TY - JOUR
T1 - The systematic implementation of Acceptance & Commitment Therapy (ACT) in Dutch multidisciplinary chronic pain rehabilitation
AU - Trompetter, H.R.
AU - Schreurs, Karlein Maria Gertrudis
AU - Heuts, Peter H.T.G.
AU - Vollenbroek-Hutten, Miriam Marie Rosé
PY - 2014
Y1 - 2014
N2 - Objective
This study evaluates the implementation of Acceptance & Commitment Therapy (ACT) in Dutch chronic pain rehabilitation centers. Changes in multidisciplinary professionals’ self-perceived competencies in working with ACT were evaluated and corroborated with patients’ ratings of treatment adherence. To inform subsequent implementation efforts, relevant determinants of implementation success were monitored and the relationship with self-perceived competencies over time was explored.
Methods
Data was gathered from 111 professionals, 9 managers and 79 patients using questionnaires at the start (T0), halfway (T1) and end (T2) of implementation, and at the end of treatment.
Results
All professionals adhered to ACT, improved significantly in self-perceived competencies over time and rated competence in working with ACT ≥ adequate at T2. Determinants of success were evaluated extremely positive by professionals and management. Professionals’ self-perceived competencies at T2 were most strongly related to ratings of more workload (b = −.43), and experienced difficulties in working with ACT (b = −.38) at T0 and T1.
Conclusion
Multidisciplinary chronic pain rehabilitation professionals rated their improvement in working with ACT positively during the implementation period. Impeding and facilitating factors were explored successfully.
Practice implications
A multi-faceted, long-term, educational, train-the-trainer approach may help to guide systematic changes in multidisciplinary treatment
AB - Objective
This study evaluates the implementation of Acceptance & Commitment Therapy (ACT) in Dutch chronic pain rehabilitation centers. Changes in multidisciplinary professionals’ self-perceived competencies in working with ACT were evaluated and corroborated with patients’ ratings of treatment adherence. To inform subsequent implementation efforts, relevant determinants of implementation success were monitored and the relationship with self-perceived competencies over time was explored.
Methods
Data was gathered from 111 professionals, 9 managers and 79 patients using questionnaires at the start (T0), halfway (T1) and end (T2) of implementation, and at the end of treatment.
Results
All professionals adhered to ACT, improved significantly in self-perceived competencies over time and rated competence in working with ACT ≥ adequate at T2. Determinants of success were evaluated extremely positive by professionals and management. Professionals’ self-perceived competencies at T2 were most strongly related to ratings of more workload (b = −.43), and experienced difficulties in working with ACT (b = −.38) at T0 and T1.
Conclusion
Multidisciplinary chronic pain rehabilitation professionals rated their improvement in working with ACT positively during the implementation period. Impeding and facilitating factors were explored successfully.
Practice implications
A multi-faceted, long-term, educational, train-the-trainer approach may help to guide systematic changes in multidisciplinary treatment
KW - METIS-304829
KW - IR-91642
U2 - 10.1016/j.pec.2014.05.019
DO - 10.1016/j.pec.2014.05.019
M3 - Article
SN - 0738-3991
VL - 96
SP - 249
EP - 255
JO - Patient education and counseling
JF - Patient education and counseling
IS - 2
ER -