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Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol

Josh Hope-Bell, Jerry Draper-Rodi Orcid Logo, Darren Edwards Orcid Logo

BMJ Open, Volume: 13, Issue: 6, Start page: e071680

Swansea University Author: Darren Edwards Orcid Logo

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DOI (Published version): 10.1136/bmjopen-2023-071680

Abstract

Introduction: Mental health services are stretched in the UK and are in need of support. One approach that could improve mental health symptoms is osteopathy. Research suggests that osteopathy influences psychophysiological factors, which could lead to improvements in mental health. The first object...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa63645
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The first objective of this protocol is to investigate the feasibility and acceptability of four osteopathic interventions. A secondary aim is to evaluate the interventions’ effectiveness for improving psychophysiological and mental health outcomes. Methods and analysis: This study will be an explanatory mixed-methods design. Participants will be 30 adults who have mild to moderate mental health symptoms and not experiencing any issues with pain. The feasibility and acceptability of the interventions will be the primary outcomes. Secondary outcomes will be physiological measures including heart rate variability, interoceptive accuracy and blood pressure. Psychological outcomes, collected preintervention and postintervention, will also be measured by five standardised questionnaires, which include: (1) the Depression, Anxiety and Stress Scale (DASS); (2) the International Positive and Negative Affect Schedule-Short-Form; (3) Acceptance and Action Questionnaire-II; (4) the Self as Context Scale and (5) and the Multidimensional Assessment of Interoceptive Awareness Version 2. Participants will be randomised to one of four intervention groups and receive a single intervention treatment session. These intervention groups are: (1) high-velocity and articulation techniques, (2) soft-tissue massage, (3) craniosacral techniques, and (4) a combination of these three approaches. Mixed design two (preintervention and postintervention) by the four interventions analysis of covariance models will be used to analyse the quantitative data for each quantitative measure. Participants will also be interviewed about their experiences of the study and interventions and a thematic analysis will be used to analyse this qualitative data. This will aid the assessment of the feasibility and acceptability of the study design. Ethics and dissemination: The protocol for this feasibility study has received ethical approval from the Department of Psychology Ethics Committee at Swansea University, ethical review reference number: 2022-5603-4810. Feasibility results from this protocol will be published in a peer review journal and presented at both national and international conferences. Discussion: This study will assess the feasibility and acceptability of conducting osteopathic interventions for improving mental health outcomes. The results from this will help to inform the development of a future randomised controlled trial. 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spelling v2 63645 2023-06-14 Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol bee507022c083d875238b7802b96cbeb 0000-0002-2143-1198 Darren Edwards Darren Edwards true false 2023-06-14 PHAC Introduction: Mental health services are stretched in the UK and are in need of support. One approach that could improve mental health symptoms is osteopathy. Research suggests that osteopathy influences psychophysiological factors, which could lead to improvements in mental health. The first objective of this protocol is to investigate the feasibility and acceptability of four osteopathic interventions. A secondary aim is to evaluate the interventions’ effectiveness for improving psychophysiological and mental health outcomes. Methods and analysis: This study will be an explanatory mixed-methods design. Participants will be 30 adults who have mild to moderate mental health symptoms and not experiencing any issues with pain. The feasibility and acceptability of the interventions will be the primary outcomes. Secondary outcomes will be physiological measures including heart rate variability, interoceptive accuracy and blood pressure. Psychological outcomes, collected preintervention and postintervention, will also be measured by five standardised questionnaires, which include: (1) the Depression, Anxiety and Stress Scale (DASS); (2) the International Positive and Negative Affect Schedule-Short-Form; (3) Acceptance and Action Questionnaire-II; (4) the Self as Context Scale and (5) and the Multidimensional Assessment of Interoceptive Awareness Version 2. Participants will be randomised to one of four intervention groups and receive a single intervention treatment session. These intervention groups are: (1) high-velocity and articulation techniques, (2) soft-tissue massage, (3) craniosacral techniques, and (4) a combination of these three approaches. Mixed design two (preintervention and postintervention) by the four interventions analysis of covariance models will be used to analyse the quantitative data for each quantitative measure. Participants will also be interviewed about their experiences of the study and interventions and a thematic analysis will be used to analyse this qualitative data. This will aid the assessment of the feasibility and acceptability of the study design. Ethics and dissemination: The protocol for this feasibility study has received ethical approval from the Department of Psychology Ethics Committee at Swansea University, ethical review reference number: 2022-5603-4810. Feasibility results from this protocol will be published in a peer review journal and presented at both national and international conferences. Discussion: This study will assess the feasibility and acceptability of conducting osteopathic interventions for improving mental health outcomes. The results from this will help to inform the development of a future randomised controlled trial. The study will also produce original data which could provide preliminary evidence of whether osteopathic approaches are of benefit to individual’s mental health in the form of effect sizes, even if they are pain-free. Journal Article BMJ Open 13 6 e071680 BMJ 2044-6055 2044-6055 Osteopathy, osteopathic interventions, mental health services, mixed-methods design, 30 6 2023 2023-06-30 10.1136/bmjopen-2023-071680 http://dx.doi.org/10.1136/bmjopen-2023-071680 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University SU Library paid the OA fee (TA Institutional Deal) The Osteopathic Foundation (URNLG010) 2023-07-27T14:36:52.1973277 2023-06-14T19:55:32.1915167 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Josh Hope-Bell 1 Jerry Draper-Rodi 0000-0002-1900-6141 2 Darren Edwards 0000-0002-2143-1198 3 63645__28123__e84410de2ade42afa123ac9b04f1040f.pdf 63645.VOR.pdf 2023-07-14T12:26:23.0885393 Output 378616 application/pdf Version of Record true © Author(s) 2023. Published by BMJ. Distributed under the terms of a Creative Commons Attribution Non Commercial 4.0 Licence (CC BY-NC 4.0). true eng https://creativecommons.org/licenses/by-nc/4.0/
title Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
spellingShingle Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
Darren Edwards
title_short Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
title_full Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
title_fullStr Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
title_full_unstemmed Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
title_sort Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility study protocol
author_id_str_mv bee507022c083d875238b7802b96cbeb
author_id_fullname_str_mv bee507022c083d875238b7802b96cbeb_***_Darren Edwards
author Darren Edwards
author2 Josh Hope-Bell
Jerry Draper-Rodi
Darren Edwards
format Journal article
container_title BMJ Open
container_volume 13
container_issue 6
container_start_page e071680
publishDate 2023
institution Swansea University
issn 2044-6055
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doi_str_mv 10.1136/bmjopen-2023-071680
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
url http://dx.doi.org/10.1136/bmjopen-2023-071680
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description Introduction: Mental health services are stretched in the UK and are in need of support. One approach that could improve mental health symptoms is osteopathy. Research suggests that osteopathy influences psychophysiological factors, which could lead to improvements in mental health. The first objective of this protocol is to investigate the feasibility and acceptability of four osteopathic interventions. A secondary aim is to evaluate the interventions’ effectiveness for improving psychophysiological and mental health outcomes. Methods and analysis: This study will be an explanatory mixed-methods design. Participants will be 30 adults who have mild to moderate mental health symptoms and not experiencing any issues with pain. The feasibility and acceptability of the interventions will be the primary outcomes. Secondary outcomes will be physiological measures including heart rate variability, interoceptive accuracy and blood pressure. Psychological outcomes, collected preintervention and postintervention, will also be measured by five standardised questionnaires, which include: (1) the Depression, Anxiety and Stress Scale (DASS); (2) the International Positive and Negative Affect Schedule-Short-Form; (3) Acceptance and Action Questionnaire-II; (4) the Self as Context Scale and (5) and the Multidimensional Assessment of Interoceptive Awareness Version 2. Participants will be randomised to one of four intervention groups and receive a single intervention treatment session. These intervention groups are: (1) high-velocity and articulation techniques, (2) soft-tissue massage, (3) craniosacral techniques, and (4) a combination of these three approaches. Mixed design two (preintervention and postintervention) by the four interventions analysis of covariance models will be used to analyse the quantitative data for each quantitative measure. Participants will also be interviewed about their experiences of the study and interventions and a thematic analysis will be used to analyse this qualitative data. This will aid the assessment of the feasibility and acceptability of the study design. Ethics and dissemination: The protocol for this feasibility study has received ethical approval from the Department of Psychology Ethics Committee at Swansea University, ethical review reference number: 2022-5603-4810. Feasibility results from this protocol will be published in a peer review journal and presented at both national and international conferences. Discussion: This study will assess the feasibility and acceptability of conducting osteopathic interventions for improving mental health outcomes. The results from this will help to inform the development of a future randomised controlled trial. The study will also produce original data which could provide preliminary evidence of whether osteopathic approaches are of benefit to individual’s mental health in the form of effect sizes, even if they are pain-free.
published_date 2023-06-30T14:36:47Z
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