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THE EFFICACY OF MULTI-CONVERGENT THERAPY

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THE EFFICACY OF MULTI-CONVERGENT THERAPY Marie Thomas Funded by The Gatsby Foundation and HMAW MCT MCT Developed in Cardiff by a Physiotherapist Michael Sadlier ... – PowerPoint PPT presentation

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Title: THE EFFICACY OF MULTI-CONVERGENT THERAPY


1
THE EFFICACY OF MULTI-CONVERGENT THERAPY
  • Marie Thomas
  • Funded by The Gatsby Foundation and HMAW

2
MCT
  • MCT
  • Developed in Cardiff by a Physiotherapist Michael
    Sadlier
  • Chronic Fatigue Syndrome,IBS, tinnitus, vertigo,
    hyperventilation syndrome and anxiety

3
MCT
  • Reflects a bio-psychosocial and philosophical
    approach to health outcome2
  • Advocates more active integrative role for
    therapists in the assessment and management of
    beliefs and emotions
  • 2 Engle, 1997

4
MCT
  • Combines CBT and GET
  • CBT
  • Aims to identify factors predisposing,
    precipitating and perpetuating
  • Improve sleep quality
  • Restructuring of beliefs, thoughts and
    behavioural patterns

5
  • GET
  • Introduction to planned activity and rest
    (pacing)
  • Is introduced after exploration of relationship
    between fatigue and cognitions
  • Follows the rationale suggested by Noakes et al
    (2005)

6
MCT
  • Also included
  • Mindfulness meditation
  • Heart Rate Monitors

7
MCT
  • Treatment trial conducted to formally evaluate
    MCT in severe disability (CFS)
  • 35 patients
  • 12 MCT
  • 14 Relaxation
  • 9 non-intervention controls

8
MCT for CFS
  • Primary outcome measure3
  • Functional performance
  • Above 80
  • Secondary outcomes4
  • Improvements in overall illness condition
  • Improvements in fatigue
  • Improvements in disability
  • 3 Sharpe et al., 1996
  • 4 Deale et al., 1997

9
MCT for CFS

10
MCT for CFS

11
MCT for CFS

12
MCT for CFS
  • Other improvements in the MCT group included
  • Improved sleep quality
  • Improved activity levels
  • Lower symptom scores
  • Improved cognition

13
MCT for CFS
  • A recent follow-up assessment of MCT
    participants, 3 years post-therapy
  • Continued improved functioning
  • Lower levels of fatigue
  • Lower levels of disability
  • Continued improved sleep
  • Continued improved activity
  • Lower symptom scores

14
MCT
  • To summarise
  • Improves physical functioning
  • Improves overall illness condition
  • Reduces fatigue
  • Reduces disability
  • Improves sleep quality
  • Improves activity levels
  • Improves the chance of return to work
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