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01-01-2021

Incorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention

Auteurs: Alicia A. Heapy, Hallie Tankha, Diana M. Higgins, Mary Driscoll, Kathryn M. LaChappelle, Joseph L. Goulet, Eugenia Buta, John D. Piette, Robert D. Kerns, Sarah L. Krein

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2021

Abstract

We examined the effectiveness and safety of a walking program offered as part of cognitive behavioral therapy for chronic pain (CBT-CP). Participants were randomized to 10 weeks of CBT-CP, delivered either in person or by interactive voice response. Participants reported pedometer-measured step counts daily throughout treatment and received a weekly goal to increase their steps by 10% over the prior week’s average. Walking-related adverse events (AEs) were assessed weekly. Participants (n = 125) were primarily male (72%), and white (80%) with longstanding pain (median: 11 years). There was no significant difference between treatment groups in rate of change in daily steps, but there was a significant increase in steps from baseline to treatment termination in the combined study sample (1648 steps (95% CI 1063–2225)). Participants classified as active doubled. AEs were mostly minor and temporary. Treatment was effective and safe whether the program was delivered in-person or remotely.

Trial registration number: clinicaltrials.gov identifier: NCT01025752.

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Titel: Incorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention
Auteurs: Alicia A. Heapy
Hallie Tankha
Diana M. Higgins
Mary Driscoll
Kathryn M. LaChappelle
Joseph L. Goulet
Eugenia Buta
John D. Piette
Robert D. Kerns
Sarah L. Krein
Publicatiedatum: 01-01-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-020-00193-8

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