Integrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.
Integrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Complement Ther Clin Pract. 2021 Aug;44:101410. doi: 10.1016/j.ctcp.2021.101410. Epub 2021 May 2.
Increasing activity is important yet challenging among people with chronic pain. Objective assessment of activity using accelerometers (i.e., ActiGraph) has gained popularity, but reactivity to assessment and non-adherence to wearing the ActiGraph may bias data. We explored: 1) experiences of wearing the ActiGraph to identify ways to increase adherence and facilitate accurate assessment of activity; and 2) barriers and facilitators to increasing activity following two mind-body activity programs to optimize future interventions. We conducted semi-structured exit interviews with 13 participants with heterogenous chronic pain who completed a randomized controlled trial of two mind-body activity programs. We analyzed transcripts using a framework approach to generate themes. Participants indicated that receiving reminders increased ActiGraph wear adherence and reported that program skills such as gratitude, pacing, mindfulness, and deep breathing were facilitators to increasing activity, while medical problems were barriers. Interventions aiming to increase activity may benefit from emphasizing mind-body skills and sending ActiGraph wear reminders.
在慢性疼痛患者中，增加活动量很重要，但也具有挑战性。使用加速度计（即 ActiGraph）对活动进行客观评估已经越来越受欢迎，但评估的反应性和对 ActiGraph 的佩戴不依从可能会使数据产生偏差。我们探讨了：1）佩戴 ActiGraph 的体验，以确定增加依从性和促进活动准确评估的方法；2）在参加两个身心活动计划后增加活动的障碍和促进因素，以优化未来的干预措施。我们对 13 名患有异质性慢性疼痛的参与者进行了半结构化的退出访谈，这些参与者完成了两个身心活动计划的随机对照试验。我们使用框架方法分析转录本，以生成主题。参与者表示，收到提醒会增加 ActiGraph 的佩戴依从性，并报告说，感恩、调整节奏、正念和深呼吸等项目技能有助于增加活动量，而医疗问题则是障碍。旨在增加活动量的干预措施可能受益于强调身心技能和发送 ActiGraph 佩戴提醒。
