Promoting Physical Activity for Chronic Pain Management Among Older Adults in Detroit: Comparing Technology-Based Strategies
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Michigan
- Enrollment
- 57
- Locations
- 1
- Primary Endpoint
- Adherence to Step Count Reporting - SMS
Study Overview
Brief Summary
Wearable, commercially-available physical activity monitors are being increasingly incorporated into chronic pain self-management interventions as a tool to help patients set goals and to tailor intervention content based on patient progress. Yet older adults from resource-challenged communities may face significant barriers to using these monitors and reporting activity data. Our pilot study will focus on wearable monitor use among older adults in Detroit with chronic musculoskeletal pain, testing the feasibility and validity of various technology-based strategies for reporting daily step count data. The study will also assess whether six weeks of monitor use is associated with improvements in functioning, relative to a control group.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age > 60 years
- •Ambulatory with or without assistive device
- •Community living
- •Have a SMS-capable cell phone
- •Internet access (via smartphone, in-home or elsewhere);
- •Self-reported chronic musculoskeletal pain (pain in muscles or joints for > 3 months)
- •>4 (0-10 scale) average pain level over last week
- •>1 day/previous 30 when pain made it difficult to do usual activities
- •Ability to travel to study location in Detroit for a one-time session
Exclusion Criteria
- •Serious acute illness or hospitalization in last month
- •Planned surgery in next month
- •Severe cognitive impairment
Arms & Interventions
STEPS Intervention Group
Participants will receive a wearable physical activity monitor and will be asked to report their daily step count in 3 different ways (2 weeks each of SMS text messages, Interactive Voice Response calls (IVR), automatic upload) during the 6-week study period.
Intervention: STEPS Intervention (Behavioral)
STEPS Control Group
Participants in this group will not receive a wearable physical activity monitor and will not be asked to report their step count.
Outcomes
Primary Outcomes
Adherence to Step Count Reporting - SMS
Time Frame: Two weeks
Proportion of days that step count was successfully provided/possible reporting days for SMS
Change in Pain Interference
Time Frame: Baseline, eight weeks
The Patient-Reported Outcomes Measurement Information System (PROMIS-29) Pain Interference 4-item subscale, where a higher score indicates more pain interference. Items ask how much pain in the last 7 days has interfered with daily activities such as household chores and social activities (1=not at all to 5=very much). Raw scores are converted to T-scores (normed such that a score of 50 is the population mean and 10 T-score points=1 standard deviation). The possible range is 42 to 76, with a higher score representing worse outcome.
Adherence to Step Count Reporting - IVR
Time Frame: two weeks
Proportion of days that step count was successfully provided/possible reporting days for IVR.
Adherence to Step Count Reporting - Sync
Time Frame: two weeks
Proportion of days that step count was successfully provided/possible reporting days for syncing with app
Secondary Outcomes
- Change in Social Participation(Baseline, eight weeks)
- Validity of Manually-reported Step Count Data - SMS(Two weeks)
- Change in Physical Functioning(Baseline, eight weeks)
- Validity of Manually Reported Step Count Data - IVR(Two weeks)
Investigators
Mary Janevic
Assistant Research Scientist
University of Michigan