Effects of a Tailored Activity Pacing Intervention on Pain and Fatigue for Adults With Osteoarthritis

Abstract

Objective We examined whether a tailored activity pacing intervention was more effective at reducing pain and fatigue than a general activity pacing intervention. Method Adults with knee or hip osteoarthritis (N = 32) stratified by age and gender were randomized to receive either tailored or general pacing instruction. Participants wore an accelerometer for five days that measured physical activity and allowed for repeated symptom assessment. Tailoring involved using data from the accelerometer. Outcomes at 10 week follow-up were pain (WOMAC) and fatigue (Brief Fatigue Inventory). Results Compared to general instruction, the tailored group had less fatigue interference (p = .02) and a trend towards decreased fatigue severity (p = .10) at 10 week follow-up. No group differences were found in pain reduction. Conclusion Tailoring instruction based on recent symptoms and physical activity may be a more effective symptom management approach compared to general instruction given the positive effects on fatigue.

Assessing the Psychometric Properties of an Activity Pacing Questionnaire for Chronic Pain and Fatigue

“…5,8,14 However, this finding contrasts previous associations between pacing and reduced pain. [43][44][45] More unexpected was the significant association between Activity progression and increased pain. It is suggested that participants who progress their activities experience natural increases in symptoms related to increased exertion.…”

“…46 Pacing was defined as adaptive pacing therapy in the PACE trial which may be similar to the themes Activity adjustment, Activity acceptance and some facets of Activity planning. Notably, neither Murphy et al 43 or White et al 46 implemented a pacing scale.…”

“…These findings are similar to a study implementing tailored pacing to reduce fluctuations in activity. 43 However, Murphy et al 43 included a small sample of patients (n=32) with lower limb osteoarthritis. Conversely, the large scale randomised PACE trial found that pacing was no more effective at reducing fatigue than standard medical care among patients with CFS/ME.…”

Self-management strategies to support performance of daily activities in hand osteoarthritis

“…Activity pacing is defined as "a strategy in which people strive not to exacerbate their symptoms by planning both daily activities and rest breaks and by segmenting tasks into multiple shorter time blocks" (27). Within this strategy, slowing down and spending more time was the action most frequently stated by the participants (Table V).…”

Caracterização do desempenho ocupacional de mulheres portadoras de dor pélvica crônica

“…(15), (2) "Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis." (16), (3) "Positive affect mediates the relationship between pain-related coping efficacy and interference in social functioning. The journal of pain : official journal of the American Pain Society" (17) e (4) …”