PMID- 35416110
OWN - NLM
STAT- MEDLINE
DCOM- 20230324
LR  - 20230324
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 45
IP  - 8
DP  - 2023 Apr
TI  - Working Alliance Inventory (WAI) and its relationship to patient-reported 
      outcomes in painful musculoskeletal conditions.
PG  - 1363-1369
LID - 10.1080/09638288.2022.2060337 [doi]
AB  - PURPOSE: Therapeutic alliance (TA) has been positively correlated to improvements 
      in patient outcomes. This study examined the Working Alliance Inventory (WAI) 
      relationship with changes in disability and pain intensity for patients receiving 
      physical therapy (PT) treatment for acute and chronic musculoskeletal pain 
      conditions. METHODS: Fifty participants were dichotomized into success or failure 
      by the minimal clinically important difference (MCID) on region-specific 
      patient-reported outcome measures (PROM) and Numeric Pain Rating Scale (NPRS). 
      Regression and correlation statistics examined the relationship between WAI with 
      change scores and quantity of PT. Independent t-tests compared WAI scores across 
      categorical variables. RESULTS: WAI scores were higher for those meeting MCIDs on 
      PROM and NPRS compared to those who did not. WAI scores were significantly 
      correlated with improvement on region-specific outcome measures and NPRS. 
      Regression analysis found the patient rating of the TA to be a positive predictor 
      for improvement on regions specific outcome measures and NPRS. CONCLUSIONS: 
      Patients who rated the TA higher were more likely to meet the MCID for 
      region-specific disability and pain intensity. Patient ratings of the TA were 
      associated with improved change scores on pain rating and standardized outcome 
      measures during a course of treatment for musculoskeletal pain 
      conditions.Implications for rehabilitationPatients' early rating of the 
      therapeutic alliance (TA) is associated with improvements seen on pain and 
      functional outcomes.Physical therapists should assess the TA and use strategies 
      to enhance the alliance to optimize patient's experiences with physical therapy.
FAU - Holmes, Mary Beth
AU  - Holmes MB
AUID- ORCID: 0000-0002-4878-1446
AD  - Department of Physical Therapy and Athletic Training, Sargent College of Health 
      and Rehabilitation Sciences, Boston University, Boston, MA, USA.
FAU - Scott, Amanda
AU  - Scott A
AD  - Department of Physical Therapy and Athletic Training, Sargent College of Health 
      and Rehabilitation Sciences, Boston University, Boston, MA, USA.
FAU - Camarinos, James
AU  - Camarinos J
AD  - Department of Physical Therapy and Athletic Training, Sargent College of Health 
      and Rehabilitation Sciences, Boston University, Boston, MA, USA.
FAU - Marinko, Lee
AU  - Marinko L
AD  - Department of Physical Therapy and Athletic Training, Sargent College of Health 
      and Rehabilitation Sciences, Boston University, Boston, MA, USA.
FAU - George, Steven Z
AU  - George SZ
AD  - Department of Orthopedic Surgery, Duke Clinical Research Institute, Duke 
      University, Durham, NC, USA.
LA  - eng
PT  - Journal Article
DEP - 20220413
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - *Musculoskeletal Pain/therapy
MH  - Physical Therapy Modalities
MH  - Outcome Assessment, Health Care
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Biopsychosocial
OT  - functional outcomes
OT  - musculoskeletal
OT  - physical therapy
OT  - therapeutic alliance
EDAT- 2022/04/14 06:00
MHDA- 2023/03/25 06:00
CRDT- 2022/04/13 08:41
PHST- 2022/04/14 06:00 [pubmed]
PHST- 2023/03/25 06:00 [medline]
PHST- 2022/04/13 08:41 [entrez]
AID - 10.1080/09638288.2022.2060337 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2023 Apr;45(8):1363-1369. doi: 10.1080/09638288.2022.2060337. 
      Epub 2022 Apr 13.