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Assessing the Impact of a Brief CBT Intervention and a Sonification-of-Movement Device on Pain Anxiety in Chronic Pain: A Mixed Methods, Multiple Single-Case Design

Harvey, Laura; (2019) Assessing the Impact of a Brief CBT Intervention and a Sonification-of-Movement Device on Pain Anxiety in Chronic Pain: A Mixed Methods, Multiple Single-Case Design. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Aim- To explore the effects of two interventions on pain anxiety in the context of chronic pain. Methods- The study used a mixed measures, multiple single-case A-B-A-C design. Six participants (adults with chronic pain) received two baseline (A) and two intervention phases (B and C): a brief CBT intervention and the ‘Go-With-the Flow’ (GWtF) sonification of movement. Participants completed a daily movement (that is usually painful) with associated measures (anxiety and pain ratings, heart-rate and degrees of bend achieved). At the end of each phase, participants additionally videoed their movements (which were independently rated for ‘guarding’ by pain physiotherapists) and completed the Pain Self-Efficacy and Pain Catastrophising Scale questionnaires (PSEQ/PCS). Qualitative data about participants’ experiences of the two interventions were collected at the end of participation. Quantitative data were analysed visually and statistically using Tau-U methods and McNemar tests. PSEQ and PCS data were assessed for reliable change, and qualitative data were thematically analysed. Results- The impact of each intervention on pain anxiety was variable across participants. Qualitative data indicated that brief CBT was generally the preferred intervention but neither intervention yielded a statistically significant improvement in pain anxiety in most cases. GWtF was associated with a statistically significant increase in bend achieved from baseline for the group as a collective. However, this finding was balanced by qualitative data which indicated that most participants would not use GWtF in its current format. Conclusion- Both interventions were associated with benefit for some participants, and successfully used at home without significant difficulty. As such, both could, with further development, increase accessibility to psychologically-informed intervention for problems associated with chronic pain.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Assessing the Impact of a Brief CBT Intervention and a Sonification-of-Movement Device on Pain Anxiety in Chronic Pain: A Mixed Methods, Multiple Single-Case Design
Event: UCL
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10082224
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