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 |
Volume(Issue): | 23 |
Issue: | 3 |
Page(s): | 196 |
Pages to: | 200 |
Issue Date: | 2019 |
Publisher / Ed. Institution: | Taylor & Francis |
ISSN: | 2167-9169 2167-9177 |
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. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/18866 |
Fulltext version: | Published version |
License (according to publishing contract): | Licence according to publishing contract |
Departement: | School of Health Sciences |
Organisational Unit: | Institute of Physiotherapy (IPT) |
Appears in collections: | Publikationen Gesundheit |
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Brunner, E., Dankaerts, W., O’Sullivan, K., Meichtry, A., Bauer, C., & Probst, M. (2019). Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice. European Journal of Physiotherapy, 23(3), 196–200. https://doi.org/10.1080/21679169.2019.1672786
Brunner, E. et al. (2019) ‘Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice’, European Journal of Physiotherapy, 23(3), pp. 196–200. Available at: https://doi.org/10.1080/21679169.2019.1672786.
E. Brunner, W. Dankaerts, K. O’Sullivan, A. Meichtry, C. Bauer, and M. Probst, “Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice,” European Journal of Physiotherapy, vol. 23, no. 3, pp. 196–200, 2019, doi: 10.1080/21679169.2019.1672786.
BRUNNER, Emanuel, Wim DANKAERTS, Kieran O’SULLIVAN, André MEICHTRY, Christoph BAUER und Michel PROBST, 2019. Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice. European Journal of Physiotherapy. 2019. Bd. 23, Nr. 3, S. 196–200. DOI 10.1080/21679169.2019.1672786
Brunner, Emanuel, Wim Dankaerts, Kieran O’Sullivan, André Meichtry, Christoph Bauer, and Michel Probst. 2019. “Associations between Alliance, Physiotherapists’ Confidence in Managing the Patient and Patient-Reported Distress in Chronic Low Back Pain Practice.” European Journal of Physiotherapy 23 (3): 196–200. https://doi.org/10.1080/21679169.2019.1672786.
Brunner, Emanuel, et al. “Associations between Alliance, Physiotherapists’ Confidence in Managing the Patient and Patient-Reported Distress in Chronic Low Back Pain Practice.” European Journal of Physiotherapy, vol. 23, no. 3, 2019, pp. 196–200, https://doi.org/10.1080/21679169.2019.1672786.
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