Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice
Authors : Brunner, Emanuel
Dankaerts, Wim
O’Sullivan, Kieran
Meichtry, André
Bauer, Christoph
Probst, Michel
et. al : No
DOI : 10.1080/21679169.2019.1672786
Published in : European Journal of Physiotherapy
Proceedings: 2019 IEEE PES Innovative Smart Grid Technologies Europe (ISGT-Europe)
Issue Date: 2019
Publisher / Ed. Institution : Taylor & Francis
ISBN: 978-1-5386-8218-0
ISSN: 2167-9169
Language : English
Subjects : Chronic pain; Low back pain; Physiotherapy; Alliance; Therapeutic relationship; Psychological factor
Subject (DDC) : 615.82: Physical therapy
617.5: Orthopaedic surgery
Abstract: Purpose: Physiotherapists often feel insecure when managing patients with chronic low back pain associated with psychological factors. This uncertainty could hinder physiotherapists in fostering strong patient-therapist alliances in chronic low back pain practice. The purpose of this study was to explore associations between patient-rated alliance, physiotherapists’ self-reported confidence in managing the patient and patient-reported psychological distress. Methods: Patients with chronic low back pain (N = 21) self-reported their psychological status at baseline. After the intake session, physiotherapists self-reported their confidence (enthusiasm and competence) in managing the patient with chronic low back pain. Patient-rated alliance was measured after the third physiotherapy session. A linear mixed model estimated associations between alliance (dependent variable), physiotherapists’ confidence and patient-reported distress. Results: The linear mixed model estimated a positive interaction effect (therapist confidence × patient distress) on patient-rated alliance (estimated effect, β = 0.15; 95% Confidence Interval = 0.03–0.27). Conclusions: Higher self-reported confidence in managing the patient with chronic low back pain by physiotherapists was associated with higher patient-reported alliance after the third physiotherapy sessions. The positive effect between therapist confidence and patient-rated alliance appeared to be dependent on patient-reported psychological distress at baseline.
Fulltext version : Published version
License (according to publishing contract) : Licence according to publishing contract
Departement: Health Professions
Organisational Unit: Institute of Physiotherapy (IPT)
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