“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

Aymerich, Katy; Wilczek, Angelika; Ratanachatchuchai, Soravis; Gilpin, Helen R.; Spahr, Nicolas; C, Jacobs; Scott, Whitney

doi:10.1016/j.physio.2022.01.004

Cited by 2 publications

(2 citation statements)

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“…Interactions with physiotherapists are valued if patients feel listened to, involved and are able to increase their confidence 12. Patients may increase their mobility through working with their body, thoughts and emotions 13 14. Building on these findings, this study aimed to gain a better understanding of the experience of two interventions for ankle fracture.…”

Section: Introductionmentioning

confidence: 99%

“… 12 Patients may increase their mobility through working with their body, thoughts and emotions. 13 14 Building on these findings, this study aimed to gain a better understanding of the experience of two interventions for ankle fracture. Also, to gain insight into patient’s experience of treatment at a stage of recovery that is currently under reported in the literature (6 months post injury).…”

Section: Introductionmentioning

confidence: 99%

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Experience of patients and physiotherapists within the AFTER pilot randomised trial of two rehabilitation interventions for people aged 50 years and over post ankle fracture: a qualitative study

Tutton,

Gould,

Lamb

et al. 2023

BMJ Open

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ObjectivesTo explore patient and staff experience of best-practice rehabilitation advice (one session of face-to-face self-management advice with up to two additional optional sessions) compared with progressive functional exercise (up to six sessions of face-to-face physiotherapy) after ankle fracture.DesignThe study drew on phenomenology using interviews and a focus group.SettingParticipants were from three NHS Trusts in England, UK.ParticipantsA purposive sample of 20 patients with ankle (malleolar) fractures from the Ankle Fracture Treatment: Enhancing Rehabilitation-pilot trial (now completed) were interviewed (median 50 min) from May 2019 to January 2020. They were 6 months post injury, over 50 years of age, (median 66, 12 females) and had received surgical or non-surgical treatment (seven internal fixation surgery, seven close contact casting, six walking boot). A focus group of five physiotherapists who had provided the study interventions (2.5 hours) was undertaken.ResultsThe findings show the acceptability of both interventions through the themes, ‘being helped’ (for patients) and ‘developing expertise’ (for staff) with subthemes of choosing and progressing. Progressive exercise added value with a perceived increase in strength, motion, ability to undertake activities and continued use of the workbook. Both staff and patients valued physiotherapy expertise demonstrated through interpersonal skills, advice, individualised exercise plans and active monitoring of progression. Best practice advice was particularly helpful in the early stages of recovery and with the use of mobility aids.ConclusionBoth interventions were acceptable but progressive exercise was highly valued by patients. Developing expertise through experiential learning enabled staff to facilitate progression. Adjustments to the workbook and the addition of exercises for continued recovery in the best practice advice would enhance a future study. Research during treatment provision may provide further insights into the challenges of facilitating progression of exercise.Trial registrationISRCTN16612336;AFTER-pilot trial).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%