Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Bendelin, Nina; Björkdahl, Pär; Risell, Mimmi; Nelson, Karin Zetterqvist; Gerdle, Björn; Andersson, Gerhard; Buhrman, Monica

doi:10.1186/s12891-020-03198-1

Cited by 20 publications

(52 citation statements)

References 45 publications

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“…ACT aims to influence core processes maintaining various anxiety problems and is considered a transdiagnostic treatment. Internet-delivered ACT has been investigated in a systematic review that shows efficacy for anxiety disorders among adults [ 6 ], and a recent published study showed that acceptance-based iCBT was effective for adolescents with chronic pain [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Youths’ and Parents’ Experiences and Perceived Effects of Internet-Based Cognitive Behavioral Therapy for Anxiety Disorders in Primary Care: Mixed Methods Study

Lilja¹,

Ljustina²,

Nissling³

et al. 2021

JMIR Pediatr Parent

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Background Anxiety is common among youths in primary care. Face-to-face treatment has been the first choice for clinicians, but during the COVID-19 pandemic, digital psychological interventions have substantially increased. Few studies have examined young people’s interest in internet treatment or the attitudes they and their parents have toward it. Objective This study aims to investigate adolescents’ and parents’ attitudes toward and experiences of internet-based cognitive behavioral anxiety treatment in primary care and its presumptive effects. Methods The study used mixed methods, analyzing qualitative data thematically and quantitative data with nonparametric analysis. Participants were 14 adolescents and 14 parents recruited in adolescent primary health care clinics. The adolescents and their parents filled out mental health questionnaires before and after treatment, and were interviewed during ongoing treatment. Results The quantitative data indicated that the internet-delivered cognitive behavioral therapy program used in this study was successful in reducing symptoms (χ22=8.333; P=.02) and that adolescents’ motivation is essential to the treatment outcome (r=0.58; P=.03). The qualitative results show that youths highly value their independence and freedom to organize treatment work on their own terms. The parents expressed uncertainty about their role and how to support their child in treatment. It was important for parents to respect the youths’ need for autonomy while also engaging with them in the treatment work. Conclusions Internet treatment in primary care is accepted by both youths and their parents, who need clarification about the difference between their role and the therapist’s role. Patient motivation should be considered before treatment, and therapists need to continue to develop the virtual alliance. Finally, primary care should be clearer in informing adolescents and their parents about the possibility of internet treatment.

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Section: Introductionmentioning

confidence: 99%

Youths’ and Parents’ Experiences and Perceived Effects of Internet-Based Cognitive Behavioral Therapy for Anxiety Disorders in Primary Care: Mixed Methods Study

Lilja¹,

Ljustina²,

Nissling³

et al. 2021

JMIR Pediatr Parent

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show abstract

“…However, a number of qualitative studies have been published on participants in ICBT studies aimed at Western populations. These studies have investigated participants' experiences of the treatment and perception of factors that contribute to treatment adherence and effectiveness [31][32][33][34][35][36][37][38][39].…”

Section: Introductionmentioning

confidence: 99%

Experiences of internet-based cognitive behavioural therapy for depression and anxiety among Arabic-speaking individuals in Sweden: a qualitative study

et al. 2021

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Background Internet-delivered cognitive behavioural therapy (ICBT) is a promising treatment for refugee and immigrant populations suffering from common mental disorders. The aim of the present study was to investigate experiences of participating in a guided ICBT program among resettled Arabic-speaking individuals suffering from symptoms of anxiety and depression. Methods Ten individuals who had previously received ICBT consented to participate and were interviewed using semi-structured telephone interviews. The interviews were conducted 10 months after treatment termination. Data were transcribed and analysed using a Thematic Analysis framework. Results The Thematic Analysis resulted in five overarching themes 1) The importance of being seen, 2) New ways of knowing and doing, 3) Treatment format not for everyone, 4) Changing attitudes towards mental health and help-seeking and 5) The healthcare system as a complex puzzle. Participants described varying levels of success in applying the new information learned from the treatment in their everyday lives. The results also indicate that participation in the ICBT program to some extent mitigated mental health stigma and acted as a precursor to other forms of treatment seeking. Conclusions The findings in the present study are largely in line with previous qualitative research studies on ICBT participants. Future research should investigate whether a more explicit focus on refugee-specific stressors and barriers to treatment engagement and implementation can increase adherence to ICBT programs in this population.

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“…They also declared that they take painkillers, when they cannot cope with the pain using aforesaid treatment methods. [17] In the qualitative study of Bendelin et al, [33] the statements of the chronic pain patients about their coping with pain are as follows: "I suppose relaxation techniques helped me the most so to say (...) I did... I have one that's fairly good.…”

Section: Pain Coping Methods Adopted By Chronic Headache Patients and Their Emotionsmentioning

confidence: 99%

“…Well it does help sometimes if I turn off the TV and just listen to that tape and take it easy for 10 min. " [33] In another qualitative study conducted by Rutberg and Öhrling [34] which examined the experiences of women with migraine, it was stated that women take painkillers to cope with the pain thinking they do not have any alternative. Women also stated that taking painkillers are not an easy solution, since it has side effects which cause fatigue, stomach problems, and orientation disorders and that they are afraid of becoming addicted to painkillers.…”

Section: Pain Coping Methods Adopted By Chronic Headache Patients and Their Emotionsmentioning

confidence: 99%

Pain beliefs of chronic headache patients

Savaş

Alparslan

Güleç

2020

Agri

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This study was designed to explore the origin of the pain beliefs of chronic headache patients. Methods: This qualitative research has been designed using a case study method. Selected using the criterion sampling method, patients consisted of a total of six chronic headache patients in algology outpatient clinic at a University Hospital in Turkey. The data were collected using focus group methods. Data were obtained using a semi-structured interview form composed of eight open-ended questions. Data were evaluated by analyzing both descriptive and content data. Results: Chronic headache patients' views on why they have pain and which beliefs they have about origin of the pain have three subthemes: (1) Organic beliefs, (2) psychological beliefs, and (3) environmental beliefs. Patients' most frequently cited organic beliefs were genetics (familial) and physiological (tissue damage, surgery, and lifting of heavy objects). Patients' most frequently cited psychological beliefs were stress, sadness, and having a sensitive personality. Conclusion:It is suggested to take pain beliefs differences and qualitative research into consideration in the management of pain in nursing care.

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Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Cited by 20 publications

References 45 publications

Youths’ and Parents’ Experiences and Perceived Effects of Internet-Based Cognitive Behavioral Therapy for Anxiety Disorders in Primary Care: Mixed Methods Study

Youths’ and Parents’ Experiences and Perceived Effects of Internet-Based Cognitive Behavioral Therapy for Anxiety Disorders in Primary Care: Mixed Methods Study

Experiences of internet-based cognitive behavioural therapy for depression and anxiety among Arabic-speaking individuals in Sweden: a qualitative study

Pain beliefs of chronic headache patients

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