Measuring Clinician-Client Relationships in Speech-Language Treatment for School-Age Children.
Measuring Clinician-Client Relationships in Speech-Language Treatment for School-Age Children.
复制标题
衡量学龄儿童言语语言治疗中的临床医生与客户关系。
DOI：
10.1044/2016_ajslp-16-0018
复制
发表时间：
2017
影响因子：
2.6
通讯作者：
Kerry Danahy Ebert
中科院分区：
文献类型：
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作者：
Kerry Danahy Ebert
目的
临床医生与患者的关系可能会影响语音-语言病理学的治疗成功，但目前还没有确定的工具来衡量这些关系。本研究描述了一套用于评估儿童言语-语言治疗中临床医生-客户关系的量表的开发和应用。
方法
22名三合一参与者完成了一项纵向研究。每个三合会都有1名学龄儿童参加言语语言治疗，1名照顾者和1名言语语言病理学家(SLP)。临床医生-客户关系量表在研究开始时和2周后再次对所有3种类型的参与者进行测试。4个月后收集治疗进展情况。分析建立了临床医患关系量表的信度和效度。
结果
量表的所有3个版本(儿童、照顾者和SLP)都建立了足够的内部一致性信度和重测信度。SLP和儿童之间的融合效度中等，但当包括照顾者时，收敛效度较低。预测效度分析建立了护理者和SLP对临床医生-客户关系和未来治疗进展的评分之间的显著关系。
结论
这项探索性研究建立了临床医生-客户关系量表的可行性，以供进一步开发和应用。讨论了建立和利用临床医生-客户关系措施在言语语言病理学中的重要性。
Purpose
Clinician-client relationships may influence treatment success in speech-language pathology, but there are no established tools for measuring these relationships. This study describes the development and application of a set of scales for assessing clinician-client relationships in children's speech-language treatment.
Method
Twenty-two triads of participants completed a longitudinal study. Each triad had 1 school-age child enrolled in speech-language treatment, 1 caregiver, and 1 speech-language pathologist (SLP). The clinician-client relationship scales were administered to all 3 types of participants at study onset and again 2 weeks later. Treatment progress measures were collected 4 months later. Analyses established the reliability and validity of the clinician-client relationship scales.
Results
Adequate internal consistency reliability and test-retest reliability were established for all 3 versions of the scale (child, caregiver, and SLP). Convergent validity was moderate between SLPs and children but lower when caregivers were included. Predictive validity analyses established significant relationships between caregiver and SLP ratings of the clinician-client relationship and future treatment progress.
Conclusions
This exploratory study established the viability of the clinician-client relationship scales for further development and application. The importance of establishing and utilizing measures of the clinician-client relationship in speech-language pathology is discussed.