516

EP - 522

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 4

M1 - cmy113

ER -