TY - JOUR
T1 - Changes in pain, daily occupations, lifestyle, and health following an occupational therapy lifestyle intervention
T2 - a secondary analysis from a feasibility study in patients with chronic high-impact pain
AU - Nielsen, Svetlana Solgaard
AU - Skou, Søren Thorgaard
AU - Larsen, Anette Enemark
AU - Polianskis, Romanas
AU - Arendt-Nielsen, Lars
AU - Petersen, Kristian Kjær-Staal
AU - Østergaard, Anne Skov
AU - Vægter, Henrik Bjarke
AU - Søndergaard, Jens
AU - Christensen, Jeanette Reffstrup
N1 - Publisher Copyright:
© 2023 De Gruyter. All rights reserved.
PY - 2024/1
Y1 - 2024/1
N2 - This study explored changes in pain-related parameters, occupational function, occupational balance, lifestyle factors, and self-perceived health status in adults with chronic high-impact pain participating in an occupational therapy lifestyle intervention. This one-group longitudinal feasibility study was performed in three continuous feasibility rounds. The occupational therapists-led intervention targeted meaningful occupations, regular physical activity, and a healthy diet. The intervention contained individual and group sessions and was added to the standard multidisciplinary chronic pain treatment. Outpatients (n=40, 85% females, 46.6 ± 10.9years old) participated in the study between April 2019 and December 2021. The analysis includes data for 31 participants. Analysis of pre-post changes assessed after each feasibility round were performed for the outcomes: pain intensity, pain sensitivity and pain modulation (pressure pain threshold and tolerance, temporal summation of pain and conditioned pain modulation), pain self-efficacy, pain catastrophizing, motor and process skills, occupational balance, daily wake-time movement, daily walking steps, body mass index, waist circumference, blood pressure, and self-perceived health status. Improvements in motor skills (assessment of motor and process skills score=0.20 (1.37; 1.57), 95% CI 0.01; 0.38) and temporal summation of pain (-1.19 (2.86; -1.67), 95% CI -2.16; -0.22), but a decrease in pain tolerance (-7.110 (54.42; 47.32), 95% CI -13.99; -0.22) were observed. Correlation analysis suggested moderate-to-very strong statistically significant relationships in several outcomes related to pain, health, pain coping, occupational balance, occupational functioning, body anthropometrics, and pain sensitivity. This study suggested that the lifestyle intervention would benefit motor skills while effects on other outcomes were unclear in adults with chronic pain. To confirm the findings, a randomized trial evaluating effectiveness is needed. Ethical committee number: SJ-307 Reg. Clinicaltrials.gov:
AB - This study explored changes in pain-related parameters, occupational function, occupational balance, lifestyle factors, and self-perceived health status in adults with chronic high-impact pain participating in an occupational therapy lifestyle intervention. This one-group longitudinal feasibility study was performed in three continuous feasibility rounds. The occupational therapists-led intervention targeted meaningful occupations, regular physical activity, and a healthy diet. The intervention contained individual and group sessions and was added to the standard multidisciplinary chronic pain treatment. Outpatients (n=40, 85% females, 46.6 ± 10.9years old) participated in the study between April 2019 and December 2021. The analysis includes data for 31 participants. Analysis of pre-post changes assessed after each feasibility round were performed for the outcomes: pain intensity, pain sensitivity and pain modulation (pressure pain threshold and tolerance, temporal summation of pain and conditioned pain modulation), pain self-efficacy, pain catastrophizing, motor and process skills, occupational balance, daily wake-time movement, daily walking steps, body mass index, waist circumference, blood pressure, and self-perceived health status. Improvements in motor skills (assessment of motor and process skills score=0.20 (1.37; 1.57), 95% CI 0.01; 0.38) and temporal summation of pain (-1.19 (2.86; -1.67), 95% CI -2.16; -0.22), but a decrease in pain tolerance (-7.110 (54.42; 47.32), 95% CI -13.99; -0.22) were observed. Correlation analysis suggested moderate-to-very strong statistically significant relationships in several outcomes related to pain, health, pain coping, occupational balance, occupational functioning, body anthropometrics, and pain sensitivity. This study suggested that the lifestyle intervention would benefit motor skills while effects on other outcomes were unclear in adults with chronic pain. To confirm the findings, a randomized trial evaluating effectiveness is needed. Ethical committee number: SJ-307 Reg. Clinicaltrials.gov:
KW - disease, health science and nursing
UR - http://www.scopus.com/inward/record.url?scp=85179119597&partnerID=8YFLogxK
U2 - 10.1515/sjpain-2023-0043
DO - 10.1515/sjpain-2023-0043
M3 - Journal article
SN - 1877-8860
VL - 24
SP - 1
EP - 11
JO - Scandinavian journal of pain
JF - Scandinavian journal of pain
IS - 1
M1 - 20230043
ER -