TY - JOUR
T1 - Experiences of training and delivery of Physical therapy informed by Acceptance and Commitment Therapy (PACT)
T2 - a longitudinal qualitative study
AU - Galea Holmes, Melissa N.
AU - Wileman, Vari
AU - McCracken, Lance M.
AU - Critchley, Duncan
AU - March, Marie K.
AU - Norton, Sam
AU - Moss-Morris, Rona
AU - Noonan, Sandra
AU - Barcellona, Massimo
AU - Godfrey, Emma
N1 - Funding Information:
Funding: This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-1112-29055 ). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.
Funding Information:
The authors would like to thank the patient advisors involved in this trial, especially Mr John Pallet, who was a co-applicant on the study grant, for their dedication, support and input throughout; the students at King's College London who helped collect data; Dr Sarah McLachlan who contributed to topic guide development and student supervision; the PACT physiotherapists for their enthusiasm and dedication to the trial and this study; and to Dr Julie Denning for her contributions to the training materials. Ethical approval: This study was approved by the National Research Ethics Committee South Central - Berkshire (reference 14/SC/0277). Funding: This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-1112-29055). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Conflict of interest: None declared.
Publisher Copyright:
© 2021 Chartered Society of Physiotherapy
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/9
Y1 - 2021/9
N2 - 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 lowback 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 developed a 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.
AB - 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 lowback 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 developed a 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.
KW - acceptance and commitment therapy
KW - Low back pain
KW - physiotherapy
KW - qualitative research
UR - http://www.scopus.com/inward/record.url?scp=85106326771&partnerID=8YFLogxK
U2 - 10.1016/j.physio.2020.12.004
DO - 10.1016/j.physio.2020.12.004
M3 - Article
AN - SCOPUS:85106326771
SN - 0031-9406
VL - 112
SP - 41
EP - 48
JO - Physiotherapy (United Kingdom)
JF - Physiotherapy (United Kingdom)
ER -