Cognitive-Motivational Influences on Health Behavior Change in Adults with Chronic Pain

Abstract Objective. The primary aim was to assess the psychological factors that influence engagement in health behaviors in individuals with chronic pain using a new measure, the Behavioral Engagement Test for Chronic Pain (BET-CP). A secondary aim was to determine preliminary psychometric properti...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Pain medicine (Malden, Mass.) Mass.), 2016-06, Vol.17 (6), p.1079-1093
Hauptverfasser: Anderson, Ryan J., Hurley, Robert W., Staud, Roland, Robinson, Michael E.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1093
container_issue 6
container_start_page 1079
container_title Pain medicine (Malden, Mass.)
container_volume 17
creator Anderson, Ryan J.
Hurley, Robert W.
Staud, Roland
Robinson, Michael E.
description Abstract Objective. The primary aim was to assess the psychological factors that influence engagement in health behaviors in individuals with chronic pain using a new measure, the Behavioral Engagement Test for Chronic Pain (BET-CP). A secondary aim was to determine preliminary psychometric properties of the BET-CP. Subjects. Participants were 86 adults with chronic musculoskeletal pain recruited from University of Florida pain clinics and the community. Methods. Participants completed a battery of self-report instruments online, including the BET-CP and measures of related constructs. Items on the BET-CP assessed motivation, self-efficacy, outcome expectations, and the symptom benefit required to engage across four health behaviors: exercise, diet, sleep, and pain self-management (e.g., relaxation and activity pacing). Results. Participants reported modest expectations of pain-related symptom improvement if they practiced the health behaviors (22–26% improvement), but they required twice that (47–54% improvement) to make it worth their while to commit to practicing them. Participants expected to get the most symptom relief from relaxation and activity pacing, but they were most confident and motivated to eat a healthy diet. In a subsample of participants who provided data for psychometric analysis, the BET-CP demonstrated strong test-retest reliability across 7 days and adequate convergent validity. Conclusion. While patients with musculoskeletal pain have outcome expectancies that are nearly in line with research on behavioral pain treatments, their stringent requirements for symptom benefit may impede engagement in the health behaviors recommended for their pain-related symptoms. Additional psychometric study with larger sample sizes is needed to further validate the BET-CP.
doi_str_mv 10.1111/pme.12929
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826640499</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1111/pme.12929</oup_id><sourcerecordid>1826640499</sourcerecordid><originalsourceid>FETCH-LOGICAL-c410t-15fde44c2bc357c417a247b03b932d878dad19bb2e43416fe8ae0b069566d90f3</originalsourceid><addsrcrecordid>eNqN0TtLxTAYBuAgivfBPyABHXSo5tY0HY_FGyg6KI4lbb_aSJvUpj3ivzd6jg4OYpYvJA_v8L0I7VFyQsM57Ts4oSxl6QrapDGTkZA8WV3eGU_iDbTl_QshVArF19EGk0JQKuJN9JS5Z2tGM4fo1oWhR-OsbvG1rdsJbAkeO4uvQLdjg8-g0XPjBpw12j4DNhbPqqkdPX4z4TtrBmdNie-1sTtordath93l3EaPF-cP2VV0c3d5nc1uolJQMkY0risQomRFyeMkvCWaiaQgvEg5q1SiKl3RtCgYCC6orEFpIAWRaSxllZKab6OjRW4_uNcJ_Jh3xpfQttqCm3xOFZNSEJGm_6BEyVhSTgM9-EVf3DSEvficUZZwpXiigjpeqHJw3g9Q5_1gOj2855Tkn8XkoZj8q5hg95eJU9FB9SO_mwjgcAHc1P-R8wGq6pKR</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2127388378</pqid></control><display><type>article</type><title>Cognitive-Motivational Influences on Health Behavior Change in Adults with Chronic Pain</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Anderson, Ryan J. ; Hurley, Robert W. ; Staud, Roland ; Robinson, Michael E.</creator><creatorcontrib>Anderson, Ryan J. ; Hurley, Robert W. ; Staud, Roland ; Robinson, Michael E.</creatorcontrib><description>Abstract Objective. The primary aim was to assess the psychological factors that influence engagement in health behaviors in individuals with chronic pain using a new measure, the Behavioral Engagement Test for Chronic Pain (BET-CP). A secondary aim was to determine preliminary psychometric properties of the BET-CP. Subjects. Participants were 86 adults with chronic musculoskeletal pain recruited from University of Florida pain clinics and the community. Methods. Participants completed a battery of self-report instruments online, including the BET-CP and measures of related constructs. Items on the BET-CP assessed motivation, self-efficacy, outcome expectations, and the symptom benefit required to engage across four health behaviors: exercise, diet, sleep, and pain self-management (e.g., relaxation and activity pacing). Results. Participants reported modest expectations of pain-related symptom improvement if they practiced the health behaviors (22–26% improvement), but they required twice that (47–54% improvement) to make it worth their while to commit to practicing them. Participants expected to get the most symptom relief from relaxation and activity pacing, but they were most confident and motivated to eat a healthy diet. In a subsample of participants who provided data for psychometric analysis, the BET-CP demonstrated strong test-retest reliability across 7 days and adequate convergent validity. Conclusion. While patients with musculoskeletal pain have outcome expectancies that are nearly in line with research on behavioral pain treatments, their stringent requirements for symptom benefit may impede engagement in the health behaviors recommended for their pain-related symptoms. Additional psychometric study with larger sample sizes is needed to further validate the BET-CP.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1111/pme.12929</identifier><identifier>PMID: 26441145</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Behavior modification ; Chronic pain ; Cognitive ability ; Data processing ; Diet ; Health behavior ; Motivation ; Pain ; Quantitative psychology ; Sleep</subject><ispartof>Pain medicine (Malden, Mass.), 2016-06, Vol.17 (6), p.1079-1093</ispartof><rights>2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2016</rights><rights>Wiley Periodicals, Inc.</rights><rights>Copyright © 2016 American Academy of Pain Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-15fde44c2bc357c417a247b03b932d878dad19bb2e43416fe8ae0b069566d90f3</citedby><cites>FETCH-LOGICAL-c410t-15fde44c2bc357c417a247b03b932d878dad19bb2e43416fe8ae0b069566d90f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26441145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anderson, Ryan J.</creatorcontrib><creatorcontrib>Hurley, Robert W.</creatorcontrib><creatorcontrib>Staud, Roland</creatorcontrib><creatorcontrib>Robinson, Michael E.</creatorcontrib><title>Cognitive-Motivational Influences on Health Behavior Change in Adults with Chronic Pain</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract Objective. The primary aim was to assess the psychological factors that influence engagement in health behaviors in individuals with chronic pain using a new measure, the Behavioral Engagement Test for Chronic Pain (BET-CP). A secondary aim was to determine preliminary psychometric properties of the BET-CP. Subjects. Participants were 86 adults with chronic musculoskeletal pain recruited from University of Florida pain clinics and the community. Methods. Participants completed a battery of self-report instruments online, including the BET-CP and measures of related constructs. Items on the BET-CP assessed motivation, self-efficacy, outcome expectations, and the symptom benefit required to engage across four health behaviors: exercise, diet, sleep, and pain self-management (e.g., relaxation and activity pacing). Results. Participants reported modest expectations of pain-related symptom improvement if they practiced the health behaviors (22–26% improvement), but they required twice that (47–54% improvement) to make it worth their while to commit to practicing them. Participants expected to get the most symptom relief from relaxation and activity pacing, but they were most confident and motivated to eat a healthy diet. In a subsample of participants who provided data for psychometric analysis, the BET-CP demonstrated strong test-retest reliability across 7 days and adequate convergent validity. Conclusion. While patients with musculoskeletal pain have outcome expectancies that are nearly in line with research on behavioral pain treatments, their stringent requirements for symptom benefit may impede engagement in the health behaviors recommended for their pain-related symptoms. Additional psychometric study with larger sample sizes is needed to further validate the BET-CP.</description><subject>Behavior modification</subject><subject>Chronic pain</subject><subject>Cognitive ability</subject><subject>Data processing</subject><subject>Diet</subject><subject>Health behavior</subject><subject>Motivation</subject><subject>Pain</subject><subject>Quantitative psychology</subject><subject>Sleep</subject><issn>1526-2375</issn><issn>1526-4637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqN0TtLxTAYBuAgivfBPyABHXSo5tY0HY_FGyg6KI4lbb_aSJvUpj3ivzd6jg4OYpYvJA_v8L0I7VFyQsM57Ts4oSxl6QrapDGTkZA8WV3eGU_iDbTl_QshVArF19EGk0JQKuJN9JS5Z2tGM4fo1oWhR-OsbvG1rdsJbAkeO4uvQLdjg8-g0XPjBpw12j4DNhbPqqkdPX4z4TtrBmdNie-1sTtordath93l3EaPF-cP2VV0c3d5nc1uolJQMkY0risQomRFyeMkvCWaiaQgvEg5q1SiKl3RtCgYCC6orEFpIAWRaSxllZKab6OjRW4_uNcJ_Jh3xpfQttqCm3xOFZNSEJGm_6BEyVhSTgM9-EVf3DSEvficUZZwpXiigjpeqHJw3g9Q5_1gOj2855Tkn8XkoZj8q5hg95eJU9FB9SO_mwjgcAHc1P-R8wGq6pKR</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Anderson, Ryan J.</creator><creator>Hurley, Robert W.</creator><creator>Staud, Roland</creator><creator>Robinson, Michael E.</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20160601</creationdate><title>Cognitive-Motivational Influences on Health Behavior Change in Adults with Chronic Pain</title><author>Anderson, Ryan J. ; Hurley, Robert W. ; Staud, Roland ; Robinson, Michael E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-15fde44c2bc357c417a247b03b932d878dad19bb2e43416fe8ae0b069566d90f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Behavior modification</topic><topic>Chronic pain</topic><topic>Cognitive ability</topic><topic>Data processing</topic><topic>Diet</topic><topic>Health behavior</topic><topic>Motivation</topic><topic>Pain</topic><topic>Quantitative psychology</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anderson, Ryan J.</creatorcontrib><creatorcontrib>Hurley, Robert W.</creatorcontrib><creatorcontrib>Staud, Roland</creatorcontrib><creatorcontrib>Robinson, Michael E.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Pain medicine (Malden, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anderson, Ryan J.</au><au>Hurley, Robert W.</au><au>Staud, Roland</au><au>Robinson, Michael E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive-Motivational Influences on Health Behavior Change in Adults with Chronic Pain</atitle><jtitle>Pain medicine (Malden, Mass.)</jtitle><addtitle>Pain Med</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>17</volume><issue>6</issue><spage>1079</spage><epage>1093</epage><pages>1079-1093</pages><issn>1526-2375</issn><eissn>1526-4637</eissn><abstract>Abstract Objective. The primary aim was to assess the psychological factors that influence engagement in health behaviors in individuals with chronic pain using a new measure, the Behavioral Engagement Test for Chronic Pain (BET-CP). A secondary aim was to determine preliminary psychometric properties of the BET-CP. Subjects. Participants were 86 adults with chronic musculoskeletal pain recruited from University of Florida pain clinics and the community. Methods. Participants completed a battery of self-report instruments online, including the BET-CP and measures of related constructs. Items on the BET-CP assessed motivation, self-efficacy, outcome expectations, and the symptom benefit required to engage across four health behaviors: exercise, diet, sleep, and pain self-management (e.g., relaxation and activity pacing). Results. Participants reported modest expectations of pain-related symptom improvement if they practiced the health behaviors (22–26% improvement), but they required twice that (47–54% improvement) to make it worth their while to commit to practicing them. Participants expected to get the most symptom relief from relaxation and activity pacing, but they were most confident and motivated to eat a healthy diet. In a subsample of participants who provided data for psychometric analysis, the BET-CP demonstrated strong test-retest reliability across 7 days and adequate convergent validity. Conclusion. While patients with musculoskeletal pain have outcome expectancies that are nearly in line with research on behavioral pain treatments, their stringent requirements for symptom benefit may impede engagement in the health behaviors recommended for their pain-related symptoms. Additional psychometric study with larger sample sizes is needed to further validate the BET-CP.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>26441145</pmid><doi>10.1111/pme.12929</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1526-2375
ispartof Pain medicine (Malden, Mass.), 2016-06, Vol.17 (6), p.1079-1093
issn 1526-2375
1526-4637
language eng
recordid cdi_proquest_miscellaneous_1826640499
source Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Behavior modification
Chronic pain
Cognitive ability
Data processing
Diet
Health behavior
Motivation
Pain
Quantitative psychology
Sleep
title Cognitive-Motivational Influences on Health Behavior Change in Adults with Chronic Pain
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T07%3A42%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cognitive-Motivational%20Influences%20on%20Health%20Behavior%20Change%20in%20Adults%20with%20Chronic%20Pain&rft.jtitle=Pain%20medicine%20(Malden,%20Mass.)&rft.au=Anderson,%20Ryan%20J.&rft.date=2016-06-01&rft.volume=17&rft.issue=6&rft.spage=1079&rft.epage=1093&rft.pages=1079-1093&rft.issn=1526-2375&rft.eissn=1526-4637&rft_id=info:doi/10.1111/pme.12929&rft_dat=%3Cproquest_cross%3E1826640499%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2127388378&rft_id=info:pmid/26441145&rft_oup_id=10.1111/pme.12929&rfr_iscdi=true