Rebecca Campbell, Sai Durga Vara Prasada Rao Podugu, Mary Morris
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引用次数: 0
Abstract
Objectives: This case study evaluates the effectiveness of online Acceptance and Commitment Therapy (ACT) for chronic pain management in an older adult, expanding on prior research (Campbell, Podugu, and Morris, 2021) by assessing its adaptation for telehealth during COVID-19.
Methods: A 78-year-old woman with chronic pain completed a structured, eight-session ACT program delivered via telehealth. Quality of life (QoL), depression, physical activity, and ACT-specific measures were assessed at baseline, post-treatment, and across multiple phases.
Results: Online ACT was associated with improvements in chronic pain and overall functioning. The participant demonstrated excellent therapy adherence, achieved clinically significant gains in physical activity, and improvement in pain. Positive outcomes were observed across key variables.
Conclusions: Online ACT is a feasible and effective approach for chronic pain management in older adults. Telehealth adaptations can enhance accessibility and treatment outcomes, addressing barriers such as mobility limitations and geographical constraints. These findings align with existing evidence supporting ACT for chronic pain in older adults.
Clinical implications: Findings support the role of online ACT in chronic pain management for older adults, and its potential in telehealth-based interventions. Further research is needed to evaluate its long-term effectiveness and generalizability across diverse populations.
目的：本案例研究评估了在线接受和承诺疗法（ACT）对老年人慢性疼痛管理的有效性，扩展了先前的研究（Campbell, Podugu, and Morris, 2021），评估了其对COVID-19期间远程医疗的适应性。方法：一名患有慢性疼痛的78岁女性通过远程医疗完成了一个结构化的、8期的ACT项目。生活质量（QoL）、抑郁、身体活动和act特异性措施在基线、治疗后和多个阶段进行评估。结果：在线ACT与慢性疼痛和整体功能的改善有关。参与者表现出良好的治疗依从性，在身体活动和疼痛改善方面取得了临床显著的进展。在关键变量中观察到积极的结果。结论：在线ACT治疗老年人慢性疼痛是一种可行且有效的方法。远程保健的调整可以提高可及性和治疗结果，解决行动限制和地理限制等障碍。这些发现与支持ACT治疗老年人慢性疼痛的现有证据一致。临床意义：研究结果支持在线ACT在老年人慢性疼痛管理中的作用，以及它在远程医疗干预中的潜力。需要进一步的研究来评估其在不同人群中的长期有效性和普遍性。
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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