The systematic implementation of Acceptance & Commitment Therapy (ACT) in Dutch multidisciplinary chronic pain rehabilitation
Abstract
Objective This study evaluates the implementation of Acceptance & Commitment Therapy (ACT) in Dutch chronic pain rehabilitation centers. Changes in multidisciplinary professionals' self-perceived competencies in working with ACT were evaluated and corroborated with patients' ratings of treatment adherence. To inform subsequent implementation efforts, relevant determinants of implementation success were monitored and the relationship with self-perceived competencies over time was explored.Methods Data was gathered from 111 professionals, 9 managers and 79 patients using questionnaires at the start (T0), halfway (T1) and end (T2) of implementation, and at the end of treatment.Results All professionals adhered to ACT, improved significantly in self-perceived competencies over time and rated competence in working with ACT ≥ adequate at T2. Determinants of success were evaluated extremely positive by professionals and management. Professionals' self-perceived competencies at T2 were most strongly related to ratings of more workload (b=-.43), and experienced difficulties in working with ACT (b=-.38) at T0 and T1.Conclusion Multidisciplinary chronic pain rehabilitation professionals rated their improvement in working with ACT positively during the implementation period. Impeding and facilitating factors were explored successfully.Practice implications A multi-faceted, long-term, educational, train-the-trainer approach may help to guide systematic changes in multidisciplinary treatment.
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The implementation of a move towards an ACT-based approach to pain rehabilitation from more traditionally utilised CBT approaches has been described by Trompetter et al.
“The implementation of a move towards an ACT based approach to pain rehabilitation from the more traditionally utilised CBT approaches has been described by Trompetter et al. 10”
From Introducing acceptance and commitment therapy to a physiotherapy-led pain rehabilitation programme: An action research study (2016) · cites this paper as [10]
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- Authors
- Trompetter, H. R., Schreurs, K. M. G., Heuts, P. H. T. G., & Vollenbroek-Hutten, M. M.
- Affiliations
- Roessingh Research and Development (NL)
- Adelante (NL)
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2014-08
- Volume
- 96
- Issue
- 2
- Pages
- 249-255
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2026167204
- Cited by
- 19
- References
- 42
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- University of Twente Research Information (publishedVersion)
- University of Twente Research Information (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- acceptance and commitment therapy, chronic pain rehabilitation, multidisciplinary rehabilitation team, perceived competence, medication adherence, implementation factors, trainer training, professional education
- MeSH terms
- Adult, Clinical Competence, Female, Humans, Male, Middle Aged, Netherlands, Patient Acceptance of Health Care, Patient Care Team, Professional-Patient Relations, Surveys and Questionnaires, Rehabilitation Centers, Treatment Outcome, Young Adult, Chronic Pain, Pain Management, Acceptance and Commitment Therapy
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