{"id":8742,"date":"2016-06-28T08:24:06","date_gmt":"2016-06-28T08:24:06","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=8742"},"modified":"2016-06-28T08:57:57","modified_gmt":"2016-06-28T08:57:57","slug":"activity-pacing-is-associated-with-better-worse-symptoms-in-long-term-conditions","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/activity-pacing-is-associated-with-better-worse-symptoms-in-long-term-conditions\/","title":{"rendered":"Activity pacing is associated with better & worse symptoms in long term conditions"},"content":{"rendered":"

Research abstract:<\/h3>\n

Background:<\/strong>
\nActivity pacing has been associated with both improved and worsened\u00a0symptoms, and its role in reducing disability among patients with\u00a0long-term conditions has been questioned. However, existing studies have\u00a0measured pacing according to uni-dimensional subscales, and therefore\u00a0the empirical evidence for pacing as a multifaceted construct remains\u00a0unclear. We have developed a 26-item Activity Pacing Questionnaire\u00a0(APQ-26) for chronic pain\/fatigue containing five themes of pacing:\u00a0activity adjustment, activity consistency, activity progression,\u00a0activity planning and activity acceptance.<\/p>\n

Objective:<\/strong>
\nTo assess the associations between the five APQ-26 pacing themes and\u00a0symptoms of pain, physical fatigue, depression, avoidance and physical\u00a0function.<\/p>\n

Methods:<\/strong>
\nCross-sectional questionnaire design study. Data analysed using multiple\u00a0regression.<\/p>\n

Participants:<\/strong>
\n257 adult patients with diagnoses of chronic low back pain, chronic\u00a0widespread pain, fibromyalgia and chronic fatigue syndrome\/myalgic\u00a0encephalomyelitis.<\/p>\n

Results:<\/strong>
\nHierarchical multiple regression showed that activity adjustment was\u00a0significantly associated with increased physical fatigue, depression and\u00a0avoidance, but decreased physical function (all P<=0.030). Activity\u00a0consistency was associated with decreased pain, physical fatigue,\u00a0depression and avoidance but increased physical function (all P<=0.003).
\nActivity planning was associated with reduced physical fatigue (P=0.025)\u00a0and activity acceptance was associated with increased avoidance\u00a0(P=0.036).<\/p>\n

Conclusion:<\/strong>
\nSome APQ-26 pacing themes were associated with worse symptoms and others\u00a0with symptom improvement. Specifically, pacing themes involving\u00a0adjusting\/reducing activities were associated with worse symptoms,\u00a0whereas pacing themes involving undertaking consistent activities\u00a0were\u00a0associated with improved symptoms. Future study will explore the\u00a0causality of these associations to add clarification regarding the\u00a0effects of pacing on patients’ symptoms.<\/p>\n

Activity pacing is associated with better and worse symptoms for<\/a>\u00a0patients with long-term conditions, by\u00a0Deborah Antcliff, Malcolm Campbell, Steve Woby, Philip Keeley in<\/span> The Clinical Journal of Pain<\/em>, 17 June 2016 [Preprint]<\/p>\n","protected":false},"excerpt":{"rendered":"

Research abstract: Background: Activity pacing has been associated with both improved and worsened\u00a0symptoms, and its role in reducing disability among patients with\u00a0long-term conditions has been questioned. However, existing studies have\u00a0measured pacing according to uni-dimensional subscales, and therefore\u00a0the empirical evidence for … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[2825,2080],"class_list":["post-8742","post","type-post","status-publish","format-standard","hentry","category-news","tag-activity-consistency","tag-activity-pacing"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-2h0","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/8742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=8742"}],"version-history":[{"count":3,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/8742\/revisions"}],"predecessor-version":[{"id":8786,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/8742\/revisions\/8786"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=8742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=8742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=8742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}