Skip to main content

Research Repository

Advanced Search

What is the perceived impact of Alexander technique lessons on health status, costs and pain management in the real life setting of an English hospital? The results of a mixed methods evaluation of an Alexander technique service for those with chronic bac

McClean, Stuart; Brilleman, Sam; Wye, Lesley

What is the perceived impact of Alexander technique lessons on health status, costs and pain management in the real life setting of an English hospital? The results of a mixed methods evaluation of an Alexander technique service for those with chronic bac Thumbnail


Authors

Dr Stuart McClean Stuart.Mcclean@uwe.ac.uk
Associate Professor Public Health (Health & Wellbeing)

Sam Brilleman

Lesley Wye



Abstract

© 2015 McClean et al. Background: Randomised controlled trial evidence indicates that Alexander Technique is clinically and cost effective for chronic back pain. The aim of this mixed methods evaluation was to explore the role and perceived impact of Alexander Technique lessons in the naturalistic setting of an acute hospital Pain Management Clinic in England. Methods: To capture changes in health status and resource use amongst service users, 43 service users were administered three widely used questionnaires (Brief Pain Inventory, MYMOP and Client Service Resource Inventory) at three time points: baseline, six weeks and three months after baseline. We also carried out 27 telephone interviews with service users and seven face-to-face interviews with pain clinic staff and Alexander Technique teachers. Quantitative data were analysed using descriptive statistics and qualitative data were analysed thematically. Results: Those taking Alexander Technique lessons reported small improvements in health outcomes, and condition-related costs fell. However, due to the non-randomised, uncontrolled nature of the study design, changes cannot be attributed to the Alexander Technique lessons. Service users stated that their relationship to pain and pain management had changed, especially those who were more committed to practising the techniques regularly. These changes may explain the reported reduction in pain-related service use and the corresponding lower associated costs. Conclusions: Alexander Technique lessons may be used as another approach to pain management. The findings suggests that Alexander Technique lessons can help improve self-efficacy for those who are sufficiently motivated, which in turn may have an impact on service utilisation levels.

Citation

McClean, S., Brilleman, S., & Wye, L. (2015). What is the perceived impact of Alexander technique lessons on health status, costs and pain management in the real life setting of an English hospital? The results of a mixed methods evaluation of an Alexander technique service for those with chronic back pain. BMC Health Services Research, 15(1), https://doi.org/10.1186/s12913-015-0966-1

Journal Article Type Article
Online Publication Date Jul 28, 2015
Publication Date Jul 28, 2015
Deposit Date Jul 21, 2015
Publicly Available Date Feb 18, 2016
Journal BMC Health Services Research
Electronic ISSN 1472-6963
Publisher BioMed Central
Peer Reviewed Peer Reviewed
Volume 15
Issue 1
Article Number 293
DOI https://doi.org/10.1186/s12913-015-0966-1
Keywords pain management, chronic back pain, Alexander Technique, complementary and alternative medicine, service evaluation, mixed methods
Public URL https://uwe-repository.worktribe.com/output/843409
Publisher URL http://dx.doi.org/10.1186/s12913-015-0966-1

Files







You might also like



Downloadable Citations