Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Division of Newborn Medicine, MassGeneral for Children, Boston, Massachusetts.
Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
J Pain. 2022 Nov;23(11):1933-1944. doi: 10.1016/j.jpain.2022.07.003. Epub 2022 Jul 29.
Physical activity can improve function in patients with chronic pain, however, adherence is low, in part due to inconsistent activity patterns. Smart wearable activity trackers, such as Fitbits, may help promote activity. In our program for chronic pain, we examined: 1) Fitbit activity patterns (ie, step count, moderate-to-vigorous physical activity (MVPA), sedentary behavior), and 2) whether achievement of weekly, individualized Fitbit step goals was associated with functional outcomes. We conducted a secondary analysis of Fitbit data from our 10-week mind-body activity program for chronic pain (GetActive-Fitbit arm, N = 41). Participants self-reported emotional and physical function and completed performance-based and accelerometer-based assessments. From week 1 to week 10, 30% of participants increased >800 steps; 32.5% increased MVPA; and 30% decreased sedentary behavior. Only step count significantly changed across time with mean steps peaking at week 8 (M = +1897.60, SD = 467.67). Fitbit step goal achievement was associated with improvements in anxiety (ß = -.35, CI [-2.80, -.43]), self-reported physical function (ß = -.34, CI [-5.17, 8.05]), and performance-based physical function (ß = .29, CI [-71.93, 28.38]), but not accelerometer-based physical function or depression. Adhering to individualized Fitbit step goals in the context of a mind-body activity program may improve anxiety and self-reported and performance-based physical function. PERSPECTIVE: We examine Fitbit activity patterns and the association between quota-based pacing and functional outcomes within a mind-body activity program for adults with chronic pain. Complementing quota-based pacing and coping skills with Fitbits may be a useful approach to promote activity engagement and behavior change in chronic pain populations.
身体活动可以改善慢性疼痛患者的功能，但依从性较低，部分原因是活动模式不一致。智能可穿戴活动追踪器，如 Fitbit，可能有助于促进活动。在我们的慢性疼痛计划中，我们检查了：1）Fitbit 的活动模式（即步数、中高强度体力活动（MVPA）、久坐行为），以及 2）是否达到每周个性化的 Fitbit 步数目标与功能结果相关。我们对我们的为期 10 周的身心活动慢性疼痛计划（GetActive-Fitbit 手臂，N=41）的 Fitbit 数据进行了二次分析。参与者自我报告了情绪和身体功能，并完成了基于表现和基于加速度计的评估。从第 1 周到第 10 周，30%的参与者增加了>800 步；32.5%增加了 MVPA；30%减少了久坐行为。只有步数在整个时间内显著变化，平均步数在第 8 周达到峰值（M=+1897.60，SD=467.67）。达到 Fitbit 步数目标与焦虑（ß=-.35，CI [-2.80，-.43]）、自我报告的身体功能（ß=-.34，CI [-5.17，8.05]）和基于表现的身体功能（ß=0.29，CI [-71.93，28.38]）的改善相关，但与基于加速度计的身体功能或抑郁无关。在身心活动计划的背景下，坚持个性化的 Fitbit 步数目标可能会改善焦虑以及自我报告和基于表现的身体功能。观点：我们检查了 Fitbit 的活动模式以及基于配额的 pacing 与慢性疼痛成年人功能结果之间的关联。在慢性疼痛人群中，使用 Fitbit 补充基于配额的 pacing 和应对技能可能是促进活动参与和行为改变的有用方法。
