The Journal of Korean Physical Therapy

  • 제26권2호
  • /
  • Pages.90-96
  • /
  • 2014
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

한글판 치료협력 설문지 개발 및 신뢰도 분석

Korean Cultural Adaptation of Working Alliance Inventory and Its Reliability

  • 유승훈 (신라대학교 의생명과학대학 물리치료학과) ;
  • 하혜경 (신라대학교 의생명과학대학 물리치료학과) ;
  • 이해정 (신라대학교 의생명과학대학 물리치료학과)
  • Yoo, Seunghun (Department of Physical Therapy, College of Life and Medical Sciences, Silla University) ;
  • Ha, Haekyung (Department of Physical Therapy, College of Life and Medical Sciences, Silla University) ;
  • Lee, Haejung (Department of Physical Therapy, College of Life and Medical Sciences, Silla University)
  • 투고 : 2014.03.20
  • 심사 : 2014.04.15
  • 발행 : 2014.04.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim of the study was to develop the Korean version of the Working Alliance Inventory (KWAI) and to assess reproducibility of both its therapist and client forms. Methods: The 12-item WAI was translated into Korean. The translation procedure followed the guidelines proposed by Beaton et al. (2000). Development of KWAI involved its translation, back-translation, and pilot testing of the pre-final version to establish Korean cultural adaptation of the original version of WAI. For test-retest reliability, therapists (N=30) and clients (N=47) completed the questionnaire on two different occasions. The interval between occasions was two to seven days, depending on subject availability. Data were collected from clinicians working in general hospitals and private clinics, and clients who had received treatment within three months. The intra-class correlation (ICC ($_{2.1}$)) was calculated for assessment of the reproducibility of the translated questionnaire. Results: The test-retest ICC ($_{2.1}$) of the client form and the therapist form was 0.92 (95%CI:0.86-0.95) and 0.94 (95%CI:0.89-0.97), respectively. Answers to items 2, 8, and 11 showed a tendency to be omitted due to ambiguity of meaning in Korean. Idiomatic expression was employed rather than word-to-word translation to have clear meaning of those items. Conclusion: The KWAI was successfully translated and adapted for applications to Korean clients and therapists, with a satisfactory level of reliability. Therefore, it can be suggested that the KWAI is useful in providing a reliable assessment of working alliance between therapists and clients.

키워드

참고문헌

  1. Hall MA, Dugan E, Zheng B et al. Trust in physicians and medical institutions: What is it, can it be measured, and does it matter? Milbank Q. 2001;79(4):613-39. https://doi.org/10.1111/1468-0009.00223
  2. Park SK, Heo JW, Yang DJ et al. Effects of home visiting physical therapy and environmental factors analysis using international classification of functioning, disability and health. J Korean Soc Phys Ther. 2012;24(4):282-9.
  3. Lee HJ, Adams R, Oh TY. Factor structure of a koreanlanguage version of the patient satisfaction with procedural aspects of physical therapy instrument. J Korean Soc Phys Ther. 2013;25(3):160-6.
  4. Forchuk C. Uniqueness within the nurse-client relationship. Arch Psychiatr Nurs. 1995;9(1):34-9. https://doi.org/10.1016/S0883-9417(95)80015-8
  5. Meier PS, Barrowclough C, Donmall MC. The role of the therapeutic alliance in the treatment of substance misuse: A critical review of the literature. Addiction. 2005;100(3):304-16. https://doi.org/10.1111/j.1360-0443.2004.00935.x
  6. Davis LW, Lysaker PH. Neurocognitive correlates of therapeutic alliance in schizophrenia. J Nerv Ment Dis. 2004;192(7):508-10. https://doi.org/10.1097/01.nmd.0000131919.60151.a7
  7. Patterson CL, Anderson T, Wei C. Clients pretreatment role expectations, the therapeutic alliance, and clinical outcomes in outpatient therapy. J Couns Psychol. 2013;55(4):528-34.
  8. Florsheim P, Shotorbani S, Guest-Warnick G et al. Role of the working alliance in the treatment of delinquent boys in community-based programs. J Clin Child Psychol. 2000;29(1):94-107. https://doi.org/10.1207/S15374424jccp2901_10
  9. Horvath AO, Greenberg LS. Development and validation of the working alliance inventory. J Couns Psychol.. 1989;36(2):223-33. https://doi.org/10.1037/0022-0167.36.2.223
  10. Bordin E. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy (Chic). 1979;16(3):252-60. https://doi.org/10.1037/h0085885
  11. Tracey TJ KA. Factor structure of the working alliance inventory. Psychological Assessment: J Consult Clin Psychol. 1989;1(3):207-10. https://doi.org/10.1037/1040-3590.1.3.207
  12. Busseri MA, Tyler JD. Interchangeability of the working alliance inventory and working alliance inventory, short form. Psychol Assess. 2003;15(2):193-7. https://doi.org/10.1037/1040-3590.15.2.193
  13. Guédeney N, Fermanian J, Curt F et al. Testing the working alliance inventory (WAI) in a french primary care setting: Predictive value and factor structure. Soc Psychiatry Psychiatr Epidemiol. 2005;40(10):844-52. https://doi.org/10.1007/s00127-005-0972-4
  14. Vohringer C. C, Carola Perez J, Martinez C et al. Working alliance inventory version observacional: Traduccion, adaptacion y validacion al Castellano JF. Terapia Psicologica. 2013;31(3):301-11. https://doi.org/10.4067/S0718-48082013000300005
  15. Gonca SOYGUT, Sait ULUC. Psychometric properti es of the turkish working alliance inventory-observer form. Turk Psikiyatri Derg. 2009;20(4):367-75.
  16. Fabian Wilmers, Thomas Munder, Rainer Leonhart et al. Die deutschsprachige version des working alliance inventory - short revised (WAI-SR) . Klin Padiatr. 2008;1(3):343-58.
  17. Gatta M, Spoto A, Svanellini L et al. Alliance with patient and collaboration with parents throughout the psychotherapeutic process with children and adolescents: A pilot study. J Psychol Pathol. 2012;18:28-34.
  18. Bang KY. Relation between the working alliance and counselor response in the early phase of cuonseling. Seoul national university. Dissertation of Master's Degree. 1992.
  19. Munder T, Wilmers F, Leonhart R et al. Working alliance inventory-short revised (WAI-SR): Psychometric properties in outpatients and inpatients. Clin Psychol Psychother. 2010;17(3):231-9.
  20. Beaton DE, Bombardier C, Guillemin F et al. Guidelines for the process of cross-cultural adaptationof self-report measures. Spine. 2000;25(24):3186-91. https://doi.org/10.1097/00007632-200012150-00014
  21. Fleiss JL. Analysis of data from multiclinic trials. Control Clin Trials. 1986;7(4):267-75. https://doi.org/10.1016/0197-2456(86)90034-6
  22. Lim CH, LeeHJ, Bae SS et al. The cross cultural adaptation for neck disability questionnaires. J Korean Soc Phys Ther. 2005;17(2):46-66.
  23. Lee HJ, Kim DJ. Cultural adaptation and reliability testing of korean version. Korean Society of Physical Medicine Korean soc phys med. 2011;6(4):475-88.
  24. Corbiere M, Bisson J, Lauzon S et al. Factorial validation of a French short-form of the Working Alliance Inventory. Int. J. Methods Psychiatr. Res. 2006;15(1):36-45. https://doi.org/10.1002/mpr.27
  25. Crits-Christoph P, Barber J, Kurcias J. The accuracy of therapists' interpretations a nd the development of the therapeutic alliance. Psychother Res. 1993;3(1):25-35. https://doi.org/10.1080/10503309312331333639
  26. Lee HJ, Song JM. Analysis of the characteristics of patients with chronic low back pain using the ICF concept. J Korean Soc Phys Ther. 2013;25(5):282-7.
  27. Oh TY, Ha JY, Lee EJ et al. The effects of badminton on the shoulder and its correlation with the shoulder pain and disability index. J Korean Soc Phys Ther. 2013;25(1):29-35.
  28. Schonberger M, Humle F, Teasdale TW. The relationship between clients' cognitive functioning and the therapeutic working alliance in post-acute brain injury rehabilitation. Brain Injury. 2007;21(8):825-36. https://doi.org/10.1080/02699050701499433
  29. Gallop R, Kennedy SH, Stern D. Therapeutic alliance on an inpatient unit for eating disorders. Int J Eat Disord, 1994;16(4):405-10. https://doi.org/10.1002/1098-108X(199412)16:4<405::AID-EAT2260160410>3.0.CO;2-S
  30. Dundon WD, Pettinati HM, Lynch KG et al. The therapeutic alliance in medical-based interventions impacts outcome in treating alcohol dependence. Drug Alcohol Depend. 2008;95(3):230-6. https://doi.org/10.1016/j.drugalcdep.2008.01.010
  31. Ely B, Alexander LB, Reed M. The Working Alliance in Pediatric Chronic Disease Management: A Pilot Study of Instrument Reliability and Feasibility. J Pediatr Nurs. 2005;20(3):190-200. https://doi.org/10.1016/j.pedn.2005.01.007