Experiences of training and delivery of Physical therapy informed by Acceptance and Commitment Therapy (PACT): a longitudinal qualitative study

“Living more and struggling less”: a qualitative descriptive study of patient experiences of physiotherapy informed by Acceptance and Commitment Therapy within a multidisciplinary pain management programme

“…Thus, many participants' descriptions of treatment are broadly consistent with the model underpinning ACT [29]. This study adds to a growing body of research examining outcomes associated with ACT-informed physiotherapy for persistent pain [8], and physiotherapists' [13,14] and patients' [15] experiences of delivering and completing this treatment, respectively.…”

“…Qualitative studies have explored physiotherapists' experiences of psychologically-informed physiotherapy [12], including ACT [13,14]. In one study, physiotherapists experienced delivering ACT-informed physiotherapy as a shift from "fixing" towards "sitting with" pain, potentially challenging their professional identity [13].…”

Physiotherapy informed by Acceptance and Commitment Therapy for chronic low back pain: A mixed‐methods treatment fidelity evaluation

“…Four of these components feature in sessions 2 and/or 3, which were designed to be more flexible to enable tailored responses to individual patient needs. The PACT physiotherapists felt that these sessions were less structured and therefore more difficult to deliver as specified compared with session 1, possibly contributing to the differences in fidelity observed between sessions (Galea Holmes et al., 2020). This may reflect a limitation of core skills training among PACT physiotherapists and a lack of familiarity with incorporating complex psychological skills therapeutically, especially when delivery was remote in session 3.…”

“…The training was delivered by a clinical psychologist, health psychologist, and physiotherapist and included a treatment manual, 2 days of face‐to‐face group learning, at least two individual supervision sessions while practicing PACT delivery, individual written or oral feedback on up to two audio‐recorded PACT treatment sessions, plus ongoing monthly group supervision. Details of the intervention and training programme were reported previously (Galea Holmes et al., 2020; Godfrey et al., 2016, 2019).…”

“…The Behaviour Change Consortium identified five domains of fidelity including study design, training, delivery, receipt, and enactment (Bellg et al., 2004; Borrelli, 2011; Borrelli et al., 2005). This framework informed the PACT study design and the training programme provided to physiotherapists delivering the intervention, which are reported elsewhere (Galea Holmes et al., 2020; Godfrey et al., 2016, 2019). The present study evaluates fidelity of delivery, receipt, and enactment.…”