Abstract：
: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.
journal_name
J Behav Medjournal_title
Journal of behavioral medicineauthors
Heapy AA,Tankha H,Higgins DM,Driscoll M,LaChappelle KM,Goulet JL,Buta E,Piette JD,Kerns RD,Krein SLdoi
10.1007/s10865-020-00193-8subject
Has Abstractpub_date
2021-01-01 00:00:00eissn
0160-7715issn
1573-3521pii
10.1007/s10865-020-00193-8pub_type
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