Satisfaction and specific and non-specific therapy factors: haptotherapy from a patient perspective

Background:

The main aim of this study was to assess patient satisfaction with haptotherapy treatment and to identify aspects of the therapy that patients consider essential for recovery. The study also aimed to evaluate to what extent patient satisfaction was influenced by the haptotherapist’s educational background and by the type of  complaints for which the patient consulted a haptotherapist.

Method:

During four weeks, Dutch haptotherap0ists asked all their patients aged 18 and older to complete a digital questionnaire at home after the haptotherapy treatment. Satisfaction with the haptotherapist was measured with questions about the haptotherapist’s understanding, involvement, listening attitude, and expertise, about the patient’s experience of the therapeutic touch, and about what the patient had learned from the treatment (measured on a 5-point Likert scale (1-5)). The questionnaire also examined the presumed therapeutic importance of six therapy factors: (1) patient expectation and confidence that haptotherapy helps; (2) professional practice setting in which the therapy took place; (3) patient motivation and involvement; (4) therapeutic touch; (5) insightful conversations; and (6) the therapist. Open-ended
questions were asked about what patients had learned from the therapeutic touch, the skills exercises, and the insight- providing conversations, and which treatment factors had most affected them.

Results:

Seventy-two participating haptotherapists received 640 completed questionnaires, 500 from women and 140 from men. The respondents’ average age was 46 years. Patient satisfaction was high regarding the haptotherapists’ understanding (4.6), involvement (4.6), listening attitude (4.7), and expertise (4.4). The ratings for the six investigated therapy factors differed significantly (F(5.3834) = 83.003, p < .001). The factors ‘therapeutic touch’, ‘insightful conversations’ and ‘the therapist’ all scored significantly higher than the factors ‘patient expectation and confidence that haptotherapy helps’, ‘professional practice setting in which the therapy took place’ and ‘motivation and involvement of the patient’ (p < .001). Satisfaction did not appear to depend on the background and education of the haptotherapist, as patients treated by haptotherapists with different training backgrounds did not differ significantly in their scores for (1) patient satisfaction with the haptotherapist, (2) appreciation of the various specific and aspecific therapy factors and (3) the experience of therapeutic touch.

Conclusion:

Patients are very satisfied with haptotherapy, and they attribute great value to the therapeutic touch, the insightful conversations, and the personality of the haptotherapist. It seems to be that the therapeutic touch, the insight-providing conversations, and the skills exercises constitute a coherent whole within haptotherapy from a patient perspective. Further research could determine if and how the treatment of patients with depressive symptoms can be improved. The educational background of the haptotherapist does not appear to influence satisfaction, and satisfaction hardly differed between patients with different indications.

1. Academie. Academie voor Haptonomie, opleiding Haptotherapie. 2021; Available from: https://www.haptonomie.nl/
2. Ackerman, S.J., Hilsenroth M.J., A review of therapist characteristics and techniques positively impacting the therapeutic alliance. Clinical Psychology Review, 2003. 23(1): p. 1-33. https://doi.org/10.1016/S0272-7358(02)00146-0
3. Batbaater, E., Dorjdagva J., Luvsannyam A., Savino M. M., Amenta P., Determinants of patient satisfaction: a systematic review. Perspectives in Public Health, 2017. 137(2): p. 89-101. https://doi.org/10.1177/1757913916634136
4. Benedetti, F., Placebo and the new physiology of the doctor-patient relationship. Physiological Reviews, 2013. 93: p. 1207-1246. https://doi.org/10.1152/physrev.00043.2012
5. Berg, M.v.d., Visser A., Schoolmeesters, A., Edelman P., Borne B. v.d., Evaluation of haptotherapy for patients with cancer treated with chemotherapy at a day clinic. Patient Education and Counseling, 2005.
6. 60: p. 336-343. Bohart, A.C., The Client Is the Most Important Common Factor: Clients’ Self-Healing Capacities and Psychotherapy. Journal of Psychotherapy Integration, 2000. 10(2): p. 127-149. https://doi.org/10.1023/A:1009444132104
7. Bohart, A.C., Tallman K., How Clients Make Therapy Work: The Process of Active Self-Healing1999, Washington DC: American Psychological Association. https://doi.org/10.1037/10323-000
8. Bosscher, R.J., Leeuwen A.v., Pluimers C., The clinical effectiveness of haptotherapy in routine practices. International Journal of Haptonomy and Haptotherapy, 2013. https://doi.org/10.61370/nvhq5670
9. Gill, L., White L., A critical review of patient satisfaction. Leadership in Health Services, 2009. 22(1): p. 8-19. https://doi.org/10.1108/17511870910927994
10. ITH. Instituut voor Toegepaste Haptonomie, opleiding Haptotherapie. 2021; Available from: https://www.ith-haptonomie.nl/
11. Klabbers, G.A., Impaired ability to feel: indication for haptotherapy. International Journal of Haptonomy and Haptotherapy, 2020. 3: p. 12-14. https://doi.org/10.61370/fjnc3900
12. Klabbers, G.A. Hapto-educatie: een kerntaak van de hands-on gezondheidszorghaptotherapeut? 2021; Available from: https://www.gertklabbers.nl/wp-content/uploads/2021/01/Hapto-educatie.pdf
13. Klabbers, G.A., Paarlberg K.M., Vingerhoets A.J.J.M, Does haptotherapy benefit mother-child bonding? International Journal of Haptonomy and Haptotherapy 2018. 3(1): p. 1-7. https://doi.org/10.61370/stiw1397
14. Klabbers, G.A., Vingerhoets A.J.J.M., What is the effect of Haptotherapy on patients with chronic pain? International Journal of Haptonomy and Haptotherapy, 2021. 1: p. 1-9. https://doi.org/10.61370/xzug1370
15. Klabbers, G.A., Wijma K., Paarlberg K.M., Emons W.H.M., Vingerhoets A.J.J.M., Haptotherapy as a new intervention for treating fear of childbirth: a randomized controlled trial. Journal of Psychosomatic Obstetrics and Genecology, 2017: p. 1-10. https://doi.org/10.1080/0167482X.2017.1398230
16. Kelders, S.M. Involvement as a working mechanism for persuasive technology. 2015; Available from: Involvement as a Working Mechanism for Persuasive Technology | SpringerLink. https://doi.org/10.1007/978-3-319-20306-5_1
17. Mulder, R., Murray G., Rucklidge J., Common versus specific factors in psychotherapy; opening the black box. The Lancet Psychiatry, 2017. 4(12): p. 953-962. https://doi.org/10.1016/S2215-0366(17)30100-1
18. Plooij, E., Haptotherapie. Praktijk en theorie 2005, Amsterdam, the Netherlands: Harcourt.
19. Rümke, H. C. (1958). Nieuwe studies en voordrachten in de psychiatrie. Amsterdam: Scheltema en Holkema.
20. Swaay, A.v., Vissers K., Engels Y., Groot M., Haptotherapy for patients with cancer; experience of haptotherapists and reasons for consultation: A survey among haptotherapists. Complementary Therapies in Clinical Practice 2021. 43(101352): p. 1-8. https://doi.org/10.1016/j.ctcp.2021.101352
21. Synergos. Synergos, opleiding Haptotherapie. 2021; Available from: https://www.synergos.nl/
22. Vereniging-van-Haptotherapeuten (VVH). Beroepsvereniging van gezondheidszorghaptotherapeuten in Nederland 2021; Available from: https://www.haptotherapeuten-vvh.nl
23. VVH. Beroepscode gezondheidszorghaptotherapeut. 2009; Available from: https://www.haptotherapeutenapeldoorn.nl/wp-content/uploads/2019/07/Beroepscode.pdf
24. VVH. Domeinbeschrijving haptotherapie. 2009; Available from: https://www.haptotherapeutenapeldoorn.nl/wp-content/uploads/2019/07/Domeinbeschrijving.pdf
25. VVH. Competentieprofiel gezondheidszorghaptotherapeut. 2010; Available from: https://www.haptotherapeutenapeldoorn.nl/wp-content/uploads/2019/07/Competentieprofiel.pdf
26. Vingerhoets, A., ‘Onbegrepen’ klachten. Psychopraxis, jaargang 2005, 2005. 7(5): p. 164-168. https://doi.org/10.1007/BF03072225
27. Werkgroep-chronische-pijn. Richtlijn haptotherapie bij chronische pijn. 2021; Available from: https://www.haptotherapeutenapeldoorn.nl/wp-content/uploads/2021/01/Richtlijn-Haptotherapie-bij-Chronische-Pijn-versie-2021-1.pdf