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Development and early feasibility testing of a mind-body physical activity program for patients with heterogeneous chronic pain; the GetActive study

Journal of Pain Research Dec 18, 2019

Greenberg J, Lin A, Zale EL, et al. - Considering that physical activity can improve physical function, researchers sought to increase physical function via adapting an evidence-based, group, mind-body program to address the necessities of patients with heterogeneous chronic pain and to promote individually tailored quota-based pacing with a Fitbit (GetActive with Fitbit) or without it (GetActive) (phase 1), and 2) appraising preliminary feasibility benchmarks (phase 2). For developing interventions and for early feasibility testing, evidence-based frameworks were followed. In phase 1, 4 focus groups with 22 patients with heterogeneous chronic pain were conducted and the mind-body program was adapted. In phase 2, a nonrandomized pilot trial of the 2 programs (N = 7 and 6) with qualitative exit interviews were conducted. Focus groups conferred a high interest in improving activity, a preference for walking connected to pleasurable activities, using a Fitbit to track number of steps, and learning skills to control pain and aid with enhanced activity. Good to excellent feasibility markers were evident with both programs. They identified an association of participation in both programs with a signal of advancements in physical and emotional function, as well as intervention targets. In exit interviews, high satisfaction was evident and modification was suggested.
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