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A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain / MARIA SARACUTU

Swansea University Author: MARIA SARACUTU

DOI (Published version): 10.23889/Suthesis.54524

Abstract

Background: Persistent pain represents a significant burden for individuals and society, exerting a profound effect on quality of life and posing a significant strain on healthcare resources. Novel interventions are needed to reduce the impact of psychological comorbidities on people who live with p...

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Published: Swansea 2020
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Rance, Jaynie ; Edwards, Darren J. ; Davies, Helen ; Terry, Julia
URI: https://cronfa.swan.ac.uk/Record/cronfa54524
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first_indexed 2020-06-22T13:06:10Z
last_indexed 2020-06-27T19:06:44Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2020-06-27T14:22:28.8439943</datestamp><bib-version>v2</bib-version><id>54524</id><entry>2020-06-21</entry><title>A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain</title><swanseaauthors><author><sid>7cc83f23fd67a72443d404f37ce748a6</sid><firstname>MARIA</firstname><surname>SARACUTU</surname><name>MARIA SARACUTU</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2020-06-21</date><abstract>Background: Persistent pain represents a significant burden for individuals and society, exerting a profound effect on quality of life and posing a significant strain on healthcare resources. Novel interventions are needed to reduce the impact of psychological comorbidities on people who live with pain but also to improve pain self-management, enhance people&#x2019;s quality of life, and help them live a fulfilling life in the presence of pain.Aims: The aim of this research was to develop a novel psychosocial intervention to accompany osteopathic treatment for people from Southwest Wales who live with persistent pain and psychological comorbidities. The MRC framework for developing complex health interventions (Craig et al. 2000, 2008) guided the development of this intervention.Methods: A pragmatic approach that included a mixture of methods and procedures was chosen. The first phase consisted of conducting two qualitative studies to determine the needs and experiences of people living with persistent pain as well as the perspectives of osteopaths who treat them. A systematic review was conducted alongside to investigate the effects of osteopathic treatment on psychosocial factors in people living with persistent pain. The second phase consisted of utilizing the data from the first phase to inform the development of the novel intervention based on Acceptance and Commitment Therapy (ACT) principles. Focus groups and one-to-one interviews were the preferred data collection methods while data analysis was carried out using Thematic Analysis (TA) and Framework Analysis (FA).Findings: The intervention appeared to be feasible with the support of the osteopaths. The intervention was found acceptable and no barriers to participation were reported. Program attendance was 82.5% and the participants engaged well with the exercises and with the ACT model in general. At one-month follow up, the participants reported that they continued to practice mindfulness, and continued to apply their knowledge of ACT to their personal circumstances.Conclusion: Delivering a brief ACT-based intervention for people living with persistent pain was feasible and acceptable. All of the nine participants reported positive experiences. The collaboration between osteopaths and psychologists in supporting people who live with persistent pain demonstrates both innovation and potential and should be further explored in the future.</abstract><type>E-Thesis</type><journal/><publisher/><placeOfPublication>Swansea</placeOfPublication><keywords>ACT, Osteopathy, persistent pain, intervention, psychosocial, mindfulness, comorbidities</keywords><publishedDay>13</publishedDay><publishedMonth>5</publishedMonth><publishedYear>2020</publishedYear><publishedDate>2020-05-13</publishedDate><doi>10.23889/Suthesis.54524</doi><url/><notes>A selection of third party content is redacted or is partially redacted from this thesis.</notes><college>COLLEGE NANME</college><CollegeCode>COLLEGE CODE</CollegeCode><institution>Swansea University</institution><supervisor>Rance, Jaynie ; Edwards, Darren J. ; Davies, Helen ; Terry, Julia</supervisor><degreelevel>Doctoral</degreelevel><degreename>Ph.D</degreename><degreesponsorsfunders>MRC</degreesponsorsfunders><apcterm/><lastEdited>2020-06-27T14:22:28.8439943</lastEdited><Created>2020-06-21T19:00:54.9522354</Created><authors><author><firstname>MARIA</firstname><surname>SARACUTU</surname><order>1</order></author></authors><documents><document><filename>54524__17553__ae1f931c26d04f128df9f9bdbc784491.pdf</filename><originalFilename>Saracutu_Maria_M_PhD_Thesis_Final_Redacted.pdf</originalFilename><uploaded>2020-06-22T12:58:35.5939301</uploaded><type>Output</type><contentLength>4524619</contentLength><contentType>application/pdf</contentType><version>Redacted version - open access</version><cronfaStatus>true</cronfaStatus><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2020-06-27T14:22:28.8439943 v2 54524 2020-06-21 A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain 7cc83f23fd67a72443d404f37ce748a6 MARIA SARACUTU MARIA SARACUTU true false 2020-06-21 Background: Persistent pain represents a significant burden for individuals and society, exerting a profound effect on quality of life and posing a significant strain on healthcare resources. Novel interventions are needed to reduce the impact of psychological comorbidities on people who live with pain but also to improve pain self-management, enhance people’s quality of life, and help them live a fulfilling life in the presence of pain.Aims: The aim of this research was to develop a novel psychosocial intervention to accompany osteopathic treatment for people from Southwest Wales who live with persistent pain and psychological comorbidities. The MRC framework for developing complex health interventions (Craig et al. 2000, 2008) guided the development of this intervention.Methods: A pragmatic approach that included a mixture of methods and procedures was chosen. The first phase consisted of conducting two qualitative studies to determine the needs and experiences of people living with persistent pain as well as the perspectives of osteopaths who treat them. A systematic review was conducted alongside to investigate the effects of osteopathic treatment on psychosocial factors in people living with persistent pain. The second phase consisted of utilizing the data from the first phase to inform the development of the novel intervention based on Acceptance and Commitment Therapy (ACT) principles. Focus groups and one-to-one interviews were the preferred data collection methods while data analysis was carried out using Thematic Analysis (TA) and Framework Analysis (FA).Findings: The intervention appeared to be feasible with the support of the osteopaths. The intervention was found acceptable and no barriers to participation were reported. Program attendance was 82.5% and the participants engaged well with the exercises and with the ACT model in general. At one-month follow up, the participants reported that they continued to practice mindfulness, and continued to apply their knowledge of ACT to their personal circumstances.Conclusion: Delivering a brief ACT-based intervention for people living with persistent pain was feasible and acceptable. All of the nine participants reported positive experiences. The collaboration between osteopaths and psychologists in supporting people who live with persistent pain demonstrates both innovation and potential and should be further explored in the future. E-Thesis Swansea ACT, Osteopathy, persistent pain, intervention, psychosocial, mindfulness, comorbidities 13 5 2020 2020-05-13 10.23889/Suthesis.54524 A selection of third party content is redacted or is partially redacted from this thesis. COLLEGE NANME COLLEGE CODE Swansea University Rance, Jaynie ; Edwards, Darren J. ; Davies, Helen ; Terry, Julia Doctoral Ph.D MRC 2020-06-27T14:22:28.8439943 2020-06-21T19:00:54.9522354 MARIA SARACUTU 1 54524__17553__ae1f931c26d04f128df9f9bdbc784491.pdf Saracutu_Maria_M_PhD_Thesis_Final_Redacted.pdf 2020-06-22T12:58:35.5939301 Output 4524619 application/pdf Redacted version - open access true true eng
title A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
spellingShingle A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
MARIA SARACUTU
title_short A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
title_full A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
title_fullStr A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
title_full_unstemmed A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
title_sort A Mindful ACT - Developing a brief ACT-based intervention for people receiving osteopathy treatment and living with persistent pain
author_id_str_mv 7cc83f23fd67a72443d404f37ce748a6
author_id_fullname_str_mv 7cc83f23fd67a72443d404f37ce748a6_***_MARIA SARACUTU
author MARIA SARACUTU
author2 MARIA SARACUTU
format E-Thesis
publishDate 2020
institution Swansea University
doi_str_mv 10.23889/Suthesis.54524
document_store_str 1
active_str 0
description Background: Persistent pain represents a significant burden for individuals and society, exerting a profound effect on quality of life and posing a significant strain on healthcare resources. Novel interventions are needed to reduce the impact of psychological comorbidities on people who live with pain but also to improve pain self-management, enhance people’s quality of life, and help them live a fulfilling life in the presence of pain.Aims: The aim of this research was to develop a novel psychosocial intervention to accompany osteopathic treatment for people from Southwest Wales who live with persistent pain and psychological comorbidities. The MRC framework for developing complex health interventions (Craig et al. 2000, 2008) guided the development of this intervention.Methods: A pragmatic approach that included a mixture of methods and procedures was chosen. The first phase consisted of conducting two qualitative studies to determine the needs and experiences of people living with persistent pain as well as the perspectives of osteopaths who treat them. A systematic review was conducted alongside to investigate the effects of osteopathic treatment on psychosocial factors in people living with persistent pain. The second phase consisted of utilizing the data from the first phase to inform the development of the novel intervention based on Acceptance and Commitment Therapy (ACT) principles. Focus groups and one-to-one interviews were the preferred data collection methods while data analysis was carried out using Thematic Analysis (TA) and Framework Analysis (FA).Findings: The intervention appeared to be feasible with the support of the osteopaths. The intervention was found acceptable and no barriers to participation were reported. Program attendance was 82.5% and the participants engaged well with the exercises and with the ACT model in general. At one-month follow up, the participants reported that they continued to practice mindfulness, and continued to apply their knowledge of ACT to their personal circumstances.Conclusion: Delivering a brief ACT-based intervention for people living with persistent pain was feasible and acceptable. All of the nine participants reported positive experiences. The collaboration between osteopaths and psychologists in supporting people who live with persistent pain demonstrates both innovation and potential and should be further explored in the future.
published_date 2020-05-13T04:08:07Z
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score 11.037166

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