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 T
AU - Larsen, Anette Enemark
AU - Polianskis, Romanas
AU - Arendt-Nielsen, Lars
AU - Østergaard, Anne Skov
AU - Kjær-Staal Petersen, Kristian
AU - Vægter, Henrik Bjarke
AU - Søndergaard, Jens
AU - Christensen, Jeanette Reffstrup
N1 - © 2023 the author(s), published by De Gruyter, Berlin/Boston.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Objectives: 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. Methods: 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 ± 10.9 years 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 selfperceived health status. Results: 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 summati95 % 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. Conclusions: 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.
AB - Objectives: 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. Methods: 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 ± 10.9 years 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 selfperceived health status. Results: 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 summati95 % 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. Conclusions: 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.
KW - activities of daily living
KW - evaluation study
KW - health behaviour
KW - health-related quality of life
KW - healthy lifestyle
KW - pain management
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
C2 - 38037749
SN - 1877-8860
VL - 24
JO - Scandinavian Journal of Pain
JF - Scandinavian Journal of Pain
IS - 1
M1 - 20230043
ER -