Document Detail


Participating in and delivering the ATEAM trial (Alexander technique lessons, exercise, and massage) interventions for chronic back pain: A qualitative study of professional perspectives.
MedLine Citation:
PMID:  20688257     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To outline professionals' experiences of participation, perceived benefits and acceptability of the interventions delivered in the ATEAM trial (Alexander technique lessons, exercise, and massage), for patients with chronic or recurrent back pain.
DESIGN: Qualitative study using in-depth interviews was conducted with a purposeful sample of twenty professionals (general practitioners (GPs), nurses, Alexander technique teachers, and massage therapists). Data were recorded, transcribed, and analysed thematically using the constant comparison method.
RESULTS: Evidence of effectiveness GPs wanted an evidence base for the interventions, whilst nurses, Alexander technique teachers and massage therapists perceived patient reports of benefit as evidence. Professionals' perception of the acceptability of the intervention: professional perspectives differed, with GPs and nurses viewing the structured nature of exercise prescription and Alexander technique lessons as more beneficial and acceptable than massage in alleviating patients' back pain. Economic cost: the cost to patients pursuing Alexander technique lessons and massage was perceived to be a barrier outside the trial. Inter-professional communication: there was little communication between the professionals groups within the trial.
CONCLUSIONS: Valuable insights have been gained into the perceived benefits and acceptability of exercise, Alexander technique lessons and massage as interventions for chronic back pain. Lessons in the Alexander technique with or without exercise, was perceived as more beneficial and acceptable than massage by professionals who participated and delivered the ATEAM trial interventions.
Authors:
Angela Beattie; Alison Shaw; Lucy Yardley; Paul Little; Debbie Sharp
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-03
Journal Detail:
Title:  Complementary therapies in medicine     Volume:  18     ISSN:  1873-6963     ISO Abbreviation:  Complement Ther Med     Publication Date:    2010 Jun-Aug
Date Detail:
Created Date:  2010-08-06     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308777     Medline TA:  Complement Ther Med     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  119-27     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Social Medicine, Canynge Hall, University of Bristol, 39 Whatley Road, Bristol BS8 2PR, United Kingdom. Angela.Beattie@bristol.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Back Pain / therapy*
Chronic Disease
Complementary Therapies* / economics
Cost-Benefit Analysis
Evidence-Based Medicine
Exercise
Exercise Therapy*
Female
Health Personnel
Humans
Interprofessional Relations
Interviews as Topic
Male
Massage* / economics
Patient Satisfaction*
Qualitative Research
Grant Support
ID/Acronym/Agency:
G0001104//Medical Research Council

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