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Perceptions of the quality of the therapeutic alliance in chiropractic care in The Netherlands: a cross-sectional survey

Overview of attention for article published in Chiropractic & Manual Therapies, June 2016
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)

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3 tweeters

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Title
Perceptions of the quality of the therapeutic alliance in chiropractic care in The Netherlands: a cross-sectional survey
Published in
Chiropractic & Manual Therapies, June 2016
DOI 10.1186/s12998-016-0100-4
Pubmed ID
Authors

Nicoline M. Lambers, Jennifer E. Bolton

Abstract

Research in various medical fields demonstrates a consistent and positive association between clinical outcomes and the quality of the therapeutic alliance between the patient and clinician. The aim of this study was to explore how well chiropractors and their patients in The Netherlands perceive the quality of their working relationship. A nationwide survey of chiropractors and their patients was conducted in The Netherlands, using a validated Dutch translation of the Working Alliance Inventory (WAV-12). Data were collected over a 5-week period in September-October 2014. Both patients and chiropractors were requested to reflect on 12 statements about to how well they perceived their collaboration in reaching consensus on treatment goals and treatment strategies, and how well they perceived the existence of an affective bond in their working relationship. A 5-point Likert scale was used to answer each question. Higher ratings reflected a more positive perception of the therapeutic alliance. Furthermore, levels of agreement between patients' and chiropractors' perceptions of the quality of their therapeutic alliance were determined. In total, 207 working relationships between patients and their chiropractor were analysed. The quality of the therapeutic alliance was perceived as being very positive for both patients (n = 183, mean 49.14 ± 7.12) and chiropractors (n = 202, mean 50.48 ± 4.97). There was no difference in patients' perceptions whether treated by a male or female chiropractor, nor in relation to the chiropractor's years of experience. Nevertheless, poor agreement was found between perceptions of patients and chiropractors in the same relationship (ICC = 0.13). Both patients and chiropractors perceived the quality of the therapeutic alliance as being very positive. Despite these positive results, patient and chiropractor pairs perceived the level of collaboration in order to reach agreement on treatment goals and strategies and the quality of their affective bond very differently. Clinically, these results suggest that chiropractors should, during the course of treatment, continue to collaborate with their patient and frequently verify whether their patient continues to agree with the treatment goals and treatment plan applied to further develop, improve and maintain a positive therapeutic alliance.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 24 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Australia 1 4%
Unknown 23 96%

Demographic breakdown

Readers by professional status Count As %
Unspecified 5 21%
Student > Bachelor 5 21%
Student > Master 5 21%
Other 4 17%
Student > Postgraduate 1 4%
Other 4 17%
Readers by discipline Count As %
Medicine and Dentistry 9 38%
Nursing and Health Professions 6 25%
Unspecified 5 21%
Psychology 2 8%
Biochemistry, Genetics and Molecular Biology 1 4%
Other 1 4%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 June 2016.
All research outputs
#3,664,268
of 7,879,571 outputs
Outputs from Chiropractic & Manual Therapies
#209
of 261 outputs
Outputs of similar age
#121,987
of 268,688 outputs
Outputs of similar age from Chiropractic & Manual Therapies
#9
of 10 outputs
Altmetric has tracked 7,879,571 research outputs across all sources so far. This one has received more attention than most of these and is in the 51st percentile.
So far Altmetric has tracked 261 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.1. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 268,688 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one.