Randomized trial of a DVD intervention to improve readiness to self-manage joint pain

2.50
Hdl Handle:
http://hdl.handle.net/10545/192711
Title:
Randomized trial of a DVD intervention to improve readiness to self-manage joint pain
Authors:
Elander, James ( 0000-0001-7665-5482 ) ; Robinson, Georgina; Morris, John
Abstract:
A DVD (digital video disk) intervention to increase readiness to self-manage joint pain secondary to hemophilia was informed by a 2-phase, motivational-volitional model of readiness to self-manage pain, and featured the personal experiences of individuals with hemophilia. The DVD was evaluated in a randomized controlled trial in which 108 men with hemophilia completed measures of readiness to self-manage pain (Pain Stages of Change Questionnaire) before and 6 months after receiving the DVD plus information booklet (n = 57) or just the booklet (n = 51). The effect of the DVD was assessed by comparing changes in Pain Stages of Change Questionnaire scores (precontemplation, contemplation, and action/maintenance) between groups. The impact on pain coping, pain acceptance, and health-related quality of life was tested in secondary analyses. Repeated-measures analysis of variance, including all those with complete baseline and follow-up data regardless of use of the intervention, showed a significant, medium- sized, group time effect on precontemplation, with reductions among the DVD group but not the booklet group. Significant use time effects showed that benefits in terms of contemplation and action/maintenance were restricted to those who used the interventions at least once. The results show that low-intensity interventions in DVD format can improve the motivational impact of written information, and could be used to help prepare people with chronic pain for more intensive self-management interventions. The findings are consistent with a 2-phase, motivational-volitional model of pain self-management, and provide the first insights to our knowledge of readiness to self-manage pain in hemophilia.
Affiliation:
University of Derby
Citation:
Randomized trial of a DVD intervention to improve readiness to self-manage joint pain 2011, 152 (10):2333 PAIN
Journal:
PAIN
Issue Date:
2011
URI:
http://hdl.handle.net/10545/192711
DOI:
10.1016/j.pain.2011.06.026
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0304395911004295
Type:
Article
Language:
en
Description:
Report of a randomized controlled trial of a motivational intervention to promote self-management of joint pain
ISSN:
03043959
Sponsors:
Haemophilia Society, UK
Appears in Collections:
Centre for Psychological Research

Full metadata record

DC FieldValue Language
dc.contributor.authorElander, Jamesen
dc.contributor.authorRobinson, Georginaen
dc.contributor.authorMorris, Johnen
dc.date.accessioned2011-12-01T09:19:38Z-
dc.date.available2011-12-01T09:19:38Z-
dc.date.issued2011-
dc.identifier.citationRandomized trial of a DVD intervention to improve readiness to self-manage joint pain 2011, 152 (10):2333 PAINen
dc.identifier.issn03043959-
dc.identifier.doi10.1016/j.pain.2011.06.026-
dc.identifier.urihttp://hdl.handle.net/10545/192711-
dc.descriptionReport of a randomized controlled trial of a motivational intervention to promote self-management of joint painen
dc.description.abstractA DVD (digital video disk) intervention to increase readiness to self-manage joint pain secondary to hemophilia was informed by a 2-phase, motivational-volitional model of readiness to self-manage pain, and featured the personal experiences of individuals with hemophilia. The DVD was evaluated in a randomized controlled trial in which 108 men with hemophilia completed measures of readiness to self-manage pain (Pain Stages of Change Questionnaire) before and 6 months after receiving the DVD plus information booklet (n = 57) or just the booklet (n = 51). The effect of the DVD was assessed by comparing changes in Pain Stages of Change Questionnaire scores (precontemplation, contemplation, and action/maintenance) between groups. The impact on pain coping, pain acceptance, and health-related quality of life was tested in secondary analyses. Repeated-measures analysis of variance, including all those with complete baseline and follow-up data regardless of use of the intervention, showed a significant, medium- sized, group time effect on precontemplation, with reductions among the DVD group but not the booklet group. Significant use time effects showed that benefits in terms of contemplation and action/maintenance were restricted to those who used the interventions at least once. The results show that low-intensity interventions in DVD format can improve the motivational impact of written information, and could be used to help prepare people with chronic pain for more intensive self-management interventions. The findings are consistent with a 2-phase, motivational-volitional model of pain self-management, and provide the first insights to our knowledge of readiness to self-manage pain in hemophilia.en
dc.description.sponsorshipHaemophilia Society, UKen
dc.language.isoenen
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0304395911004295en
dc.subjectSelf-managementen
dc.subjectJoint painen
dc.titleRandomized trial of a DVD intervention to improve readiness to self-manage joint painen
dc.typeArticleen
dc.contributor.departmentUniversity of Derbyen
dc.identifier.journalPAINen
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