The Working Alliance Inventory: Application to Pediatric Chronic Disease Management

2.50
Hdl Handle:
http://hdl.handle.net/10755/149250
Type:
Presentation
Title:
The Working Alliance Inventory: Application to Pediatric Chronic Disease Management
Abstract:
The Working Alliance Inventory: Application to Pediatric Chronic Disease Management
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Ely, Beth, RN, PhD
P.I. Institution Name:St. Christopher's Hospital for Children & Drexel University College of Medicine
Title:Clinical Nurse Specialist for Sickle Cell Pain Research
Co-Authors:Leslie Alexander, PhD
Introduction: Findings are presented from a pilot study to determine the reliability, relevance, and feasibility of using child and adult versions of the Working Alliance Inventory (WAI: Horvath, 1982; Horvath & Greenberg, 1989), borrowed from the field of psychotherapy research and adapted for use in a population of pediatric patients with chronic blood disorders, their parents/guardians, and their health care providers. Methods: The 12 scales (eg., child relationship with hematologist {MD} [12 item], parent relationship with nurse practitioner {NP} [36 items]) of the adapted WAI were administered during in-person interviews to patients 7 years of age and older and to parents/guardians of the patients. The patient’s MD and NP completed the forms individually. Results: A total of 34 children (X=10.47 years, 94% African American, 88% diagnosed with Sickle Cell Disease [SCD], 58.8% male), 13 adolescents (X=16.8 yrs., 69.2% African American, 53.8% with SCD, 69% male), and 43 parents/guardians (97.6% female, 88.4% mothers) participated in this study. Internal consistency estimates using Cronbach alpha yielded alphas ranging from .79 - .98, indicating strong internal consistency for all 12 versions of the WAI. Chronbach alphas for 12 item newly developed child version of the WAI were .83 (child’s relationship with MD or NP), .96 (parent/guardian relationship with MD or NP), and .92(parent perception of their childs’ relationship with the MD or NP). Eight of the 12 scales had test-retest reliability co-efficients of r=.66 or greater significant at the p Conclusions: Each version of the adapted WAI has strong internal consistency. While test-retest reliability of most of the scales was strong, four versions of the tool need scrutiny. Parents, children, and adolescents were asked to provide feedback about the scale items following administration. Comments were generally positive especially regarding the opportunity to express opinions about their relationships with health care providers.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Working Alliance Inventory: Application to Pediatric Chronic Disease Managementen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149250-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Working Alliance Inventory: Application to Pediatric Chronic Disease Management</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ely, Beth, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Christopher's Hospital for Children &amp; Drexel University College of Medicine</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist for Sickle Cell Pain Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">eae24@drexel.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Leslie Alexander, PhD</td></tr><tr><td colspan="2" class="item-abstract">Introduction: Findings are presented from a pilot study to determine the reliability, relevance, and feasibility of using child and adult versions of the Working Alliance Inventory (WAI: Horvath, 1982; Horvath &amp; Greenberg, 1989), borrowed from the field of psychotherapy research and adapted for use in a population of pediatric patients with chronic blood disorders, their parents/guardians, and their health care providers. Methods: The 12 scales (eg., child relationship with hematologist {MD} [12 item], parent relationship with nurse practitioner {NP} [36 items]) of the adapted WAI were administered during in-person interviews to patients 7 years of age and older and to parents/guardians of the patients. The patient&rsquo;s MD and NP completed the forms individually. Results: A total of 34 children (X=10.47 years, 94% African American, 88% diagnosed with Sickle Cell Disease [SCD], 58.8% male), 13 adolescents (X=16.8 yrs., 69.2% African American, 53.8% with SCD, 69% male), and 43 parents/guardians (97.6% female, 88.4% mothers) participated in this study. Internal consistency estimates using Cronbach alpha yielded alphas ranging from .79 - .98, indicating strong internal consistency for all 12 versions of the WAI. Chronbach alphas for 12 item newly developed child version of the WAI were .83 (child&rsquo;s relationship with MD or NP), .96 (parent/guardian relationship with MD or NP), and .92(parent perception of their childs&rsquo; relationship with the MD or NP). Eight of the 12 scales had test-retest reliability co-efficients of r=.66 or greater significant at the p Conclusions: Each version of the adapted WAI has strong internal consistency. While test-retest reliability of most of the scales was strong, four versions of the tool need scrutiny. Parents, children, and adolescents were asked to provide feedback about the scale items following administration. Comments were generally positive especially regarding the opportunity to express opinions about their relationships with health care providers.</td></tr></table>en_GB
dc.date.available2011-10-26T09:58:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:58:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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