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Change and processes of change within interventions to promote adjustment to Multiple Sclerosis: learning from patient experiences

Change and processes of change within interventions to promote adjustment to Multiple Sclerosis: learning from patient experiences
Change and processes of change within interventions to promote adjustment to Multiple Sclerosis: learning from patient experiences
This qualitative study was nested within a trial of cognitive behaviour therapy (CBT) and supportive listening (SL) for patients with multiple sclerosis (MS). It aimed to enrich understanding of the changes made during therapy and to explore processes of change. In depth interviews with thirty participants from the treatment trial were analysed inductively and five main themes were developed. The benefits that participants described experiencing as a result of the interventions were highly variable, idiosyncratic and often departed from outcomes measured within the trial. Tuning into and sharing one’s thoughts and feelings and learning specific strategies for living with MS appeared to be important processes for change, and participants identified the latter as particularly important for sustaining longer-term benefits from therapy. Whether participants fully engaged with the interventions appeared to be related to their perceptions of being the right sort of candidate for the intervention, their expectations and motivations, the therapeutic relationship, adequate tailoring of the interventions, and practical issues. This study builds on previous research on factors and processes involved in adjustment to MS, the benefits of CBT for this population, and highlights important issues to consider when developing psychosocial interventions for people with MS.
[37pp.]
Dennison, Laura
15c399cb-9a81-4948-8906-21944c033c20
Moss-Morris, Rona
b98a6345-64f7-437f-b6d4-3cf5a911f8fe
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Chalder, Trudie
cb09653b-2c1e-4dfc-bb13-c6e8ca918602
Dennison, Laura
15c399cb-9a81-4948-8906-21944c033c20
Moss-Morris, Rona
b98a6345-64f7-437f-b6d4-3cf5a911f8fe
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Chalder, Trudie
cb09653b-2c1e-4dfc-bb13-c6e8ca918602

Dennison, Laura, Moss-Morris, Rona, Yardley, Lucy, Kirby, Sarah and Chalder, Trudie (2013) Change and processes of change within interventions to promote adjustment to Multiple Sclerosis: learning from patient experiences. Psychology and Health, [37pp.]. (doi:10.1080/08870446.2013.767904).

Record type: Article

Abstract

This qualitative study was nested within a trial of cognitive behaviour therapy (CBT) and supportive listening (SL) for patients with multiple sclerosis (MS). It aimed to enrich understanding of the changes made during therapy and to explore processes of change. In depth interviews with thirty participants from the treatment trial were analysed inductively and five main themes were developed. The benefits that participants described experiencing as a result of the interventions were highly variable, idiosyncratic and often departed from outcomes measured within the trial. Tuning into and sharing one’s thoughts and feelings and learning specific strategies for living with MS appeared to be important processes for change, and participants identified the latter as particularly important for sustaining longer-term benefits from therapy. Whether participants fully engaged with the interventions appeared to be related to their perceptions of being the right sort of candidate for the intervention, their expectations and motivations, the therapeutic relationship, adequate tailoring of the interventions, and practical issues. This study builds on previous research on factors and processes involved in adjustment to MS, the benefits of CBT for this population, and highlights important issues to consider when developing psychosocial interventions for people with MS.

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More information

e-pub ahead of print date: 25 January 2013

Identifiers

Local EPrints ID: 348110
URI: https://eprints.soton.ac.uk/id/eprint/348110
PURE UUID: 9235c571-7a1c-43cf-81b4-c1e19f6af6f2
ORCID for Laura Dennison: ORCID iD orcid.org/0000-0003-0122-6610
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X
ORCID for Sarah Kirby: ORCID iD orcid.org/0000-0003-1759-1356

Catalogue record

Date deposited: 07 Feb 2013 11:31
Last modified: 19 Jun 2019 00:37

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