Randomized trial of a DVD intervention to improve readiness to self-manage joint pain
Journal article
Elander, James, Robinson, Georgina and Morris, John 2011. Randomized trial of a DVD intervention to improve readiness to self-manage joint pain. Pain. https://doi.org/10.1016/j.pain.2011.06.026
| Authors | Elander, James, Robinson, Georgina and Morris, John |
|---|---|
| Abstract | Report of a randomized controlled trial of a motivational intervention to promote self-management of joint pain |
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. | |
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 | |
| Keywords | Self-management; Joint pain |
| Year | 2011 |
| Journal | Pain |
| ISSN | 03043959 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pain.2011.06.026 |
| Web address (URL) | http://hdl.handle.net/10545/192711 |
| hdl:10545/192711 | |
| Publication dates | 2011 |
| Publication process dates | |
| Deposited | 01 Dec 2011, 09:19 |
| Contributors | University of Derby |
| File | File Access Level Open |
| File | File Access Level Open |
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