The ACT trained physical therapist: Psychologically flexible, resilient, and armed with evidence-based tools

Tatta, Joe; Willgens, Annette M.; Palombaro, Kerstin M.

doi:10.1016/j.jcbs.2022.11.002

Cited by 3 publications

(2 citation statements)

References 42 publications

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“…20,28,32,35,44,52 Therefore, continued exploration of optimal training for PT’s, including non-evaluative post-training fidelity checks/feedback, is important to the growth of these pain care programs. 31,73,74…”

Section: Discussionmentioning

confidence: 99%

Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization

Sullivan,

Hill,

Ballengee

et al. 2023

Global Advances in Integrative Medicine and Health

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Background While there is recognition by the greater medical community and physical therapists to address the biopsychosocial needs of people with chronic, persistent pain, there are challenges in implementation and delivery including wide variability in interventions, lack of clear rationale, and absence of clinical models that are feasible and acceptable on a large scale. Important components for psychologically informed physical therapy (PiPT) for pain care include behavioral approaches (e.g., Acceptance and Commitment Therapy), mindfulness, pain neuroscience education, motivational interviewing (MI), and interoceptive skills-building. The Empower Veterans Program (EVP) Mindful Movement framework blends these components and emphasizes a mindfulness and self-compassion approach with MI and body-based experiential learning. This program was offered in-person at the Atlanta and Maryland VA Health Care Centers with published positive Patient Reported Outcomes (PRO) pre-COVID 19 crisis and shifted to entirely remote delivery in March 2020. Objective This paper offers an evidence-based and theory driven framework to operationalize a remotely delivered group-based psychologically informed mindful movement physical therapy intervention as part of an interdisciplinary pain care program. Methods Since 2021 PRO and demographics are collected using a survey administered through Qualtrics over a 12-month period at baseline, immediately post TelePain EVP, at 6 months, and at 12 months, with findings forthcoming. Discussion/Results Tele-pain EVP offers 6-9 groups a week with 7-9 veterans from Atlanta based team and 3-4 groups a week with 5-9 veterans from Maryland based team. Adaptations for remote delivery optimized mindfulness and active learning strategies including interoceptive skills-building and use of MI to support self-efficacy to trust, restore a sense of safety in the body, and explore adaptations for safe movement. Conclusion TelePain-EVP Mindful Movement provides a framework for other programs to translate for their populations and systems to further develop best practices in PiPT for pain care and integration into interdisciplinary care.

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Section: Discussionmentioning

confidence: 99%

Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization

Sullivan,

Hill,

Ballengee

et al. 2023

Global Advances in Integrative Medicine and Health

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“…Time and effort management skills were measured with four items on a Likert scale from 1 = totally disagree to 5 = totally agree (e.g., ‘I am generally systematic and organized in my studies’). Psychological flexibility was measured with the compact questionnaire ( Francis et al, 2016 ), which has been widely used in different contexts ( Tatta et al, 2022 ; Eadeh et al, 2023 ; Zhao et al, 2024 ). The items used a seven-point Likert scale (0 = strongly disagree to 6 = strongly agree).…”

Section: Methodsmentioning

confidence: 99%

Explaining the changes in procrastination in an ACT-based course – psychological flexibility and time and effort management as mediators

Asikainen,

Hailikari,

Katajavuori

2024

Front. Psychol.

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IntroductionThe aim of our study is to explore the relationship between procrastination, time management skills and psychological flexibility and the changes in them during an Acceptance and Commitment therapy (ACT)-based course that included time management training. We also explored the effects of time management skills and psychological flexibility on procrastination. The study used an experimental design in an ACT-based well-being course that included time management training.MethodsThe participants were 109 students taking the course and 27 waiting list students. Analyses were conducted with Pearson correlation, mixed ANOVA and causal mediation analysis.Results and discussionOur results show that time management skills, psychological flexibility and procrastination were related to each other, and all changed during the course. In addition, change in both time management and psychological flexibility had an impact on the change in procrastination during the course. The results show that both time management and psychological flexibility influence the change in procrastination during an ACT-based course.

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The Mindful Healthcare Scale (MHS): Development and initial validation

Gillanders,

Fisher,

Kidney

et al. 2024

Journal of Contextual Behavioral Science

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The ACT trained physical therapist: Psychologically flexible, resilient, and armed with evidence-based tools

Cited by 3 publications

References 42 publications

Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization

Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization

Explaining the changes in procrastination in an ACT-based course – psychological flexibility and time and effort management as mediators

The Mindful Healthcare Scale (MHS): Development and initial validation

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