PMID- 33386530
OWN - NLM
STAT- MEDLINE
DCOM- 20210527
LR  - 20230425
IS  - 1573-3521 (Electronic)
IS  - 0160-7715 (Linking)
VI  - 44
IP  - 2
DP  - 2021 Apr
TI  - Incorporating walking into cognitive behavioral therapy for chronic pain: safety 
      and effectiveness of a personalized walking intervention.
PG  - 260-269
LID - 10.1007/s10865-020-00193-8 [doi]
AB  - We examined the effectiveness and safety of a walking program offered as part of 
      cognitive behavioral therapy for chronic pain (CBT-CP). Participants were 
      randomized to 10 weeks of CBT-CP, delivered either in person or by interactive 
      voice response. Participants reported pedometer-measured step counts daily 
      throughout treatment and received a weekly goal to increase their steps by 10% 
      over the prior week's average. Walking-related adverse events (AEs) were assessed 
      weekly. Participants (n = 125) were primarily male (72%), and white (80%) with 
      longstanding pain (median: 11 years). There was no significant difference between 
      treatment groups in rate of change in daily steps, but there was a significant 
      increase in steps from baseline to treatment termination in the combined study 
      sample (1648 steps (95% CI 1063-2225)). Participants classified as active 
      doubled. AEs were mostly minor and temporary. Treatment was effective and safe 
      whether the program was delivered in-person or remotely.Trial registration 
      number: clinicaltrials.gov identifier: NCT01025752.
FAU - Heapy, Alicia A
AU  - Heapy AA
AD  - VA Connecticut Healthcare System Pain Research, Informatics, Multimorbidities, 
      and Education (PRIME) Health Services Research and Development Center of 
      Innovation, 950 Campbell Avenue, West Haven, CT, 06516, USA. alicia.heapy@va.gov.
AD  - Yale School of Medicine, New Haven, USA. alicia.heapy@va.gov.
FAU - Tankha, Hallie
AU  - Tankha H
AD  - Wayne State University, Detroit, USA.
FAU - Higgins, Diana M
AU  - Higgins DM
AD  - VA Boston Healthcare System, Boston, USA.
AD  - Boston University School of Medicine, Boston, USA.
FAU - Driscoll, Mary
AU  - Driscoll M
AD  - VA Connecticut Healthcare System Pain Research, Informatics, Multimorbidities, 
      and Education (PRIME) Health Services Research and Development Center of 
      Innovation, 950 Campbell Avenue, West Haven, CT, 06516, USA.
AD  - Yale School of Medicine, New Haven, USA.
FAU - LaChappelle, Kathryn M
AU  - LaChappelle KM
AD  - VA Connecticut Healthcare System Pain Research, Informatics, Multimorbidities, 
      and Education (PRIME) Health Services Research and Development Center of 
      Innovation, 950 Campbell Avenue, West Haven, CT, 06516, USA.
FAU - Goulet, Joseph L
AU  - Goulet JL
AD  - VA Connecticut Healthcare System Pain Research, Informatics, Multimorbidities, 
      and Education (PRIME) Health Services Research and Development Center of 
      Innovation, 950 Campbell Avenue, West Haven, CT, 06516, USA.
AD  - Yale School of Medicine, New Haven, USA.
FAU - Buta, Eugenia
AU  - Buta E
AD  - Yale School of Medicine, New Haven, USA.
FAU - Piette, John D
AU  - Piette JD
AD  - VA Ann Arbor Center for Clinical Management Research Health Services Research and 
      Development Center of Innovation, Ann Arbor, USA.
AD  - University of Michigan School of Public Health, Ann Arbor, USA.
AD  - University of Michigan Medical School, Ann Arbor, USA.
FAU - Kerns, Robert D
AU  - Kerns RD
AD  - VA Connecticut Healthcare System Pain Research, Informatics, Multimorbidities, 
      and Education (PRIME) Health Services Research and Development Center of 
      Innovation, 950 Campbell Avenue, West Haven, CT, 06516, USA.
AD  - Yale School of Medicine, New Haven, USA.
FAU - Krein, Sarah L
AU  - Krein SL
AD  - VA Ann Arbor Center for Clinical Management Research Health Services Research and 
      Development Center of Innovation, Ann Arbor, USA.
AD  - University of Michigan Medical School, Ann Arbor, USA.
LA  - eng
SI  - ClinicalTrials.gov/NCT01025752
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20210101
PL  - United States
TA  - J Behav Med
JT  - Journal of behavioral medicine
JID - 7807105
SB  - IM
MH  - Actigraphy
MH  - *Chronic Pain/therapy
MH  - *Cognitive Behavioral Therapy
MH  - Humans
MH  - Male
MH  - Motivation
MH  - Walking
EDAT- 2021/01/03 06:00
MHDA- 2021/05/28 06:00
CRDT- 2021/01/02 05:19
PHST- 2020/02/24 00:00 [received]
PHST- 2020/10/26 00:00 [accepted]
PHST- 2021/01/03 06:00 [pubmed]
PHST- 2021/05/28 06:00 [medline]
PHST- 2021/01/02 05:19 [entrez]
AID - 10.1007/s10865-020-00193-8 [pii]
AID - 10.1007/s10865-020-00193-8 [doi]
PST - ppublish
SO  - J Behav Med. 2021 Apr;44(2):260-269. doi: 10.1007/s10865-020-00193-8. Epub 2021 
      Jan 1.