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Obstacles to activity pacing: assessment, relationship to activity and functioning.

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  • 1Pain Management Unit, Nova Scotia Health Authority, Halifax, NS, Canada.

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Individuals with chronic pain face obstacles to activity pacing, a key pain management strategy. Developing a new measure, this study found that reducing these obstacles post-treatment improved activity and functioning.

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Area of Science:

  • Rehabilitation Medicine
  • Pain Management
  • Psychology

Background:

  • Activity pacing is a common strategy for managing chronic pain and improving daily functioning.
  • Individuals with chronic pain may avoid activity pacing due to perceived obstacles.
  • Understanding these obstacles is crucial for effective pain management interventions.

Purpose of the Study:

  • To develop and validate a measure assessing obstacles to activity pacing in individuals with chronic pain.
  • To examine the relationship between obstacles to activity pacing, activity patterns, and psychosocial functioning.
  • To investigate changes in identified obstacles after a group treatment program.

Main Methods:

  • Development of a 14-item measure of obstacles to activity pacing using item analyses from a sample of 637 individuals with chronic pain.
  • Assessment of the measure's internal consistency, social desirability, and construct validity through correlations with activity and psychosocial functioning.
  • Repeated administration of the measure to a subset of participants post-treatment to evaluate changes.

Main Results:

  • The 14-item obstacles to activity pacing measure demonstrated excellent internal consistency and minimal social desirability bias.
  • Initial construct validity was supported by correlations with activity and psychosocial functioning measures.
  • Women initially reported more obstacles than men; however, both sexes reported fewer obstacles after treatment, correlating with improved activity and functioning.

Conclusions:

  • A reliable and valid measure for assessing obstacles to activity pacing in chronic pain populations has been developed.
  • Treatment interventions can reduce perceived obstacles to activity pacing.
  • Decreased obstacles are associated with positive changes in activity patterns and psychosocial functioning for individuals with chronic pain.