This paper discusses a research project exploring the effect of digital heritage creation and interpretation on park space meanings. Adopting a multidisciplinary and practice-based approach, this project engaged directly with local park users through interviews, field visits and the development of a website. The aim of this project was to explore how the research process and website development affected the participant’s perspectives on the park space. The paper will discuss the key themes of the data and how the multiple participant narratives traverse space and time within the park. The thematic structure and premise of the website will be detailed before discussing some of the issues which arose during the digital development process. Finally, participant’s reactions to the project will be explored showing that space and time in the park, and the website representation of it, are related less to linearity than to the habitus and rhizomatic forms.
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Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT.Methods: Five physiotherapists were trained to follow a well-defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi-structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level.Results: Five physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self-management to continue with activities. Conclusion:This study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain.
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