Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/113555
DC Field | Value | Language |
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dc.contributor.author | Janela, Dora | - |
dc.contributor.author | Costa, Fabíola | - |
dc.contributor.author | Molinos, Maria | - |
dc.contributor.author | Moulder, Robert G. | - |
dc.contributor.author | Laíns, Jorge | - |
dc.contributor.author | Scheer, Justin K. | - |
dc.contributor.author | Bento, Virgílio | - |
dc.contributor.author | Yanamadala, Vijay | - |
dc.contributor.author | Cohen, Steven P. | - |
dc.contributor.author | Correia, Fernando Dias | - |
dc.date.accessioned | 2024-02-22T09:08:02Z | - |
dc.date.available | 2024-02-22T09:08:02Z | - |
dc.date.issued | 2023-04-03 | - |
dc.identifier.issn | 1526-2375 | pt |
dc.identifier.issn | 1526-4637 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/113555 | - |
dc.description.abstract | Background. Fear-avoidance beliefs (FAB) have been associated with poorer prognosis and decreased adherence to exercise-based treatments in musculoskeletal (MSK) pain. However, the impact of high FAB on adherence and outcomes in upper extremity MSK (UEMSK) pain is poorly explored, particularly through exercise-based digital care programs (DCP). Objective. Assess the adherence levels, clinical outcomes and satisfaction in patients with UEMSK pain and elevated FAB after a fully remote multimodal DCP. Associations between FABQ-PA and clinical outcomes were conducted. Methods. Secondary analysis of an ongoing clinical trial. Participants with UEMSK pain (shoulder, elbow, and wrist/hand) and elevated FAB-physical activity (FABQ-PA 15) were included. Adherence (completion rate, sessions/week, total exercise time) and mean change in clinical outcomes—disability (QuickDASH), numerical pain score, FABQ-PA, anxiety (GAD-7), and depression (PHQ-9)—between baseline and end-of-program were assessed. Associations between FABQ-PA and clinical outcomes were conducted. Results. 520 participants were included, with mean baseline FABQ-PA of 18.02 (SD 2.77). Patients performed on average 29.3 exercise sessions (2.8 sessions/week), totalizing 338.2 exercise minutes. Mean satisfaction was 8.5/10 (SD 1.7). Significant improvements were observed in all clinical outcomes. Higher baseline FAB were associated with higher baseline disability (P<.001), and smaller improvements in disability (P<.001) and pain (P¼.001). Higher engagement was associated with greater improvements in FABQ-PA (P¼.043) and pain (P¼0.009). Conclusions. This study provides evidence of the potential benefits of a structured and multimodal home-based DCP in the management of UEMSK pain conditions in patients with elevated FAB in a real-world context. | pt |
dc.language.iso | eng | pt |
dc.publisher | VICER Publishing | pt |
dc.relation | SWORD Health | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | pt |
dc.subject | Digital Therapeutic | pt |
dc.subject | Ehealth | pt |
dc.subject | Musculoskeletal Conditions | pt |
dc.subject | Physical Therapy | pt |
dc.subject | Telerehabilitation | pt |
dc.subject.mesh | Humans | pt |
dc.subject.mesh | Prospective Studies | pt |
dc.subject.mesh | Surveys and Questionnaires | pt |
dc.subject.mesh | Fear | pt |
dc.subject.mesh | Extremities | pt |
dc.subject.mesh | Disability Evaluation | pt |
dc.subject.mesh | Low Back Pain | pt |
dc.subject.mesh | Musculoskeletal Pain | pt |
dc.title | Fear Avoidance Beliefs in Upper-Extremity Musculoskeletal Pain Conditions: Secondary Analysis of a Prospective Clinical Study on Digital Care Programs | pt |
dc.type | article | - |
degois.publication.firstPage | 451 | pt |
degois.publication.lastPage | 460 | pt |
degois.publication.issue | 4 | pt |
degois.publication.title | Pain medicine (Malden, Mass.) | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1093/pm/pnac149 | pt |
degois.publication.volume | 24 | pt |
dc.date.embargo | 2023-04-03 | * |
uc.date.periodoEmbargo | 0 | pt |
item.fulltext | Com Texto completo | - |
item.languageiso639-1 | en | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | article | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais |
Files in This Item:
File | Description | Size | Format | |
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Fear Avoidance Beliefs in Upper-Extremity Musculoskeletal Pain Conditions.pdf | 1.05 MB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License