Psychometric Properties of Scale to Assess the Therapeutic Relationship—JapaneseVersion (STAR-J)
Bibliographic Data
| ID | 15527652 |
|---|---|
| Authors | Asami Matsunaga (0000-0001-8375-0146, Kitamurayama Hospital, corresponding author), Sosei Yamaguchi (0000-0002-0579-4431, National Center of Neurology and Psychiatry), Utako Sawada (0000-0003-0492-2523, National Institute of Mental Health), Takuma Shiozawa (0000-0002-9307-576X, National Center of Neurology and Psychiatry), Chiyo Fujii (0000-0003-1715-1940, National Institute of Mental Health) |
| Year | 2019 |
| Volume | 10 |
| Pages | 575-575 |
| Publication date | 2019-09-18 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2019.00575 |
| PMID | 31620024 |
| OpenAlex | W2963059922 |
| Language | EN |
| References cited | 25 |
Background: A good therapeutic relationship between patient and psychiatrist is vital for effective mental health care. However, no instruments to assess this relationship are available in Japan. This study aimed to develop a Japanese version of a Scale To Assess Therapeutic Relationship (STAR-J), which measures such relationships from the viewpoints of both the patient (STAR-J-P) and clinician (STAR-J-C). We examined the tool's psychometric properties, including factor structure, internal consistency, convergent validity, and test-retest reliability among psychiatric outpatients and psychiatrists. Methods: Study participants comprised 139 outpatients and 10 psychiatrists. Exploratory factor analysis was conducted to investigate factor structure; to confirm cross-validity, confirmatory factor analysis was conducted using a different sample constituting 195 participants in an assertive community treatment program and their 91 case managers. Cronbach's alpha was used to assess internal consistency. For STAR-J-P only, the intra-class correlation coefficient (ICC) was computed for 17 patients to determine test-retest reliability. Spearman's correlation coefficients were calculated to examine convergent validity with service satisfaction, empowerment, and medication adherence. Results: We identified a two-factor structure for STAR-J-P and a one-factor structure for STAR-J-C. Cronbach's alphas for the two STAR-J-P factors were 0.897 and 0.645, and that for the STAR-J-C factor was 0.949. The ICCs for STAR-J-P factors 1 and 2 were 0.765 and 0.630, respectively. STAR-J-P and STAR-J-C were not significantly correlated. STAR-J-P factors 1 and 2 showed significant correlations with service satisfaction (factor 1: ρ = 0.648, p Conclusions: STAR-J appears to be a useful instrument for assessing therapeutic relationships in the Japanese psychiatric outpatient setting. Further studies should test its validity and applicability in different mental health service settings
Confirmatory factor analysis · Construct validity · Convergent validity · Cronbach's alpha · Discriminant validity · Exploratory factor analysis · Internal consistency · Physics · Psychometrics · Scale (ratio · Star (game theory · Statistics · Structural equation modeling · Clinical Psychology · Mental Health Treatment and Access · Psychology · Psychotherapy Techniques and Applications · Schizophrenia research and treatment
Assessment of client/patient satisfaction
A Beginner’s Guide to Factor Analysis
A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research
Making sense of Cronbach's alpha
Therapeutic relationships between mental health service users with psychotic disorders and their clinicians
Structural equation modeling in practice
An Empirical Evaluation of the Use of Fixed Cutoff Points in RMSEA Test Statistic in Structural Equation Models
| Highly cited | No |
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