From traditional cognitive–behavioural therapy to acceptance and commitment therapy for chronic pain: a mixed-methods study of staff experiences of change
Open accessAbstract
Health care organizations, both large and small, frequently undergo processes of change. In fact, if health care organizations are to improve over time, they must change; this includes pain services. The purpose of the present study was to examine a process of change in treatment model within a specialty interdisciplinary pain service in the UK. This change entailed a switch from traditional cognitive–behavioural therapy to a form of cognitive–behavioural therapy called acceptance and commitment therapy. An anonymous online survey, including qualitative and quantitative components, was carried out approximately 15 months after the initial introduction of the new treatment model and methods. Fourteen out of 16 current clinical staff responded to the survey. Three themes emerged in qualitative analyses: positive engagement in change; uncertainty and discomfort; and group cohesion versus discord. Quantitative results from closed questions showed a pattern of uncertainty about the superiority of one model over the other, combined with more positive views on progress reflected, and the experience of personal benefits, from adopting the new model. The psychological flexibility model, the model behind acceptance and commitment therapy, may clarify both processes in patient behaviour and processes of staff experience and skilful treatment delivery. This integration of processes on both sides of treatment delivery may be a strength of acceptance and commitment therapy.
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Introducing innovative approaches such as ACT into established health care can cause some anxiety for professional groups.
“However, studies have shown that introducing innovative approaches such as ACT into established health care can cause some anxiety for professional groups.”
From Introducing acceptance and commitment therapy to a physiotherapy-led pain rehabilitation programme: An action research study (2016) · cites this paper as [12]
A prior study identified that those from a non-psychology background may need to be offered more support and direct training in how to select, modify or refine methods to fit with the shifting treatment approach.
“They identified that those from a non-psychology background may need to be offered more support and direct training in how to select, modify or refine methods to fit with the shifting treatment approach.”
From Introducing acceptance and commitment therapy to a physiotherapy-led pain rehabilitation programme: An action research study (2016) · cites this paper as [12]
A prior study reported that there was some tension between different disciplines and that while nursing, physiotherapy and occupational therapy can directly promote psychological flexibility and operate in an ACT environment, the methods for doing this are far less well mapped out than for psychologists.
“They reported that there was some tension between the different disciplines and that while nursing, physiotherapy and occupational therapy can directly promote psychological flexibility and operate in an ACT environment, the methods for doing this are far less well mapped out than”
From Introducing acceptance and commitment therapy to a physiotherapy-led pain rehabilitation programme: An action research study (2016) · cites this paper as [12]
A qualitative study of staff from different clinical backgrounds about their experiences of changing to ACT found that uncertainty and discomfort were an emergent theme.
“a qualitative study of staff from a number of different clinical backgrounds about their experiences of changing to ACT found that uncertainty and discomfort were an emergent theme. 12”
From Introducing acceptance and commitment therapy to a physiotherapy-led pain rehabilitation programme: An action research study (2016) · cites this paper as [12]
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- Authors
- Barker, E., & McCracken, L. M.
- Affiliations
- King's College London (GB)
- St Thomas' Hospital (GB)
- ORCID
- McCracken, Lance M
- Venue
- British Journal of Pain
- Publisher
- SAGE Publications
- Published
- 2013-07-19
- Volume
- 8
- Issue
- 3
- Pages
- 98-106
- ISSN
- 2049-4637 (ISSN-L)
- 2049-4645
- PMC
- PMC4590121
- OpenAlex
- W2131284940
- Cited by
- 14
- References
- 20
- Citations by year
- 2024: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 2
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- British Journal of Pain (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- acceptance and commitment therapy, cognitive behavioral therapy, chronic pain, organizational change, employee experience, psychological flexibility, group cohesion
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