Evolving health services towards clinical process-based models to manage chronic diseases (mental and/or physical)
Are you delivering your interventions based on old and traditional health care structures?
Are you still meeting patients individually since groups responsiveness uneven and turning patients down because you have no availability?
Are you assessing and treating lifestyles that are related to our chronic conditions systematically?
Health care has been uniquely slow to innovate, and the urgent need to prevent and treat …
...continue to read the abstract
Health care has been uniquely slow to innovate, and the urgent need to prevent and treat chronic conditions requires the implementation of tailored interventions for sustainable lifestyle changes. For that to happen, integrative and evidence-based clinical models that streamline clinical pathways are required. ACTiveRehab is the first clinical model that is empirically developed, and that identifies distinct patterns of psychological flexibility. This algorithm guides the practitioner to reorganize clinical pathways modularizing the ACT processes in a stepwise manner. Get inspired by the development and research behind ACTiveRehab and its results. We will also explore how to modularize and tailor interventions for transdiagnostic groups with shared patterns of PF. We will discuss how ACTiveRehab can flexibility adapt to different settings, from private practice to integrated primary care and university hospitals.
In the preface of my last thesis (p. ix) you can read how and why ACTiveRehab was developmed.
Workshop: Modularize and tailor transdiagnostic group interventions
Building Psychological Flexibility (PF) doesn’t transit a linear path where its six processes improve proportionally, from low to middle to high. PF reveals various behavioral patterns that have been clustered into pragmatic “Behavioral plasticity profiles.”(1-3)
Learn how to map the behavioral plasticity profile in your first session, together with your client/s, with only 8 self-rating items (4) and with three clinical questions5 measuring their current openness, awareness, and engagement. This case conceptualization effectively pinpoints which processes and in which dosage they are able to change behaviors and thus predict responsiveness. This approach to assessment provides both psychoeducation and a motivation boost for your client as they begin to engage in the therapeutic process.
Bring 3 cases with the same diagnosis or symptoms in mind. One that was easy to help, another very difficult and a third that seemed to go well and then crashed. We will then understand how dosage and modularization of the ACT processes meet these different needs
Rovner, G.; Vowles, K.; Gerdle, B. & Gillanders, D. (2015). Latent Class Analysis of the Short and LongForm of the Chronic Pain Acceptance Questionnaire- Further Examination of Patient Subgroups. J Pain. 2015 Aug 19. pii: S1526-5900(15)00810-X. doi: 10.1016/j.jpain.2015.07.007. PMID:26297968
Rovner, G.; Årestedt, K.; Gerdle, B.; Börsbo, B. & McCracken, LM, (2014) Psychometric properties of the 8-item Chronic Pain Acceptance Questionnaire (CPAQ – 8) in a Swedish Chronic Pain Cohort. J Rehabil Med 46: 73–80
CPAQ-8 in Swedish, dawnload here!