Cluster-rating-paper-20.2.2018-CLEAN.pdf (220.4 kB)
Clinicians have several therapeutic relationships and patients only one: the effect on their assessments of relationships
journal contribution
posted on 2023-06-09, 14:31 authored by Lauren Greenberg, Stephen BremnerStephen Bremner, Catherine Carr, Stefan PriebeObjectives Little attention has been given to the common assessment problem that clinicians assess outcomes of several patients and may rate them in comparison to one another, whereas patients assess only their own outcomes without any comparison. We explored empirically whether this would lead to a greater variability of clinician ratings as compared to patient ratings. Methods Data from two independent samples in which clinicians and patients, using consistent instruments, rated their therapeutic relationships. We present descriptive statistics of variability and intracluster correlation coefficients. Results The Helping Alliance Scale was completed at baseline and follow-up by 20 clinicians and 103 patients in an observational study and by 88 clinicians and 431 patients in a trial. Patients tended to rate their relationship 5–10% more highly than their clinicians, but with 50–100% more variability. Intraclinician Helping Alliance Scale ratings were more correlated than those by patients (intracluster correlation coefficients 0.3–0.7 vs. 0.0–0.2). Conclusion Contrary to our assumption, clinicians' ratings of therapeutic relationships were in both samples less variable than those of their patients. When clinicians rate outcomes of several patients, a cluster effect of ratings may have to be considered in the design and analysis.
History
Publication status
- Published
File Version
- Accepted version
Journal
International Journal of Methods in Psychiatric ResearchISSN
1049-8931Publisher
WileyExternal DOI
Issue
4Volume
27Page range
1-7Article number
e1722Department affiliated with
- Primary Care and Public Health Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2018-08-13First Open Access (FOA) Date
2019-06-06First Compliant Deposit (FCD) Date
2018-08-10Usage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC