Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice

Brunner, Emanuel; Dankaerts, Wim; O’Sullivan, Kieran; Meichtry, André; Bauer, Christoph; Probst, Michel

doi:10.1080/21679169.2019.1672786

Full metadata record

DC Field	Value	Language
dc.contributor.author	Brunner, Emanuel	-
dc.contributor.author	Dankaerts, Wim	-
dc.contributor.author	O’Sullivan, Kieran	-
dc.contributor.author	Meichtry, André	-
dc.contributor.author	Bauer, Christoph	-
dc.contributor.author	Probst, Michel	-
dc.date.accessioned	2019-12-11T09:53:41Z	-
dc.date.available	2019-12-11T09:53:41Z	-
dc.date.issued	2019	-
dc.identifier.issn	2167-9169	de_CH
dc.identifier.issn	2167-9177	de_CH
dc.identifier.uri	https://digitalcollection.zhaw.ch/handle/11475/18866	-
dc.description.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.	de_CH
dc.language.iso	en	de_CH
dc.publisher	Taylor & Francis	de_CH
dc.relation.ispartof	European Journal of Physiotherapy	de_CH
dc.rights	Licence according to publishing contract	de_CH
dc.subject	Chronic pain	de_CH
dc.subject	Low back pain	de_CH
dc.subject	Physiotherapy	de_CH
dc.subject	Alliance	de_CH
dc.subject	Therapeutic relationship	de_CH
dc.subject	Psychological factor	de_CH
dc.subject.ddc	615.82: Physiotherapie	de_CH
dc.subject.ddc	617.5: Orthopädische Chirurgie	de_CH
dc.title	Associations between alliance, physiotherapists’ confidence in managing the patient and patient-reported distress in chronic low back pain practice	de_CH
dc.type	Beitrag in wissenschaftlicher Zeitschrift	de_CH
dcterms.type	Text	de_CH
zhaw.departement	Gesundheit	de_CH
zhaw.organisationalunit	Institut für Physiotherapie (IPT)	de_CH
dc.identifier.doi	10.1080/21679169.2019.1672786	de_CH
zhaw.funding.eu	No	de_CH
zhaw.issue	3	de_CH
zhaw.originated.zhaw	Yes	de_CH
zhaw.pages.end	200	de_CH
zhaw.pages.start	196	de_CH
zhaw.publication.status	publishedVersion	de_CH
zhaw.volume	23	de_CH
zhaw.publication.review	Peer review (Publikation)	de_CH
zhaw.author.additional	No	de_CH
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.