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Adherence Support Strategies for Physical Activity Interventions in People With Chronic Musculoskeletal Pain-A
Julia Heisig1, Nicole Lindner1, Nele Kornder1
1Department of Primary Care, University of Marburg, Marburg, Germany.
Journal of Physical Activity & Health
|November 13, 2024
Summary
Strategies like education and goal setting may improve physical activity adherence in chronic musculoskeletal pain patients. However, adherence levels did not significantly correlate with improved pain or quality of life outcomes in this review.
Area of Science:
- Rehabilitation Medicine
- Pain Management
- Exercise Science
Background:
- Chronic musculoskeletal (MSK) pain severely affects quality of life.
- Physical activity is crucial for managing MSK pain.
- Low adherence to prescribed exercise is a significant challenge.
Purpose of the Study:
- To systematically review adherence support strategies in physical activity randomized controlled trials (RCTs) for chronic MSK pain.
- To assess the effectiveness of these strategies on patient motivation and adherence.
- To address the challenge of exercise adherence in this population.
Main Methods:
- Searched Ovid and CINAHL databases for RCTs on MSK pain, adherence, and physical activity with ≥6-month follow-up.
- Conducted a narrative synthesis and meta-analysis on adherence and outcome effect sizes.
- Included 76 RCTs after screening 5816 articles.
Main Results:
- Adherence varied widely; 21 RCTs achieved ≥80% adherence using strategies like education, goal setting, self-monitoring, and feedback.
- Meta-analysis of 29 RCTs showed no significant correlation between adherence and improved outcomes (pain, quality of life).
- No single adherence strategy was found to be superior, indicating intervention complexity.
Conclusions:
- Information/education and individual goal setting/feedback show potential for enhancing physical activity in chronic MSK pain.
- Future research should incorporate effective adherence strategies and improve adherence data reporting.
- Understanding adherence is key to optimizing physical activity interventions for chronic MSK pain.
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