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Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

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Listed:
  • O Rodríguez Nogueira
  • J Botella-Rico
  • M C Martínez González
  • M Leal Clavel
  • J Morera-Balaguer
  • A R Moreno-Poyato

Abstract

Objectives: This study sought to develop a tool for evaluating person-centered therapeutic relationships within physiotherapy services, and to examine the content validity of the same. Methods: A mixed qualitative and quantitative study was performed in three distinct phases: 1) the items were generated based on a literature review and a content analysis of focus groups of patients and physiotherapists; 2) an e-Delphi survey process was performed based on three rounds to select and refine the proposed questionnaire; 3) two rounds of cognitive interviews were conducted to evaluate the comprehension of items, the clarity of language and the appropriateness and relevance of content. Results: Thirty-one items were generated based on the seven domains identified after the analysis of four focus groups of physiotherapists and four patient focus groups. Nine experts participated in the e-Delphi survey. Fifty-five patients participated in the two rounds of the cognitive pre-tests. Participating patients were from public and private physical therapy services. Based on the participants’ suggestions, four items were removed, and four were added, whereas 16 were reworded. Conclusions: The final tool comprised 31 items divided into seven domains. The response format was based on a 5-point Likert frequency scale. The response options ranged from “strongly agree” to “strongly disagree”.

Suggested Citation

  • O Rodríguez Nogueira & J Botella-Rico & M C Martínez González & M Leal Clavel & J Morera-Balaguer & A R Moreno-Poyato, 2020. "Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-19, March.
    • Handle: RePEc:plo:pone00:0228916
    DOI: 10.1371/journal.pone.0228916
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    References listed on IDEAS

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    1. Norman Dalkey & Olaf Helmer, 1963. "An Experimental Application of the DELPHI Method to the Use of Experts," Management Science, INFORMS, vol. 9(3), pages 458-467, April.
    2. Epstein, Ronald M. & Franks, Peter & Fiscella, Kevin & Shields, Cleveland G. & Meldrum, Sean C. & Kravitz, Richard L. & Duberstein, Paul R., 2005. "Measuring patient-centered communication in Patient-Physician consultations: Theoretical and practical issues," Social Science & Medicine, Elsevier, vol. 61(7), pages 1516-1528, October.
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