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Table 3 External factors which might influence intervention acceptability and suitability

From: Telephone cognitive behavioural therapy to prevent the development of chronic widespread pain: a qualitative study of patient perspectives and treatment acceptability

Factors affecting intervention acceptance

Methods to address these factors

Scepticism and resistance

Clear information at screening about the nature and style of the intervention (cognitive behavioural therapy) and about the link between what we do, the way we think and our physical symptoms

Some will be sceptical and resistant to the idea of a ‘counselling’ approach to preventing chronic widespread pain

Timing

Intervention impact may be increased if offered earlier rather than later, for example, when participants are experiencing low to moderate pain.

Timing of the intervention offer could impact on acceptability and suitability

Baseline Knowledge

Intervention screening should include assessment of baseline knowledge and existing use of self-help and CBT pain management techniques

Intervention most useful for those with little or no prior experience of CBT pain management techniques

Presenting Symptoms

Intervention screening should include assessment of symptoms experienced. Intervention is likely to be most helpful for those with Musculoskeletal pain.

The presenting symptoms experienced may impact on acceptability and suitability