Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
Rethinking First-Visit Therapeutic Alliance in Student Physiotherapy.
Письмо в редакциюНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sah Shyam Sundar, Kumbhalwar Abhishek
Аннотация
BACKGROUND AND PURPOSE: Direct-access physiotherapy is often the first point of care for students with musculoskeletal pain, where early therapeutic alliances shape engagement and recovery. This commentary addresses an attribution gap in prior research by proposing a therapist-aware perspective that distinguishes student vulnerability from provider- and system-level influences.
METHODS: Presents a conceptual and interpretive framework, integrating alliance theory and multilevel attribution principles to reconsider how first-visit alliance findings should be interpreted in student physiotherapy.
RESULTS: Therapist-aware perspectives clarify that apparent alliance difficulties may reflect modifiable clinician behaviors or service structures rather than fixed student characteristics. One concise example of behaviorally anchored alliance measurement is presented.
DISCUSSION: Repositioning alliance as a modifiable component of care supports fairer interpretation, targeted training, and scalable quality improvement without extending consultation time.
METHODS: Presents a conceptual and interpretive framework, integrating alliance theory and multilevel attribution principles to reconsider how first-visit alliance findings should be interpreted in student physiotherapy.
RESULTS: Therapist-aware perspectives clarify that apparent alliance difficulties may reflect modifiable clinician behaviors or service structures rather than fixed student characteristics. One concise example of behaviorally anchored alliance measurement is presented.
DISCUSSION: Repositioning alliance as a modifiable component of care supports fairer interpretation, targeted training, and scalable quality improvement without extending consultation time.