Data_Sheet_1_Translation of the working alliance inventory short revised into Italian using a Delphi procedure and a forward-backward translation.pdf

IntroductionEnhancing treatment adherence, especially for chronic diseases, can be achieved through therapeutic alliance, potentially elevating the quality of care. An instrument to evaluate the therapeutic alliance could be beneficial in routine clinical settings, educational environments, and extensive research efforts at national and European levels. In this study, we translated therapist and patient versions of the Working Alliance Inventory Short Revised (WAI-SR) into Italian.
MethodologyAn email-based Delphi method was employed for the English-to-Italian translation, incorporating a forward-backward process. The initial translation team comprised two Italian family physicians proficient in English, a linguist, and a psychiatrist. The forward translation was then reviewed by 18 Italian family physicians through a Delphi process and was subjected to a backward translation by two Italian English teachers. A cultural correspondence was subsequently identified to adjust translations within a national and international framework.
ResultsAll 18 experts fully engaged in the Delphi process, and consensus was achieved by the second Delphi round. A cultural check checked for discrepancies regarding linguistic consistency with other translations and found no difference.
ConclusionThis Italian translation of the WAI-SR is expected to support Italian family physicians aiming to enhance their clinical practice and therapeutic outcomes. It could also be a valuable tool for Italian medical students to foster therapeutic relationships and improve their communication skills.

引言
提升治疗依从性，尤以慢性病患者为甚，可通过构建治疗联盟实现，进而有望提高照护质量。一款用于评估治疗联盟的工具，可在常规临床场景、教学环境以及国家级与欧盟层面的大规模研究中发挥积极作用。本研究将《工作联盟量表简短修订版》（Working Alliance Inventory Short Revised，WAI-SR）的治疗师版与患者版翻译为意大利语。

研究方法
本研究采用基于电子邮件的德尔菲法（Delphi method）开展英译意翻译工作，整合正向-逆向翻译流程。初始翻译团队由两名精通英语的意大利家庭医生、一名语言学家及一名精神科医师组成。随后，18名意大利家庭医生通过德尔菲流程对正向翻译稿进行评审，同时由两名意大利英语教师完成逆向翻译。后续基于国家与国际统一框架，开展文化适配以优化翻译内容。

研究结果
18名专家均全程参与德尔菲流程，并在第二轮调研中达成共识。经文化校验，比对本次翻译与其他同类版本的语言一致性差异，未发现显著不同。

研究结论
本《工作联盟量表简短修订版》意大利语译本，可助力意大利家庭医生优化临床实践、提升治疗效果，同时也可作为意大利医学生培育治疗关系、提升沟通能力的实用工具。