Wenham, Aniela Michelle orcid.org/0000-0003-0759-617X, Atkin, Karl Michael orcid.org/0000-0003-1070-8670, Woodman, Julia et al. (2 more authors) (2018) Self-efficacy and embodiment associated with Alexander Technique lessons or with acupuncture sessions:a longitudinal qualitative sub-study within the ATLAS trial. Complementary therapies in clinical practice. pp. 308-314. ISSN 1873-6947
Abstract
Background and purpose: A large randomised controlled trial found that the provision of either Alexander Technique lessons or acupuncture, for those with chronic neck pain, resulted in significantly increased self-efficacy when compared with usual care alone. In turn, enhanced self-efficacy was associated with significant reductions in neck pain at 6 and 12 months. In this analysis we explore the perspectives of participants within the trial, with the aim of gaining a better understanding of how these interventions had an impact. Methods: We used a longitudinal qualitative approach; in-depth interviews, informed by a topic guide, were conducted with a sample of the trial population. Participants were interviewed twice: at around six months (n = 30) and twelve months (n = 26) after trial entry. Analysis was guided by the principles of grounded theory, and key themes were developed. Results: Five key themes emerged: pre-trial experiences of biomedical treatment against which subsequent interventions were compared; emergence of tangible benefits from the interventions; factors that contributed to the observed benefits, notably growing self-care and self-efficacy; a developing sense of embodiment as an integral part of the transformative process; and contribution of these factors to sustaining benefits over the longer term. Conclusions: In-depth interviews revealed a rich array of experiences. They gave insight into the positive impact of the interventions on development of self-care, self-efficacy and embodiment. These findings complement the quantitative trial data, providing a more nuanced understanding of the factors that underpin the previously quantified improvement in self-efficacy and its association with longer-term reductions in pain.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 The Authors |
Keywords: | Acupuncture,Alexander Technique,Chronic neck pain,Participant experience,Qualitative data,Self Efficacy,Neck Pain/therapy,Acupuncture Therapy/methods,Humans,Male,Chronic Pain/therapy,Female,Complementary Therapies/methods,Qualitative Research,Longitudinal Studies,Self Care |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Social Policy and Social Work (York) The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 15 Mar 2018 17:10 |
Last Modified: | 08 Feb 2025 00:27 |
Published Version: | https://doi.org/10.1016/j.ctcp.2018.03.009 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.ctcp.2018.03.009 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:128571 |
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Filename: Self_care_embodiment_ATLAS_HM_final_15thFeb2018_long_abstract.docx
Description: Self-care embodiment_ATLAS_HM_final 15thFeb2018_long abstract