Patient perspectives of patient-centeredness in medical rehabilitation

Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

“…In addition, PCC is understood as being a moral philosophy for health professionals seeking to provide the highest quality health care [3]. Despite the significance of PCC as an approach to care, there is no clear consensus regarding the definition of the same, nor its underlying dimensions [1,[4][5][6][7][8][9]. Thus, a number of definitions are found for PCC and its components.…”

“…In addition, several authors have described certain characteristics of the therapeutic relationship as a means for establishing PCC. Thus, Constand et al [15] speak of communication and partnership; Zimmermann et al [9] highlight interactions and relationships, considering it important for professionals to be friendly and attentive; Hobbs [8] refers to "therapeutic engagement" and trust; Castro et al [4] underline empathy, trust, and individualized treatment; Rathert et al [5] establish the importance of respect, information, education, communication and emotional support; Wijma et al [6] mention trust, verbal communication adapted to the patient, nonverbal communication, and active listening; Scholl et al [16] highlight the importance of a reciprocal relationship characterized by constancy, trust, connection, mutual care, mutual knowledge, construction of a positive relationship and mutual understanding of roles and responsibilities.…”

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

“…A recent systematic review of the construct, with the aim of providing a theoretical framework for developing such care in the field of physiotherapy, concluded that "Patient centeredness in physiotherapy entails the characteristics of offering an individualized treatment, continuous communication (verbal and non-verbal), education during all aspects of treatment, working with patientdefined goals in a treatment in which the patient is supported and empowered with a physiotherapist having social skills, being confident and showing specific knowledge" [13]. These results thus consider the educational aspect throughout the treatment process [13] and once again confirm that, in order to develop person-centered care in physiotherapy, it is necessary to establish adequate communication and a therapeutic relationship between the professional and the person receiving care [7,[13][14][15][16][17]. Moreover, on a multidisciplinary level, the published literature highlights that person-centered care is based on the importance of relational aspects, the individualization of care, empowerment and the sharing of roles and responsibilities through the therapeutic alliance [5][6][7], this construct comprises three components: 1) the link between the patient and the therapist, 2) agreement on the tasks to be improved, and 3) agreement on the treatment goals [18].…”

“…The Scale to Assess the Therapeutic Relationship (STAR) [20] was designed to be used in the field of community mental health. The PCTR-PT, built within the scope of physical therapy and rehabilitation, focuses on dimensions or aspects related to the interaction between the physiotherapist and the person, deemed are necessary to carry out person-centered care (individualization [6,7], empowerment [16,52], agreement on the goals of treatment and treatment focused on people's preferences [16,52,53] and mutual trust [24]). This includes the communicative tools or necessary attitudes that the physiotherapist must have in order to establish a therapeutic relationship (verbal and nonverbal language that generates confidence [24,28], a close attitude [54], sensitivity to change [55], active listening [15] or empathy [29]).…”

Emotions and encounters with healthcare professionals as predictors for the self-estimated ability to return to work: a cross-sectional study of people with heart failure

“…One basic assumption is that positive emotions, such as feeling strengthened or happy, can contribute to patient empowerment. 29 Furthermore, patient empowerment has been described as a process and an outcome implying patients' active participation in their own healthcare. 30 This signifies that sick-listed persons' inner resources can be strengthened through interactions with other people.…”