Skip to Main content Skip to Navigation
Master Thesis

German forward backward translation of the working alliance inventory-short revised (WAI-SR) using a DELPHI consensus procedure

Abstract : Introduction: Communication is a key element in medical care. The therapeutic alliance (TA) is an interesting notion that can be defined as the partnership between the patient and the therapist with the aim of achieving fixed objectives. It is strongly associated with patients’ satisfaction and compliance and health outcomes. A systematic revue of literature and a RAND/UCLA Appropriateness Method identified the Working Alliance Inventory Short Revised (WAI-SR) as the most appropriate scale to evaluate the TA. The aim of this study was to undertake a German forward-backward translation of the WAI-SR following a validated method. Method: A forward and backward translation of the WAI-SR into German using a Delphi consensus procedure and a cultural check was performed. A research team composed by 2 general practitioners (GPs), 1 linguist and 1 psychologist was asked to translate the original WAI-SR from English to German. This translation was evaluated by a panel of GPs selected on the basis of having a German nationality and being fluent in English. After consensus, backward translations were done by 2 linguists and compared to the original scale to ensure linguistic congruence and cultural relevancy. Results: 18 expert GPs participated to the Delphi consensus procedure. The translation was validated in its entirety after 3 rounds. The backward translations and the cultural check led to several corrections. Conclusion: A German validated translation of WAI-SR is now available. It can be used in German doctors’ daily practice, in German students’ medical education and for further research about TA across Europe.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [14 references]  Display  Hide  Download
Contributor : Ubo Santé <>
Submitted on : Thursday, July 19, 2018 - 4:13:10 PM
Last modification on : Sunday, February 10, 2019 - 11:32:02 PM
Long-term archiving on: : Saturday, October 20, 2018 - 3:06:09 PM


Files produced by the author(s)


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License


  • HAL Id : dumas-01844737, version 1



Anne Kervern. German forward backward translation of the working alliance inventory-short revised (WAI-SR) using a DELPHI consensus procedure. Life Sciences [q-bio]. 2018. ⟨dumas-01844737⟩



Record views


Files downloads