{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T23:43:12Z","timestamp":1769643792668,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background and Purpose<\/jats:title>\n Direct\u2010access physiotherapy is often the first point of care for students with musculoskeletal pain, where early therapeutic alliances shape engagement and recovery. This commentary addresses an attribution gap in prior research by proposing a therapist\u2010aware perspective that distinguishes student vulnerability from provider\u2010 and system\u2010level influences.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Presents a conceptual and interpretive framework, integrating alliance theory and multilevel attribution principles to reconsider how first\u2010visit alliance findings should be interpreted in student physiotherapy.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Therapist\u2010aware perspectives clarify that apparent alliance difficulties may reflect modifiable clinician behaviors or service structures rather than fixed student characteristics. One concise example of behaviorally anchored alliance measurement is presented.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Repositioning alliance as a modifiable component of care supports fairer interpretation, targeted training, and scalable quality improvement without extending consultation time.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pri.70160","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T07:29:48Z","timestamp":1767770988000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rethinking First\u2010Visit Therapeutic Alliance in Student Physiotherapy"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4269-7253","authenticated-orcid":false,"given":"Shyam Sundar","family":"Sah","sequence":"first","affiliation":[{"name":"Dr. D. Y. Patil Medical College Hospital and Research Centre Dr. D. Y. Patil Vidyapeeth (Deemed\u2010to\u2010be\u2010University) Pimpri, Pune Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8610-7071","authenticated-orcid":false,"given":"Abhishek","family":"Kumbhalwar","sequence":"additional","affiliation":[{"name":"Dr. D. Y. Patil Dental College and Hospital Dr. D. Y. Patil Vidyapeeth (Deemed\u2010to\u2010be\u2010University) Pimpri, Pune Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2018.1561293"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118445112.stat06890"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.3138\/ptc\u20102019\u20100077"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.7860\/jcdr\/2025\/79144.21896"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2020.1746902"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.30831\/akukeg.1207350"},{"key":"e_1_2_3_8_1","first-page":"57","volume-title":"Integrating Psychiatry and Primary Care","author":"Mitchell A. 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