Physiotherapy informed by Acceptance and Commitment Therapy for chronic low back pain: A mixed-methods treatment fidelity evaluation.

ABSTRACT:

Objectives

A randomized controlled trial of a new type of Physiotherapy informed by Acceptance and Commitment Therapy (PACT), found that it improved functioning in people with chronic low back pain compared to usual physiotherapy care. Fidelity evaluation is necessary to understand trial processes and outcomes. This study evaluated PACT treatment fidelity including delivery, receipt, and enactment.

Design

A mixed-methods study nested within a randomized controlled trial was conducted.

Methods

A total of 72 (20% of total) PACT treatment audio files were independently assessed by two raters, according to a novel framework developed to measure PACT treatment content adherence, therapeutic alliance, ACT competence, and treatment enactment. Interview transcripts from 19 tr

SUBMITTER: Galea Holmes MN 

PROVIDER: S-EPMC9540449 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature