University of Twente Student Theses


Leven met pijn online’ als zelfhulpcursus in eerstelijnszorg : een kwalitatief onderzoek naar de gebruikerservaringen van de cursusdeelnemers.

Alink, L. (2015) Leven met pijn online’ als zelfhulpcursus in eerstelijnszorg : een kwalitatief onderzoek naar de gebruikerservaringen van de cursusdeelnemers.

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Abstract:Chronic pain has an estimated prevalence of 18% in the Netherlands. It has big impact on physical, mental, financial and societal areas of life. Treatments often do not lead to the desired results. They mainly focus on the physical aspect of pain, while psychological treatments also play an important role in pain treatment. An example of psychological pain treatment is Acceptance and Commitment Therapy (ACT). The main goal of ACT is to learn to cope with the pain, by focusing on values and living in accordance with those values. The University of Twente developed an online intervention based on ACT, called ‘Living with pain online’. Usually, this is offered as a guided self-help intervention. This research focuses on user experiences of participants when the intervention is offered as an unguided self-help course next to physiotherapy. The study consisted of 6 participants with an average age of 45. The participants were selected by their physiotherapist. Participants took part in the course individually next to the treatment by the physiotherapist. At the end of the course, the feedback on the user experience of participants was collected through a semi-structured interview. The results show that the intervention got a positive review in general. Participants thought the course was helpful. They would recommend the intervention to others. The text, the exercises and the metaphors were top rated, while the video’s received the most negative rating by participants. The results of this research show that some guidance is necessary when the course ‘Living with pain online’ is offered as an unguided self-help course. Participants wanted more feedback and guidance. They had the possibility to consult with their physiotherapist when they had questions or problems. However, they did not do that. The physiotherapist gave minimal guidance, which was enough, according to participants. This is contradictory; Participants wanted more guidance, but did not seek that at their physiotherapist. This research does not give an explanation for this. However, it is strongly recommended that minimal guidance will be offered when the course is provided as an self-help course. Fixed structured guidance is not necessary. However, participants have to have the option to consult a therapist if needed. Results show that the intensity or frequency of guidance does not matter. It is the fact that participants have an option to receive guidance if needed which is important. Another recommendation is to add some sort of automated process-guidance, like e-mail or sms, to encourage the participant to go on with the course.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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