{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T19:51:39Z","timestamp":1783453899348,"version":"3.55.0"},"reference-count":58,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The \u201chelping alliance\u201d between patients, caregivers, and healthcare professionals (HCPs) plays an important role in the evaluation of therapeutic interventions. The aim of this study was to develop a German version of the Helping Alliance Questionnaire for pediatric patients (HAQ\u2010P) and caregivers (HAQ\u2010CG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The questionnaire was adapted from the original version of the HAQ for adults and improved using feedback from HCPs, patients with chronic pain and their caregivers. It was then validated in a sample of\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009216 patients with chronic pain aged 8\u201317 years, along with their caregivers and HCPs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Confirmatory factor analysis revealed a good model fit for the 2\u2010factor structure of the HAQ\u2010P and HAQ\u2010CG, with the two subscales\n                      <jats:italic>relationship<\/jats:italic>\n                      and\n                      <jats:italic>outcome satisfaction<\/jats:italic>\n                      demonstrating good to excellent internal consistency across all subgroups. Multi\u2010group analyses showed that the model structure was similar for patients, caregivers, and HCPs. However, means of the three groups differed systematically (e.g., caregivers reported higher satisfaction), thus not allowing for direct comparison of group means.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HAQ\u2010P and HAQ\u2010CG have strong psychometric properties, and may be useful in clinical practice and research for monitoring, predicting, and improving therapeutic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70152","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T11:10:22Z","timestamp":1778152222000},"page":"1218-1230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Helping Alliance Questionnaire for Children and Their Caregivers\u2014Validation in a German Sample of Pediatric Chronic Pain Patients"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-7166","authenticated-orcid":false,"given":"Lisa\u2010Marie","family":"Rau","sequence":"first","affiliation":[{"name":"Department of Children's Pain Therapy and Paediatric Palliative Care, School of Medicine, Faculty of Health Witten\/Herdecke University Witten Germany"},{"name":"German Paediatric Pain Centre Children's and Adolescents' Hospital Datteln Datteln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9167-647X","authenticated-orcid":false,"given":"Amelie Florentine","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Children's Pain Therapy and Paediatric Palliative Care, School of Medicine, Faculty of Health Witten\/Herdecke University Witten Germany"},{"name":"PedScience Research Institute Datteln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4493-6356","authenticated-orcid":false,"given":"Julia","family":"Wager","sequence":"additional","affiliation":[{"name":"Department of Children's Pain Therapy and Paediatric Palliative Care, School of Medicine, Faculty of Health Witten\/Herdecke University Witten Germany"},{"name":"German Paediatric Pain Centre Children's and Adolescents' Hospital Datteln Datteln Germany"},{"name":"PedScience Research Institute Datteln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030551"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102409355837"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033-295x.84.2.191"},{"key":"e_1_2_10_5_1","unstructured":"Bassler M. andR.N\u00fcbling(2015). 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