Overactivity assessment in chronic pain: The development and psychometric evaluation of a multifaceted self‐report assessment

Andrews, Neil; Chien, Chun-Ru; Ireland, David; Varnfield, Marlien

doi:10.1002/ejp.1664

Cited by 9 publications

(8 citation statements)

References 45 publications

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“…As part of the medical assessment, a screen for overactivity behaviour is conducted using interview techniques. The questions posed to consumers are similar to those questions presented in the Overactivity in Persistent Pain Assessment (OPPA; Andrews et al, 2021). Consumers identified as displaying overactivity tendencies were provided with activity pacing education by the clinical team as part of their treatment.…”

Section: Methodsmentioning

confidence: 99%

“…The OPPA (Andrews et al, 2021) is multifaceted self‐report overactivity measure that assesses habitual overactivity behaviour in the context of chronic pain. The questionnaire assesses five features of overactivity severity including: frequency, severity of the pain exacerbation, impact on occupational performance, recovery time, and maladaptive coping.…”

Section: Methodsmentioning

confidence: 99%

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Clinical utility of a mHealth assisted intervention for activity modulation in chronic pain: The pilot implementation of pain ROADMAP

Andrews

Ireland

Deen

et al. 2023

European Journal of Pain

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Background: Being able to successfully self-regulate one's activity levels is a key adaptation strategy for many people with chronic pain. This study aimed to explore the clinical utility of a mobile health platform (Pain ROADMAP) for assisting with the delivery of a tailored activity modulation intervention for people with persistent pain. Methods: Twenty adults with chronic pain undertook 1-week monitoring intervals which involved wearing an Actigraph activity monitor and entering pain, opioid use, and activity participation data into a custom-made phone app. The Pain ROADMAP online portal integrated and analysed the data to detect activities that caused a severe pain exacerbation and provided summary statistics pertaining the data collected. As part of a 15-week treatment protocol, participants received feedback from three dispersed Pain ROADMAP monitoring periods. Treatment focused on adapting pain-provoking activities, gradually increase goal-related activity and optimizing routine. Results: Results revealed good participant acceptability of monitoring procedures and reasonable adherence to both monitoring procedures and clinical follow-up appointments. Preliminary efficacy was established through clinically meaningful decreases in overactivity behaviour, pain variation, opioid use, depression, activity avoidance, and increases in productivity. No adverse outcomes were observed. Conclusion: The results of this study provide initial support for the clinical utility of mHealth assisted activity modulation interventions that involve remote monitoring.Significance: This is the first study to demonstrate how mHealth innovations that utilise ecological momentary assessment can be successfully integrated with wearable technologies to provide a tailored activity modulation intervention that is both highly valued by people with chronic pain and assists individuals to make

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Clinical utility of a mHealth assisted intervention for activity modulation in chronic pain: The pilot implementation of pain ROADMAP

Andrews

Ireland

Deen

et al. 2023

European Journal of Pain

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“…Overactivity is one characteristic activity pattern in individuals with CP and indicates the tendency to continue with activities despite pain 2,3 . Individuals with overactivity excessively engage in activities, resulting in additional pain and reduced functional capacity 4 …”

Section: Introductionmentioning

confidence: 99%

“…2,3 Individuals with overactivity excessively engage in activities, resulting in additional pain and reduced functional capacity. 4 Individuals suffering from CP with overactivity also frequently experience sleep disturbance. [5][6][7] A previous study using accelerometers revealed that engagement in high-intensity activities and high fluctuations in activities throughout the day (both characteristics of overactivity) are associated with poorer sleep at night.…”

Section: Introductionmentioning

confidence: 99%

Cognitive behavioral therapy for an individual suffering from chronic pain with overactivity and sleep disturbance: A case report

Enomoto

Kugo

Fukui

et al. 2022

Clinical Case Reports

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“…Overactivity is one characteristic activity pattern in individuals with CP and means the tendency to continue with activities despite pain [2,3]. Individuals with overactivity excessively engage in activities, resulting in additional pain and reduced functional capacity [4].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioral Therapy For an Individual Suffering From Chronic Pain With Overactivity And Sleep Disturbance: A Case Report

Enomoto

Kugo

Fukui

et al. 2021

Preprint

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Background: Patients suffering from chronic pain (CP) with overactivity frequently experience sleep disturbance. In order to improve the sleep disturbance of such individuals, changing their daytime activity patterns may be a key treatment strategy.Case presentation: The patient is a 35-year-old woman suffering from CP with sleep disturbance. First, cognitive behavioral therapy for insomnia was conducted to improve her sleep disturbance. However, due to the overactivity, she did not want to go to sleep earlier. Thus, she practiced activity pacing and changed her daytime activity patterns. Through activity pacing and cognitive restructuring, she stabilized her wake-up and bed times, and returned to work.Conclusions: To improve the sleep disturbance of individuals suffering from CP with overactivity, it is important to combine cognitive behavioral therapy for insomnia and activity pacing.

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Overactivity assessment in chronic pain: The development and psychometric evaluation of a multifaceted self‐report assessment

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 9 publications

References 45 publications

Clinical utility of a mHealth assisted intervention for activity modulation in chronic pain: The pilot implementation of pain ROADMAP

Clinical utility of a mHealth assisted intervention for activity modulation in chronic pain: The pilot implementation of pain ROADMAP

Cognitive behavioral therapy for an individual suffering from chronic pain with overactivity and sleep disturbance: A case report

Cognitive Behavioral Therapy For an Individual Suffering From Chronic Pain With Overactivity And Sleep Disturbance: A Case Report

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