Changes in Identification of Possible Pain Coping Strategies by People with Osteoarthritis who Complete Web-based Pain Coping Skills Training.
Changes in Identification of Possible Pain Coping Strategies by People with Osteoarthritis who Complete Web-based Pain Coping Skills Training.
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DOI：
10.1007/s12529-020-09938-w
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发表时间：
2021-08
影响因子：
2.7
通讯作者：
Keefe FJ
中科院分区：
文献类型：
--
作者：
Rini C;Katz AWK;Nwadugbo A;Porter LS;Somers TJ;Keefe FJ
我们之前证明了自动化的、基于网络的疼痛应对技能培训(PCST)可以减少骨关节炎疼痛。目前的二次分析检查了该计划是否也改变了参与者在假想的疼痛相关情况下使用的应对策略。髋关节/膝关节骨关节炎患者(n=107)被随机分为基于网络的PCST组或标准护理对照组。在基线和干预后，他们报告了他们的疼痛严重程度和损害，然后完成了一项任务，在这项任务中，他们描述了在四种假设的疼痛相关情况下他们将如何应对疼痛，还报告了他们对疼痛的感知风险和管理疼痛的自我效能。我们将生成的应对策略编码为适应行为、适应不良行为、适应认知和离散适应应对策略的计数(应对曲目)。与控制组相比，基于网络的PCST减少了不良适应行为策略的产生(p=0.002)，而增加了适应性行为策略的产生(p=0.006)、产生至少一种适应性认知策略的可能性(p=0.01)和参与者的应对能力(p=0.009)。其中一些变化与疼痛结果的变化有关(PS=0.01至0.65)。基于网络的PCST还降低了在类似情况下疼痛的感知风险(p=0.03)，并提高了避免疼痛的自我效能(p<；0.001)。这项研究中发现的有益变化似乎反映了干预-协调性学习。
We previously demonstrated that automated, web-based pain coping skills training (PCST) can reduce osteoarthritis pain. The present secondary analyses examined whether this program also changed coping strategies participants identified for use in hypothetical pain-related situations. People with hip/knee osteoarthritis (n=107) were randomized to web-based PCST or standard care control. At baseline and post-intervention they reported their pain severity and impairment, then completed a task in which they described how they would cope with pain in four hypothetical pain-related situations, also reporting their perceived risk for pain and self-efficacy for managing it. We coded the generated coping strategies into counts of adaptive behavioral, maladaptive behavioral, adaptive cognitive, and discrete adaptive coping strategies (coping repertoire). Compared to the control arm, web-based PCST decreased the number of maladaptive behavioral strategies generated (p=0.002) while increasing the number of adaptive behavioral strategies generated (p=0.006), likelihood of generating at least one adaptive cognitive strategy (p=0.01), and the size of participants’ coping repertoire (p=0.009). Several of these changes were associated with changes in pain outcomes (ps=0.01 to 0.65). Web-based PCST also reduced perceived risk for pain in the situations (p=0.03) and increased self-efficacy for avoiding pain in similar situations (p<0.001). Salutary changes found in this study appear to reflect intervention-concordant learning.
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影响因子：
7.4
作者：
Broderick, Joan E.;Keefe, Francis J.;Gould, Elaine
通讯作者：
Gould, Elaine
影响因子：
--
作者：
MEENAN, RF;MASON, JH;KAZIS, LE
通讯作者：
KAZIS, LE
DOI：
10.1038/nrdp.2016.73
发表时间：
2016-10-13
期刊：
Nature reviews. Disease primers
影响因子：
--
作者：
Martel-Pelletier, Johanne;Barr, Andrew J;Pelletier, Jean-Pierre
通讯作者：
Pelletier, Jean-Pierre
影响因子：
5.7
作者：
Chew, Lisa D.;Griffin, Joan M.;VanRyn, Michelle
通讯作者：
VanRyn, Michelle
DOI：
10.1002/art.39692
发表时间：
2016-07
期刊：
Arthritis & rheumatology (Hoboken, N.J.)
影响因子：
--
作者：
Hootman JM;Helmick CG;Barbour KE;Theis KA;Boring MA
通讯作者：
Boring MA