Reflections beyond words: using auto-driven photo-elicitation to explore the pain management programme journey
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AbstractIn the UK, around one-third to one-half of the population are estimated to be affected by persistent pain, a long-term complex condition which can have serious implications for an individual’s everyday functioning and quality of life. A biopsychosocial approach to care and pain management programmes can be adopted as a treatment option. A growing body of research supports the effectiveness of Acceptance and Commitment Therapy based pain management programmes. This research, however, is based on analyses of pre-post changes in pre-defined outcome measures. Limited qualitative research has focused on programme evaluation and the notion of acceptance. This study aimed to explore the individuals’ everyday experience of change as they progressed through a pain management programme to enhance understanding of the change process from the individuals’ perspective. This study also aimed to establish how auto-driven photo-elicitation can support participants to articulate their pain management journey. Nine participants who were part of a six-week online pain management programme were asked to generate weekly images representing a meaningful change in their pain management. These images were discussed in photo-elicitation interviews at week two, four and six of the programme. Transcripts were analysed using thematic analysis. The findings represented the way participants created meaning associated with changes in their pain management across the three timepoints of data collection. The significance of these time points in relation to pain management were constructed as: (1) Insight and Awareness, (2) Integration and (3) Reframing. All participants described a shift in their perspective towards pain, which appeared to be facilitated by factors of ‘acceptance’ and ‘empowerment’. Auto-driven photo-elicitation was found to ‘invite reflection’ and held ‘therapeutic value’ which facilitated the change process. Photography was found to be an engaging and valuable method for helping individuals articulate their pain management journey. This provides support for the adaptability of pain management programmes and the use of photography to create therapeutic opportunities.
PublisherUniversity of Wolverhampton
TypeThesis or dissertation
DescriptionA thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the Professional Doctorate in Health and Wellbeing (DProfHW).
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