Factors associated with participation in a walking intervention for veterans who smoke and have chronic pain.

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL
Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-14 DOI:10.1007/s10865-024-00511-4
Ryan D Muller, Mary A Driscoll, Eric C DeRycke, Sara N Edmond, William C Becker, Lori A Bastian
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引用次数: 0

Abstract

This analysis was part of the Pain and Smoking Study (PASS), a randomized trial of a cognitive behavioral intervention (CBI) for Veterans with chronic pain who smoke. The objective of this study was to examine factors associated with participation in the walking component of the intervention. Demographics and clinical characteristics were obtained at baseline. Completion of two or more CBI counseling sessions was required to be included in analyses. Average daily step counts obtained via pedometer in the prior week were recorded in up to three telephone counseling sessions. Participants were then categorized as "sedentary" (≤ 4999 daily steps) or "not sedentary" (≥ 5000 daily steps). Multivariable logistic regression was used to model variance in activity categorization. Overall, 91.0% of participants were men, 70.5% were white, mean age was 58.4 years, mean BMI was 28.6, median pack years was 20.5, and 43.8% were depressed. Veterans reported moderate pain intensity (4.9/10) and pain interference (5.4/10). Pain locations included: lower extremity (67.4%), back (53.4%) and upper extremity (28.1%). Median daily steps were 2491 [IQR: 1720-3550] (sedentary) (n = 65), 7307 [IQR: 5952-8533] (not sedentary) (n = 24), and 3196 [IQR: 2237-5067] (overall) (n = 89). Veterans with older age (odds ratio (OR): 1.10, 95% confidence interval (CI): 1.04, 1.17) and presence of LE pain (OR: 5.98, 95% CI: 1.82, 19.65) had increased odds of being "sedentary." Integrated smoking cessation and chronic pain self-management interventions that include a walking component may need to consider the impact of age and pain location on participation.Trial registration: The trial is registered at www.ClinicalTrials.gov (NCT02971137). First posted on November 22, 2016.

吸烟并患有慢性疼痛的退伍军人参与步行干预的相关因素。
这项分析是 "疼痛与吸烟研究"(PASS)的一部分,该研究是一项针对患有慢性疼痛并吸烟的退伍军人的认知行为干预(CBI)随机试验。本研究的目的是考察参与干预中步行部分的相关因素。研究人员在基线时了解了人口统计学和临床特征。完成两次或两次以上 CBI 咨询课程方可纳入分析。在多达三次的电话咨询中,我们记录了前一周通过计步器获得的日平均步数。然后将参与者分为 "久坐不动"(每日步数≤ 4999 步)和 "非久坐不动"(每日步数≥ 5000 步)两类。多变量逻辑回归用于模拟活动分类的差异。总体而言,91.0% 的参与者为男性,70.5% 为白人,平均年龄为 58.4 岁,平均体重指数为 28.6,中位包年为 20.5,43.8% 患有抑郁症。退伍军人报告的疼痛强度(4.9/10)和疼痛干扰(5.4/10)均为中等。疼痛部位包括:下肢(67.4%)、背部(53.4%)和上肢(28.1%)。每日步数中位数为 2491 步 [IQR:1720-3550](久坐)(人数 = 65)、7307 步 [IQR:5952-8533](非久坐)(人数 = 24)和 3196 步 [IQR:2237-5067](总体)(人数 = 89)。年龄较大(赔率比 (OR):1.10,95% 置信区间 (CI):1.04, 1.17)和存在 LE 疼痛(赔率比:5.98,95% 置信区间 (CI):1.82, 19.65)的退伍军人 "久坐不动 "的几率增加。包含步行内容的戒烟和慢性疼痛自我管理综合干预可能需要考虑年龄和疼痛部位对参与的影响:该试验注册于 www.ClinicalTrials.gov (NCT02971137)。首次发布于2016年11月22日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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