Schmid Arlene A, Fruhauf Christine A, Fox Aimee L, Sharp Julia L, Portz Jennifer Dickman, Leach Heather J, Van Puymbroeck Marieke
Department of Occupational Therapy, Colorado State University, Fort Collins, CO, United States.
Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO, United States.
Front Rehabil Sci. 2024 Oct 3;5:1397220. doi: 10.3389/fresc.2024.1397220. eCollection 2024.
Approximately 75% of caregivers providing unpaid care to family members or friends experience persistent pain. Simultaneously, individuals who require caregiving commonly experience pain. The inherent complexity of pain is enhanced by relationship dynamics of two closely tied individuals (i.e., caregiving dyad = caregivers and care recipients). Currently there are no proven pain interventions that target the caregiving dyad. Thus, the purpose of this pilot study was to assess the feasibility of a new behavioral multi-modal intervention, the Merging Yoga and self-management to develop Skills (MY-Skills) intervention.
Each participant was part of a caregiving dyad and all participants had moderate to severe musculoskeletal pain, a score of ≥4 of 6 on the short mini-mental status exam, were ≥18 years old, sedentary, able to speak English, able to stand, and living at home. Participants were randomized to MY-Skills or the control group. MY-Skills was offered twice a week for eight weeks and each two-hour session included yoga and self-management education developed specifically for caregiving dyads experiencing persistent pain. MY-Skills was group based and developed as an in-person intervention. Due to Covid-19, the intervention was moved online and data are presented for in-person and online cohorts. Benchmarks for feasibility were set , addressing: recruitment, attrition, attendance, safety, acceptability/satisfaction, and study completion.
Thirteen participants completed the in-person MY-Skills intervention (caregivers = 7, care-receivers = 6) and 18 individuals completed the online MY-Skills intervention (9 dyads). Most participants had pain for ≥10 years. Recruitment and attrition benchmarks for the in-person intervention were not met; yet they were met for the online version. In-person and online MY-Skills intervention attendance, safety, acceptability/satisfaction, and completion exceeded benchmark criteria.
The MY-Skills intervention appears feasible and acceptable, however changes to recruitment criteria are necessary. Additional testing and larger sample sizes are required to test efficacy.
Clinicaltrials.gov, #NCT03440320.
大约75%为家庭成员或朋友提供无偿护理的照料者经历着持续性疼痛。与此同时，需要他人照料的个体通常也会经历疼痛。两个紧密相连的个体（即照料二元组=照料者和受照料者）之间的关系动态加剧了疼痛的内在复杂性。目前尚无针对照料二元组的已证实有效的疼痛干预措施。因此，本初步研究的目的是评估一种新的行为多模式干预措施——融合瑜伽与自我管理以培养技能（MY-Skills）干预措施的可行性。
每位参与者都是照料二元组的一员，所有参与者均患有中度至重度肌肉骨骼疼痛，在简短简易精神状态检查中的得分为6分制中的≥4分，年龄≥18岁，久坐不动，能说英语，能够站立，且居住在家中。参与者被随机分为MY-Skills组或对照组。MY-Skills干预每周进行两次，为期八周，每次两小时的课程包括专门为经历持续性疼痛的照料二元组设计的瑜伽和自我管理教育。MY-Skills是以小组形式开展的，并作为一种面对面的干预措施进行开发。由于新冠疫情，干预措施改为线上进行，并呈现了面对面和线上两组人群的数据。设定了可行性基准，涉及：招募、损耗、出勤、安全性、可接受性/满意度以及研究完成情况。
13名参与者完成了面对面的MY-Skills干预（照料者=7名，受照料者=6名），18名个体完成了线上MY-Skills干预（9个二元组）。大多数参与者的疼痛持续了≥10年。面对面干预的招募和损耗基准未达到；但线上版本达到了。面对面和线上的MY-Skills干预出勤、安全性、可接受性/满意度以及完成情况均超过了基准标准。
MY-Skills干预措施似乎可行且可接受，然而招募标准需要改变。需要进一步测试并扩大样本量以检验疗效。
Clinicaltrials.gov，#NCT03440320。
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