Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

The Effects of a Pain Management-Focused Mobile Health Behavior Intervention on Older Adults' Self-efficacy, Satisfaction with Functioning, and Quality of Life: a Randomized Pilot Trial.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • معلومة اضافية
    • المصدر:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 9421097 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7558 (Electronic) Linking ISSN: 10705503 NLM ISO Abbreviation: Int J Behav Med Subsets: MEDLINE
    • بيانات النشر:
      Publication: London : Informa Healthcare
      Original Publication: Hillsdale, NJ : Lawrence Erlbaum Associates, c1994-
    • الموضوع:
    • نبذة مختصرة :
      Background: This report investigates the impact of a remote physical activity intervention on self-efficacy, satisfaction with functioning, and health-related quality of life (HRQOL) as assessed by the SF-36 in obese older adults with chronic pain. The intervention was group-mediated in nature and based in social cognitive theory and mindfulness-based relapse prevention.
      Methods: Participants (N = 28; 70.21 ± 5.22 years) were randomly assigned to receive either the active intervention, which focused on reducing caloric intake and increasing steps across the day or to a waitlist control condition.
      Results: Over 12 weeks, intervention participants reported a moderate, positive improvement in self-efficacy for walking relative to control. They also reported large magnitude improvements in satisfaction for physical functioning as well as improvements on pain and the physical functioning subscales of the SF-36.
      Conclusions: These findings expand on previous research showing similar effects in response to structured exercise, this time via a protocol that is likely to be scalable and sustainable for many older adults. Additional work on larger and more diverse samples is warranted.
      (© 2021. International Society of Behavioral Medicine.)
    • References:
      National Center for Health Statistics. Health, United States, 2019: Table 26. Hyattsville, MD. 2021.
      Rejeski WJ, Marsh AP, Chmelo E, Rejeski JJ. Obesity, intentional weight loss and physical disability in older adults. Obes Rev. 2010;11(9):671–85. PMID:19922431. (PMID: 10.1111/j.1467-789X.2009.00679.x)
      Katz DA, McHorney CA, Atkinson RL. Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med. 2000. PMID:11119171.
      McAuley E, Doerksen SE, Morris KS, et al. Pathways from physical activity to quality of life in older women. Ann Behav Med. 2008;36(1):13–20. PMID:18677453. (PMID: 10.1007/s12160-008-9036-9)
      Evert AB, Franz MJ. Why weight loss maintenance is difficult. Diabetes Spectr. 2017;30(3):153–6. (PMID: 10.2337/ds017-0025)
      Deci EL, Ryan RM. Self-determination theory: a macrotheory of human motivation, development, and health. Can Psychol. 2008;49(3):182–5. (PMID: 10.1037/a0012801)
      Bandura A. Self-efficacy: the exercise of control. New York, NY: W. H. Freeman and Company. 1997. ISBN:0716728508.
      Rejeski W, Fanning J. Models and theories of health behavior and clinical interventions in aging: a contemporary, integrative approach. Clin Interv Aging. 2019;14:1007–19. PMID:31213787. (PMID: 10.2147/CIA.S206974)
      Fanning J, Brooks A, Ip E, Nicklas B, Rejeski W, Nesbit B, Ford S. A mobile health behavior intervention to reduce pain and improve health in older adults with obesity and chronic pain: the MORPH pilot trial. Front Digit Heal. 2020;2(598456).
      Marlatt G. Determinants of relapse: Implications for the maintenance of behavior change. In: Davidson, PO and Davidson SM, editors. Behavioral Medicine: Changing Health Lifestyles. New York, NY: Brunner-Mazel. 1989.
      Brantley P, Appel L, Hollis J, et al. Design considerations and rationale of a multi-center trial to sustain weight loss: the weight loss maintenance trial. Clin Trials. 2008;5(5):546–56. (PMID: 10.1177/1740774508096315)
      Fanning J, Brooks AK, Ip E, Nicklas BJ, Rejeski WJ. A Mobile Health Intervention to Reduce Pain and Improve Health (MORPH) in older adults with obesity: protocol for the MORPH Trial. JMIR Res Protoc. 2018;7(5):e128. (PMID: 10.2196/resprot.9712)
      Rejeski WJ, Ambrosius WT, Burdette JH, Walkup MP, Marsh AP. Community weight loss to combat obesity and disability in at-risk older adults. J Gerontol A Biol Sci Med Sci. 2017;glw252.
      Bowen S, Chawla N, Collins SE, et al. Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Subst Abus. 2009;30(4):295–305. (PMID: 10.1080/08897070903250084)
      Ware J, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33. (PMID: 10.1097/00005650-199603000-00003)
      Paxton RJ, Motl RW, Aylward A, Nigg CR. Physical activity and quality of life-the complementary influence of self-efficacy for physical activity and mental health difficulties. Int j Behav Med. 2010;17(4):255–63. (PMID: 10.1007/s12529-010-9086-9)
      Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev. 2001;2(3):173–182.
      Fanning J, Walkup MP, Ambrosius WT, et al. Change in health-related quality of life and social cognitive outcomes in obese, older adults in a randomized controlled weight loss trial: does physical activity behavior matter? J Behav Med. 2017;41(3):1–10.
      Conner M, Norman P. Health behaviour: current issues and challenges. Psychol Health. 2017;32(8):895–906. (PMID: 10.1080/08870446.2017.1336240)
      McAuley E, Blissmer B, Katula J, Duncan TE. Exercise environment, self-efficacy, and affective responses to acute exercise in older adults. Psychol Health. 2000;15(3):341–55. (PMID: 10.1080/08870440008401997)
      Ray KM, Hector LL, Lynes LK, Stewart AL, Painter PL, Dibble SL. Assessment of satisfaction with physical fitness in kidney transplant recipients. Med Sci Sport Exerc. 1996;28(5):7. (PMID: 10.1097/00005768-199605001-00038)
      RAND Corporation. 36-Item Short Form Survey (SF-36) Scoring instructions. 2016. PMID:23770012.
      LoMartire R, Äng BO, Gerdle B, Vixner L. Psychometric properties of short form-36 health survey, EuroQol 5-dimensions, and hospital anxiety and depression scale in patients with chronic pain. Pain. 2020;161(1):83–95. (PMID: 10.1097/j.pain.0000000000001700)
      Dohrn IM, Gardiner PA, Winkler E, Welmer AK. Device-measured sedentary behavior and physical activity in older adults differ by demographic and health-related factors. Eur Rev Aging Phys Act. 2020;17(1).
      Cohen J. Statistical power analysis for the behavioral sciences. New York, NY: Academic Press. 1988.
      Rubin LH, Witkiewitz K, Andre JS, Reilly S. Methods for handling missing data in the behavioral neurosciences: don’t throw the baby rat out with the bath water. J Undergrad Neurosci Educ. 2007;5(2):71–7.
      Busija L, Osborne RH, Nilsdotter A, Buchbinder R, Roos EM. Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery. Health Qual Life Outcomes. 2008;6:55. (PMID: 10.1186/1477-7525-6-55)
      Wyrwich KW, Tierney WM, Babu AN, Kroenke K, Wolinsky FD. A comparison of clinically important differences in health-related quality of life for patients with chronic lung disease, asthma, or heart disease. Health Serv Res. 2005;40(2):577–91. (PMID: 10.1111/j.1475-6773.2005.0l374.x)
      Higgins TJ, Middleton KR, Winner L, Janelle CM. Physical activity interventions differentially affect exercise task and barrier self-efficacy: a meta-analysis. Health Psychol. 2014;33(8):891–903. (PMID: 10.1037/a0033864)
      Villareal DT, Chode S, Parimi N, et al. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med. 2011;364(13):1218–29. (PMID: 10.1056/NEJMoa1008234)
      Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, George SM, Olson RD. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020–8. (PMID: 10.1001/jama.2018.14854)
    • Grant Information:
      KL2 TR001421 United States TR NCATS NIH HHS; T32 AG033534 United States AG NIA NIH HHS
    • Contributed Indexing:
      Keywords: Aging; MHealth; Physical activity; Telehealth; Weight loss
    • الموضوع:
      Date Created: 20210521 Date Completed: 20220413 Latest Revision: 20230822
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC8136759
    • الرقم المعرف:
      10.1007/s12529-021-10003-3
    • الرقم المعرف:
      34018138