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Introducing Acceptance and Commitment Therapy to a physiotherapy-led pain rehabilitation programme: an Action
Karen L Barker1, Leila Heelas2, Francine Toye2
1NIHR - BRU, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK; Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
British Journal of Pain
|August 24, 2016
Summary
Implementing Acceptance and Commitment Therapy (ACT) in physiotherapy pain rehabilitation requires shifting from a
Area of Science:
- Pain Rehabilitation
- Psychological Flexibility
- Health Psychology
Background:
- Recent pain rehabilitation emphasizes psychological flexibility.
- Acceptance and Commitment Therapy (ACT) is effective for chronic musculoskeletal pain.
- Implementing novel approaches like ACT can cause professional anxiety.
Purpose of the Study:
- Evaluate the implementation of ACT in a physiotherapy-led pain rehabilitation program using Action Research.
- Identify barriers and facilitators to integrating ACT within physiotherapy.
Main Methods:
- Action Research methodology.
- Focus groups, reflective sessions, and diaries with physiotherapy staff.
- Qualitative analysis using constant comparison with participant validation.
Main Results:
- Key themes: embodied pain experience, redefining 'acceptance', value-based goals, and the challenge of integrating ACT into physiotherapy.
- Therapeutic 'acceptance' involves 'sitting with' pain, contrasting with the traditional 'fixing' approach.
- Physiotherapists found the shift uncomfortable due to biomedical training.
Conclusions:
- Action Research effectively introduced ACT into physiotherapy pain rehabilitation.
- Understanding potential barriers and facilitators is crucial for embedding ACT.
- This study provides insights into integrating ACT philosophy in physiotherapy settings.
Keywords:
Acceptance and Commitment TherapyAction ResearchChronic painPain ClinicsPain managementPain rehabilitationPhysiotherapyMore Related Videos
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