Galea Holmes, MN;
Wileman, V;
McCracken, LM;
Critchley, D;
March, MK;
Norton, S;
Moss-Morris, R;
... Godfrey, E; + view all
(2021)
Experiences of training and delivery of Physical therapy informed by Acceptance and Commitment Therapy (PACT): a longitudinal qualitative study.
Physiotherapy
, 112
pp. 41-48.
10.1016/j.physio.2020.12.004.
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Abstract
Objectives: Physiotherapy informed by Acceptance and Commitment Therapy (PACT) is a novel intervention that is related to improved disability and functioning in people with chronic low-back pain. This study explored physiotherapists experiences over time of the PACT training programme and intervention delivery. / Design: A longitudinal qualitative study using semi-structured, in-depth, individual interviews at three time points was conducted. / Methods A phenomenological approach underpinned the methods. Interviews followed topic-guides developeda priori. Transcribed interviews were coded inductively to generate themes. Data were member checked by participants and validated by two researchers. / Participants: Eight clinical physiotherapists from three secondary care centres in the United Kingdom (n = 5 female; age, 24 to 44 years; duration of practice, 3 to 14 years) were included. / Results Five themes emerged from the data. Experiential learning techniques were challenging but valued because they bridged theoretical principles and concepts with practice. Ongoing individual and group supervision was beneficial, but required tailoring and tapering. PACT delivery extended physiotherapy skills and practice, including techniques that acknowledged and addressed patient treatment expectations. With experience, participants desired greater flexibility and autonomy to tailor PACT delivery. / Conclusions: PACT training and delivery were acceptable to physiotherapists. Existing skills were developed and additional, applicable approaches were provided that addressed psychosocial and behavioural aspects of chronic low back pain.
| Type: | Article |
|---|---|
| Title: | Experiences of training and delivery of Physical therapy informed by Acceptance and Commitment Therapy (PACT): a longitudinal qualitative study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.physio.2020.12.004 |
| Publisher version: | http://dx.doi.org/10.1016/j.physio.2020.12.004 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Low back pain, acceptance and commitment therapy, physiotherapy, qualitative research |
| UCL classification: | UCL 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 Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10118507 |
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