Reasons for Treatment Non-Response: A Controlled Study of Patients' Views in Pain Rehabilitation

Vitterso, A. D.; Keogh, E.; Gauntlett-Gilbert, J.; Vitterso, Axel; Keogh, Edmund; Gauntlett-Gilbert, Jeremy

Abstract

Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017. Background: Understanding successful and unsuccessful behavioural treatment for pain is essential. Aims: We carried out a retrospective survey of 130 people who had undergone pain rehabilitation based on acceptance and commitment therapy, aiming to identify factors associated with non-response. Method: The sample was selected using the reliable change index to define 'responders' and 'non-responders' to key outcome measures. We surveyed a range of treatment-related, systemic, practical and personal factors that may have affected their treatment, and then compared 'non-responders' with 'responders', controlling for factors that might not be causal or specific to non-response. Results: Logistic regression analysis showed two themes that distinguished the groups, 'people outside programme' and 'emotional state'. Conclusions: These data have clinical implications, as such factors can be addressed directly or incorporated into an assessment of treatment 'readiness'. This study introduced a novel methodology for the investigation of pain treatment response, which allowed a broad study of clinically relevant variables, but with greater rigour than conventional self-reports of 'helpful factors' in treatment.

• Journal Article Type: Article
• Acceptance Date: Aug 20, 2017
• Publication Date: Mar 1, 2018
• Deposit Date: Aug 23, 2017
• Publicly Available Date: Aug 23, 2017
• Journal: Behavioural and Cognitive Psychotherapy
• Print ISSN: 1352-4658
• Electronic ISSN: 1469-1833
• Publisher: Cambridge University Press (CUP)
• Peer Reviewed: Peer Reviewed
• Volume: 46
• Issue: 2
• Pages: 238-243
• DOI: https://doi.org/10.1017/S1352465817000595
• Keywords: treatment, non-response, controlled study, patient's views, pain rehabilitation
• Public URL: https://uwe-repository.worktribe.com/output/903871
• Publisher URL: https://doi.org/10.1017/S1352465817000595
• Additional Information: Additional Information : This is the author's accepted manuscript. The published version is available at https://doi.org/10.1017/S1352465817000595.
• Contract Date: Aug 23, 2017