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      The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain

      Johnston, Marnie Ruth; Foster, T. Mary; Shennan, Jeannette; Starkey, Nicola J.; Johnson, Anders
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      Starkey 2010 effectiveness.pdf
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      DOI
       10.1097/AJP.0b013e3181cf59ce
      Link
       journals.lww.com
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      Johnston, M., Foster, M., Shennan, J., Starkey, N.J. & Johnson, A. (2010). The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. Clinical Journal of Pain, 26(5), 393-402.
      Permanent Research Commons link: https://hdl.handle.net/10289/4081
      Abstract
      Objective: To evaluate the effectiveness of an Acceptance Commitment Therapy based self-help book for people with chronic pain.

      Method: This was a randomized 2 group study design. Over a 6-week period, 6 participants read the self-help book and completed exercises from it with weekly telephone support whereas 8 others formed a wait-list control group. Subsequently, 5 of the wait-list participants completed the intervention. Participants completed preintervention and postintervention questionnaires for acceptance, values illness, quality of life, satisfaction with life, depression, anxiety, and pain. Initial outcome data were collected for 8 control participants and 6 intervention participants. Including the wait-list controls, a total of 11 participants completed preintervention and postintervention measures. Whilst completing the self-help intervention, each week participants' rated the content of the book according to reading level and usefulness, and their comprehension of the content was also assessed.

      Results: Compared with controls, participants who completed the book showed improved quality of life and decreased anxiety. When data from all the treatment participants were pooled, those who completed the intervention showed statistically significant improvements (with large effect sizes) for acceptance, quality of life, satisfaction with life, and values illness. Medium effect sizes were found for improvements in pain ratings.

      Conclusions: These findings support the hypothesis that using the self-help book, with minimal therapist contact adds value to the lives of people who experience chronic pain.
      Date
      2010
      Type
      Journal Article
      Publisher
      Wolters Kluwer
      Rights
      This is an author's accepted version of an article published in the Clinical Journal of Pain. © 2010 Lippincott Williams & Wilkins, Inc.
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      • Arts and Social Sciences Papers [1424]
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