PMID- 29733745 OWN - NLM STAT- MEDLINE DCOM- 20200513 LR - 20200513 IS - 1532-5040 (Electronic) IS - 0959-3985 (Linking) VI - 35 IP - 12 DP - 2019 Dec TI - Development and validation of the Working Alliance Inventory Dutch version for use in rehabilitation setting. PG - 1292-1303 LID - 10.1080/09593985.2018.1471112 [doi] AB - Background: In rehabilitation, therapeutic alliance is associated with improvements in clinical outcomes. The Working Alliance Inventory (WAI) measures therapeutic alliance and is frequently used in rehabilitation research; however, it has not been validated for rehabilitation. Objectives: To determine content validity, internal consistency and construct validity of the Working Alliance Inventory Rehabilitation Dutch Version (WAI-ReD). Methods: In phase 1, content and face validity of the WAI-ReD was judged by professionals (n = 15) and in phase 2 by patients (n = 22). In phase 3, 14 hypotheses were tested in patients (n = 138) regarding: content validity (i.e., missing items, floor, and ceiling effects); internal consistency; and construct validity (i.e., factor structural testing correlations of WAI-ReD scores with Session Rating Scale (SRS), the Helping Alliance Questionnaire II (HAQ-II), and Visual Analog Scale of Pain (VAS(pain))). Results: After phase 1 and phase 2, the WAI-ReD was formulated and tested. Content validity; missing items were negligible. Ceiling effects were present in all domains. Internal consistency; Cronbach's alpha ranged between 0.804 and 0.927. Construct validity; correlations between WAI-ReD, SRS, HAQ-II, and VAS(pain) fell within the hypothesized ranges. Conclusion: Eleven of the 14 hypotheses were not rejected confirming good clinimetric properties of the WAI-ReD. The WAI-ReD can be used in rehabilitation to measure therapeutic alliance. FAU - Paap, Davy PT, MSc AU - Paap D PT, MSc AUID- ORCID: 0000-0001-9076-3965 AD - Physical Therapy Sciences, program in Clinical Health Sciences, University Medical Center Utrecht, Utrecht, Netherlands. AD - Department Physical Therapy, Expertise Center of Primary Care Groningen, Groningen, Netherlands. AD - Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. FAU - Schrier, Ernst PT, MS AU - Schrier E PT, MS AD - Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. FAU - Dijkstra, Pieter U PT, PhD AU - Dijkstra PU PT, PhD AD - Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. AD - Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. LA - eng PT - Journal Article PT - Validation Study DEP - 20180507 PL - England TA - Physiother Theory Pract JT - Physiotherapy theory and practice JID - 9015520 SB - IM MH - Adult MH - *Cognitive Behavioral Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Netherlands MH - *Professional-Patient Relations MH - Psychometrics MH - Rehabilitation/*psychology MH - Reproducibility of Results MH - *Surveys and Questionnaires MH - Translating OTO - NOTNLM OT - Therapeutic alliance OT - assessment and rehabilitation OT - measurement properties OT - working alliance EDAT- 2018/05/08 06:00 MHDA- 2020/05/14 06:00 CRDT- 2018/05/08 06:00 PHST- 2018/05/08 06:00 [pubmed] PHST- 2020/05/14 06:00 [medline] PHST- 2018/05/08 06:00 [entrez] AID - 10.1080/09593985.2018.1471112 [doi] PST - ppublish SO - Physiother Theory Pract. 2019 Dec;35(12):1292-1303. doi: 10.1080/09593985.2018.1471112. Epub 2018 May 7.