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The Kim Alliance Scale: development and preliminary testing.

S C Kim1, D Boren, S L Solem

  • 1Department of Nursing, Point Loma Nazarene University, USA.

Clinical Nursing Research
|March 8, 2002
PubMed
Summary
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The Kim Alliance Scale (KAS) measures therapeutic alliance quality from the patient viewpoint, incorporating patient empowerment. This validated 30-item scale shows strong reliability for assessing healthcare relationships.

Area of Science:

  • Psychology
  • Healthcare Research
  • Psychometrics

Background:

  • Therapeutic alliance quality is crucial for treatment outcomes.
  • Existing measures may not fully capture patient empowerment within the alliance.
  • A validated tool is needed to assess alliance from the patient's perspective.

Purpose of the Study:

  • To develop and psychometrically test the Kim Alliance Scale (KAS).
  • To measure the quality of the therapeutic alliance, including patient empowerment.
  • To provide a reliable and valid instrument for healthcare research.

Main Methods:

  • Literature review and qualitative data triangulation to establish a conceptual framework.
  • Development of a 48-item Kim Alliance Scale (KAS).

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  • Psychometric testing of reliability and validity using data from 68 nurses evaluating their patient-provider alliance.

    • Main Results:

    • The KAS was refined to a 30-item scale.
    • High internal consistency reliability (Cronbach's alpha = .94) and split-half reliability (.87, .91).
    • Initial evidence supporting convergent and divergent validity was found.

    Conclusions:

    • The 30-item KAS demonstrates strong psychometric properties.
    • The KAS is a potentially valuable tool for measuring therapeutic alliance quality and patient empowerment.
    • The scale can inform interventions aimed at improving therapeutic alliances and treatment outcomes.