Analyzing Change Processes Resulting from a Smartphone Maintenance Intervention Based on Acceptance and Commitment Therapy for Women with Chronic Widespread Pain
Purpose This study investigated change processes resulting from a randomized controlled trial smartphone-delivered maintenance intervention with daily electronic diaries and personalized written feedback based on acceptance and commitment therapy (ACT) following a rehabilitation program for patients...
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| Veröffentlicht in: | International journal of behavioral medicine 2017-04, Vol.24 (2), p.215-229 |
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| container_title | International journal of behavioral medicine |
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| creator | Nes, Andréa A. G. van Dulmen, Sandra Wicksell, Rikard Fors, Egil A. Eide, Hilde |
| description | Purpose
This study investigated change processes resulting from a randomized controlled trial smartphone-delivered maintenance intervention with daily electronic diaries and personalized written feedback based on acceptance and commitment therapy (ACT) following a rehabilitation program for patients with chronic widespread pain.
Method
This study included 48 women who during a 5-week period completed electronic diaries three times daily, totaling 3372 entries. In response to the completed diaries, they received daily feedback from a therapist for 4 weeks (excluding weekends), totaling 799 feedback messages. To analyze the change processes, we explored the associations between feedback and daily ratings of participants’ physical activities, positive emotions, pain fear and avoidance, pain acceptance, and self-management. Commitment to physical activities and the participants’ evaluation of feedback were also analyzed. Multilevel models were used in the statistical analyses.
Results
Participants’ average pain fear and avoidance decreased over the intervention period (mean −0.019,
P
= 0.05). Self-management, pain acceptance, and positive feelings increased (mean −0.030,
P
|
| doi_str_mv | 10.1007/s12529-016-9590-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_502995</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4319933301</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-ebd454d92e8c30fc732c20634e48964289063dfd20fe2b800d306637560a4e183</originalsourceid><addsrcrecordid>eNp1ks9u1DAQxiMEoqXwAFyQJS5cAmM7jpNjWfGnUhEVFPVoee1JN2Vjp3ZCtbwNb8osuy0IqSeP7d_3jUf-iuI5h9ccQL_JXCjRlsDrslUtlPpBcciVFKVWqnlINWgolQJ5UDzJ-QoAlNbwuDgQWlVc8uqw-HUc7Hrzsw-XbLGy4RLZWYoOc8bMvmCe19P2qktxYJZ9HWyaxlUMyD7ZPkwYbHDITqhKPzBMfQzsrc3oGRXHzuE4_QFs8GwRh6GfBqLY-QqTHTesi4ldRDpiN_20ov4pht6xi95jHhNaz86oy9PiUWfXGZ_t16Pi2_t354uP5ennDyeL49PS0YBTiUtfqcq3AhsnoXNaCieglhVWTVtXomlp4zsvoEOxbAC8hLqWWtVgK-SNPCrKnW--wXFemjH1NO7GRNub_dF3qtAoEG2riG_v5ccU_V_RrZBLpeqmEpK0r3ZaAq9nzJMZ-uxwvbYB45wNb1SrBde8IvTlf-hVnBN92pbSSpOb2hryHeVSzDlhd_ccDmabFbPLiqGsmG1WjCbNi73zvBzQ3yluw0GA2E9IVxSN9E_re11_A8lAzCc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1875723353</pqid></control><display><type>article</type><title>Analyzing Change Processes Resulting from a Smartphone Maintenance Intervention Based on Acceptance and Commitment Therapy for Women with Chronic Widespread Pain</title><source>MEDLINE</source><source>SWEPUB Freely available online</source><source>SpringerLink Journals - AutoHoldings</source><creator>Nes, Andréa A. G. ; van Dulmen, Sandra ; Wicksell, Rikard ; Fors, Egil A. ; Eide, Hilde</creator><creatorcontrib>Nes, Andréa A. G. ; van Dulmen, Sandra ; Wicksell, Rikard ; Fors, Egil A. ; Eide, Hilde</creatorcontrib><description>Purpose
This study investigated change processes resulting from a randomized controlled trial smartphone-delivered maintenance intervention with daily electronic diaries and personalized written feedback based on acceptance and commitment therapy (ACT) following a rehabilitation program for patients with chronic widespread pain.
Method
This study included 48 women who during a 5-week period completed electronic diaries three times daily, totaling 3372 entries. In response to the completed diaries, they received daily feedback from a therapist for 4 weeks (excluding weekends), totaling 799 feedback messages. To analyze the change processes, we explored the associations between feedback and daily ratings of participants’ physical activities, positive emotions, pain fear and avoidance, pain acceptance, and self-management. Commitment to physical activities and the participants’ evaluation of feedback were also analyzed. Multilevel models were used in the statistical analyses.
Results
Participants’ average pain fear and avoidance decreased over the intervention period (mean −0.019,
P
= 0.05). Self-management, pain acceptance, and positive feelings increased (mean −0.030,
P
< 0.01; mean −0.015,
P
< 0.01; and mean −0.011,
P
= 0.01, respectively). Participants’ performance of physical activities decreased slightly over time, but the level of commitment was high and they evaluated the feedback as supportive for staying sufficiently active. No correlation between diary contents and feedback messages was found, even though most of the participants evaluated the feedback as supportive.
Conclusion
No support was found for an association between diary content and feedback based on ACT. However, diary measures were consistent with the ACT model and may have influenced positively the change processes.</description><identifier>ISSN: 1070-5503</identifier><identifier>ISSN: 1532-7558</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-016-9590-7</identifier><identifier>PMID: 27541314</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acceptance and Commitment Therapy - methods ; Adult ; Chronic illnesses ; Chronic Pain - psychology ; Diaries ; Exercise ; Family Medicine ; Feedback ; Female ; General Practice ; Health Psychology ; Humans ; Medicin och hälsovetenskap ; Medicine ; Medicine & Public Health ; Middle Aged ; Pain ; Pain Management - methods ; Self Care - methods ; Smartphone ; Smartphones</subject><ispartof>International journal of behavioral medicine, 2017-04, Vol.24 (2), p.215-229</ispartof><rights>International Society of Behavioral Medicine 2016</rights><rights>International Journal of Behavioral Medicine is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-ebd454d92e8c30fc732c20634e48964289063dfd20fe2b800d306637560a4e183</citedby><cites>FETCH-LOGICAL-c503t-ebd454d92e8c30fc732c20634e48964289063dfd20fe2b800d306637560a4e183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12529-016-9590-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12529-016-9590-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,552,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27541314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:135568423$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Nes, Andréa A. G.</creatorcontrib><creatorcontrib>van Dulmen, Sandra</creatorcontrib><creatorcontrib>Wicksell, Rikard</creatorcontrib><creatorcontrib>Fors, Egil A.</creatorcontrib><creatorcontrib>Eide, Hilde</creatorcontrib><title>Analyzing Change Processes Resulting from a Smartphone Maintenance Intervention Based on Acceptance and Commitment Therapy for Women with Chronic Widespread Pain</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>Purpose
This study investigated change processes resulting from a randomized controlled trial smartphone-delivered maintenance intervention with daily electronic diaries and personalized written feedback based on acceptance and commitment therapy (ACT) following a rehabilitation program for patients with chronic widespread pain.
Method
This study included 48 women who during a 5-week period completed electronic diaries three times daily, totaling 3372 entries. In response to the completed diaries, they received daily feedback from a therapist for 4 weeks (excluding weekends), totaling 799 feedback messages. To analyze the change processes, we explored the associations between feedback and daily ratings of participants’ physical activities, positive emotions, pain fear and avoidance, pain acceptance, and self-management. Commitment to physical activities and the participants’ evaluation of feedback were also analyzed. Multilevel models were used in the statistical analyses.
Results
Participants’ average pain fear and avoidance decreased over the intervention period (mean −0.019,
P
= 0.05). Self-management, pain acceptance, and positive feelings increased (mean −0.030,
P
< 0.01; mean −0.015,
P
< 0.01; and mean −0.011,
P
= 0.01, respectively). Participants’ performance of physical activities decreased slightly over time, but the level of commitment was high and they evaluated the feedback as supportive for staying sufficiently active. No correlation between diary contents and feedback messages was found, even though most of the participants evaluated the feedback as supportive.
Conclusion
No support was found for an association between diary content and feedback based on ACT. However, diary measures were consistent with the ACT model and may have influenced positively the change processes.</description><subject>Acceptance and Commitment Therapy - methods</subject><subject>Adult</subject><subject>Chronic illnesses</subject><subject>Chronic Pain - psychology</subject><subject>Diaries</subject><subject>Exercise</subject><subject>Family Medicine</subject><subject>Feedback</subject><subject>Female</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain Management - methods</subject><subject>Self Care - methods</subject><subject>Smartphone</subject><subject>Smartphones</subject><issn>1070-5503</issn><issn>1532-7558</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>D8T</sourceid><recordid>eNp1ks9u1DAQxiMEoqXwAFyQJS5cAmM7jpNjWfGnUhEVFPVoee1JN2Vjp3ZCtbwNb8osuy0IqSeP7d_3jUf-iuI5h9ccQL_JXCjRlsDrslUtlPpBcciVFKVWqnlINWgolQJ5UDzJ-QoAlNbwuDgQWlVc8uqw-HUc7Hrzsw-XbLGy4RLZWYoOc8bMvmCe19P2qktxYJZ9HWyaxlUMyD7ZPkwYbHDITqhKPzBMfQzsrc3oGRXHzuE4_QFs8GwRh6GfBqLY-QqTHTesi4ldRDpiN_20ov4pht6xi95jHhNaz86oy9PiUWfXGZ_t16Pi2_t354uP5ennDyeL49PS0YBTiUtfqcq3AhsnoXNaCieglhVWTVtXomlp4zsvoEOxbAC8hLqWWtVgK-SNPCrKnW--wXFemjH1NO7GRNub_dF3qtAoEG2riG_v5ccU_V_RrZBLpeqmEpK0r3ZaAq9nzJMZ-uxwvbYB45wNb1SrBde8IvTlf-hVnBN92pbSSpOb2hryHeVSzDlhd_ccDmabFbPLiqGsmG1WjCbNi73zvBzQ3yluw0GA2E9IVxSN9E_re11_A8lAzCc</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Nes, Andréa A. G.</creator><creator>van Dulmen, Sandra</creator><creator>Wicksell, Rikard</creator><creator>Fors, Egil A.</creator><creator>Eide, Hilde</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><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>8G5</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>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</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><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20170401</creationdate><title>Analyzing Change Processes Resulting from a Smartphone Maintenance Intervention Based on Acceptance and Commitment Therapy for Women with Chronic Widespread Pain</title><author>Nes, Andréa A. G. ; van Dulmen, Sandra ; Wicksell, Rikard ; Fors, Egil A. ; Eide, Hilde</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-ebd454d92e8c30fc732c20634e48964289063dfd20fe2b800d306637560a4e183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acceptance and Commitment Therapy - methods</topic><topic>Adult</topic><topic>Chronic illnesses</topic><topic>Chronic Pain - psychology</topic><topic>Diaries</topic><topic>Exercise</topic><topic>Family Medicine</topic><topic>Feedback</topic><topic>Female</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Pain Management - methods</topic><topic>Self Care - methods</topic><topic>Smartphone</topic><topic>Smartphones</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nes, Andréa A. G.</creatorcontrib><creatorcontrib>van Dulmen, Sandra</creatorcontrib><creatorcontrib>Wicksell, Rikard</creatorcontrib><creatorcontrib>Fors, Egil A.</creatorcontrib><creatorcontrib>Eide, Hilde</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & 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>Research Library (Alumni Edition)</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>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & 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><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nes, Andréa A. G.</au><au>van Dulmen, Sandra</au><au>Wicksell, Rikard</au><au>Fors, Egil A.</au><au>Eide, Hilde</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analyzing Change Processes Resulting from a Smartphone Maintenance Intervention Based on Acceptance and Commitment Therapy for Women with Chronic Widespread Pain</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>24</volume><issue>2</issue><spage>215</spage><epage>229</epage><pages>215-229</pages><issn>1070-5503</issn><issn>1532-7558</issn><eissn>1532-7558</eissn><abstract>Purpose
This study investigated change processes resulting from a randomized controlled trial smartphone-delivered maintenance intervention with daily electronic diaries and personalized written feedback based on acceptance and commitment therapy (ACT) following a rehabilitation program for patients with chronic widespread pain.
Method
This study included 48 women who during a 5-week period completed electronic diaries three times daily, totaling 3372 entries. In response to the completed diaries, they received daily feedback from a therapist for 4 weeks (excluding weekends), totaling 799 feedback messages. To analyze the change processes, we explored the associations between feedback and daily ratings of participants’ physical activities, positive emotions, pain fear and avoidance, pain acceptance, and self-management. Commitment to physical activities and the participants’ evaluation of feedback were also analyzed. Multilevel models were used in the statistical analyses.
Results
Participants’ average pain fear and avoidance decreased over the intervention period (mean −0.019,
P
= 0.05). Self-management, pain acceptance, and positive feelings increased (mean −0.030,
P
< 0.01; mean −0.015,
P
< 0.01; and mean −0.011,
P
= 0.01, respectively). Participants’ performance of physical activities decreased slightly over time, but the level of commitment was high and they evaluated the feedback as supportive for staying sufficiently active. No correlation between diary contents and feedback messages was found, even though most of the participants evaluated the feedback as supportive.
Conclusion
No support was found for an association between diary content and feedback based on ACT. However, diary measures were consistent with the ACT model and may have influenced positively the change processes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27541314</pmid><doi>10.1007/s12529-016-9590-7</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1070-5503 |
| ispartof | International journal of behavioral medicine, 2017-04, Vol.24 (2), p.215-229 |
| issn | 1070-5503 1532-7558 1532-7558 |
| language | eng |
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| source | MEDLINE; SWEPUB Freely available online; SpringerLink Journals - AutoHoldings |
| subjects | Acceptance and Commitment Therapy - methods Adult Chronic illnesses Chronic Pain - psychology Diaries Exercise Family Medicine Feedback Female General Practice Health Psychology Humans Medicin och hälsovetenskap Medicine Medicine & Public Health Middle Aged Pain Pain Management - methods Self Care - methods Smartphone Smartphones |
| title | Analyzing Change Processes Resulting from a Smartphone Maintenance Intervention Based on Acceptance and Commitment Therapy for Women with Chronic Widespread Pain |
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