Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial

Sara Cederbom,1 Suzanne G Leveille,2–4 Astrid Bergland11Faculty of Health Sciences, Department of Physiotherapy, OsloMet – Oslo Metropolitan University, Oslo, Norway; 2Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, U...

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Autores principales:	Cederbom S, Leveille SG, Bergland A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	active aging behavior change exercise pain management physical therapy self-efficacy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9488688177bc4b1abf218ea7b660dc7c
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spelling	oai:doaj.org-article:9488688177bc4b1abf218ea7b660dc7c2021-12-02T03:08:22ZEffects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial1178-1998https://doaj.org/article/9488688177bc4b1abf218ea7b660dc7c2019-07-01T00:00:00Zhttps://www.dovepress.com/effects-of-a-behavioral-medicine-intervention-on-pain-health-and-behav-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sara Cederbom,1 Suzanne G Leveille,2–4 Astrid Bergland11Faculty of Health Sciences, Department of Physiotherapy, OsloMet – Oslo Metropolitan University, Oslo, Norway; 2Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA; 3Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; 4Department of Medicine, Harvard Medical School, Boston, MA, USAPurpose: The aim of the study was to evaluate the effects of an intervention, based on a behavioral medicine approach in physical therapy (BMPI), on pain-related disability and physical performance as well as on pain severity, pain catastrophizing, physical activity levels, falls efficacy, and health-related quality of life (HRQL) by comparing the effects to standard care.Patients and methods: The study was a pragmatic randomized controlled trial with a two-group design and included measurements preintervention and postintervention and a 12-week follow-up. In total, 105 older adults, aged >75 years with chronic musculoskeletal pain living alone at home and dependent on formal care to manage their everyday lives, were included in the study. All statistical analyses were performed using an intention to treat approach.Results: The intervention, based on a behavioral medicine approach, compared to usual care, had a positive effect on pain-related disability, pain severity, level of physical activity, HRQL, management of everyday life, and self-efficacy.Conclusion: BMPI can be a suitable evidence-based intervention for community-dwelling older adults, even for those who are very old and frail. BMPI can support and promote an active aging and “age in place” for the target population, which is currently the main goal of all interventions in this field.Keywords: active aging, behavior change, exercise, pain management, physical therapy, self-efficacyCederbom SLeveille SGBergland ADove Medical Pressarticleactive agingbehavior changeexercisepain managementphysical therapyself-efficacyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 1207-1220 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	active aging behavior change exercise pain management physical therapy self-efficacy Geriatrics RC952-954.6
spellingShingle	active aging behavior change exercise pain management physical therapy self-efficacy Geriatrics RC952-954.6 Cederbom S Leveille SG Bergland A Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
description	Sara Cederbom,1 Suzanne G Leveille,2–4 Astrid Bergland11Faculty of Health Sciences, Department of Physiotherapy, OsloMet – Oslo Metropolitan University, Oslo, Norway; 2Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA; 3Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; 4Department of Medicine, Harvard Medical School, Boston, MA, USAPurpose: The aim of the study was to evaluate the effects of an intervention, based on a behavioral medicine approach in physical therapy (BMPI), on pain-related disability and physical performance as well as on pain severity, pain catastrophizing, physical activity levels, falls efficacy, and health-related quality of life (HRQL) by comparing the effects to standard care.Patients and methods: The study was a pragmatic randomized controlled trial with a two-group design and included measurements preintervention and postintervention and a 12-week follow-up. In total, 105 older adults, aged >75 years with chronic musculoskeletal pain living alone at home and dependent on formal care to manage their everyday lives, were included in the study. All statistical analyses were performed using an intention to treat approach.Results: The intervention, based on a behavioral medicine approach, compared to usual care, had a positive effect on pain-related disability, pain severity, level of physical activity, HRQL, management of everyday life, and self-efficacy.Conclusion: BMPI can be a suitable evidence-based intervention for community-dwelling older adults, even for those who are very old and frail. BMPI can support and promote an active aging and “age in place” for the target population, which is currently the main goal of all interventions in this field.Keywords: active aging, behavior change, exercise, pain management, physical therapy, self-efficacy
format	article
author	Cederbom S Leveille SG Bergland A
author_facet	Cederbom S Leveille SG Bergland A
author_sort	Cederbom S
title	Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
title_short	Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
title_full	Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
title_fullStr	Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
title_full_unstemmed	Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
title_sort	effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/9488688177bc4b1abf218ea7b660dc7c
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Effects of a behavioral medicine intervention on pain, health, and behavior among community-dwelling older adults: a randomized controlled trial

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