Therapeutic alliance between physical therapists and patients with knee osteoarthritis consulting via telephone: A longitudinal study
Arthritis Care & Research May 08, 2020
Lawford BJ, Bennell KL, Campbell PK, et al. - The present study was undertaken to investigate therapeutic alliance between physical therapists and individuals with knee osteoarthritis during telephone consultations. Specifically, to present and compare physical therapist and patient ratings, to ascertain if alliance changes over time, and to assess if individual characteristics are correlated with alliance. Researchers conducted a secondary analysis of 84 individuals in the intervention arm of a randomized controlled trial who completed 5–10 consultations with 1 of 8 physical therapists via telephone over 26 weeks, involving education, advice, and prescription of a strengthening and physical activity program. The Working Alliance Inventory–Short Form was applied to assess therapeutic alliance after the second (week 4) and final consultations (week 26). The results of this study exhibit that physical therapist perceptions of the therapeutic alliance tended to be lower in comparison with those of individuals early in treatment, but differences were small and of unclear clinical significance. The data showed that some subgroups of individuals rated the alliance more strongly than others.
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