Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity: Randomized controlled trial

Kenneth Jay, Mikkel Brandt, Markus Due Jakobsen, Emil Sundstrup, Kasper Gymoese Berthelsen, Mc Schraefel, Gisela Sjøgaard, Lars L Andersen

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Abstract

People with chronic musculoskeletal pain often experience pain-related fear of movement and avoidance behavior. The Fear-Avoidance model proposes a possible mechanism at least partly explaining the development and maintenance of chronic pain. People who interpret pain during movement as being potentially harmful to the organism may initiate a vicious behavioral cycle by generating pain-related fear of movement accompanied by avoidance behavior and hyper-vigilance.This study investigates whether an individually adapted multifactorial approach comprised of biopsychosocial elements, with a focus on physical exercise, mindfulness, and education on pain and behavior, can decrease work-related fear-avoidance beliefs.As part of a large scale 10-week worksite randomized controlled intervention trial focusing on company initiatives to combat work-related musculoskeletal pain and stress, we evaluated fear-avoidance behavior in 112 female laboratory technicians with chronic neck, shoulder, upper back, lower back, elbow, and hand/wrist pain using the Fear-Avoidance Beliefs Questionnaire at baseline, before group allocation, and again at the post intervention follow-up 10 weeks later.A significant group by time interaction was observed (P < 0.05) for work-related fear-avoidance beliefs. The between-group difference at follow-up was -2.2 (-4.0 to -0.5), corresponding to a small to medium effect size (Cohen's d = 0.30).Our study shows that work-related, but not leisure time activity-related, fear-avoidance beliefs, as assessed by the Fear-avoidance Beliefs Questionnaire, can be significantly reduced by 10 weeks of physical-cognitive-mindfulness training in female laboratory technicians with chronic pain.

Original languageEnglish
Article numbere3945
JournalMedicine
Volume95
Issue number34
Number of pages7
ISSN0025-7974
DOIs
Publication statusPublished - Aug 2016

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Randomized Controlled Trials
Chronic Pain
Physical Education and Training
Leisure Activities
Elbow
Wrist
Workplace
Maintenance
Exercise

Keywords

  • Journal Article

Cite this

Jay, K., Brandt, M., Jakobsen, M. D., Sundstrup, E., Berthelsen, K. G., Schraefel, M., ... Andersen, L. L. (2016). Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity: Randomized controlled trial. Medicine, 95(34), [e3945]. https://doi.org/10.1097/MD.0000000000003945
Jay, Kenneth ; Brandt, Mikkel ; Jakobsen, Markus Due ; Sundstrup, Emil ; Berthelsen, Kasper Gymoese ; Schraefel, Mc ; Sjøgaard, Gisela ; Andersen, Lars L. / Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity : Randomized controlled trial. In: Medicine. 2016 ; Vol. 95, No. 34.
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Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity : Randomized controlled trial. / Jay, Kenneth; Brandt, Mikkel; Jakobsen, Markus Due; Sundstrup, Emil; Berthelsen, Kasper Gymoese; Schraefel, Mc; Sjøgaard, Gisela; Andersen, Lars L.

In: Medicine, Vol. 95, No. 34, e3945, 08.2016.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity

T2 - Randomized controlled trial

AU - Jay, Kenneth

AU - Brandt, Mikkel

AU - Jakobsen, Markus Due

AU - Sundstrup, Emil

AU - Berthelsen, Kasper Gymoese

AU - Schraefel, Mc

AU - Sjøgaard, Gisela

AU - Andersen, Lars L

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AB - People with chronic musculoskeletal pain often experience pain-related fear of movement and avoidance behavior. The Fear-Avoidance model proposes a possible mechanism at least partly explaining the development and maintenance of chronic pain. People who interpret pain during movement as being potentially harmful to the organism may initiate a vicious behavioral cycle by generating pain-related fear of movement accompanied by avoidance behavior and hyper-vigilance.This study investigates whether an individually adapted multifactorial approach comprised of biopsychosocial elements, with a focus on physical exercise, mindfulness, and education on pain and behavior, can decrease work-related fear-avoidance beliefs.As part of a large scale 10-week worksite randomized controlled intervention trial focusing on company initiatives to combat work-related musculoskeletal pain and stress, we evaluated fear-avoidance behavior in 112 female laboratory technicians with chronic neck, shoulder, upper back, lower back, elbow, and hand/wrist pain using the Fear-Avoidance Beliefs Questionnaire at baseline, before group allocation, and again at the post intervention follow-up 10 weeks later.A significant group by time interaction was observed (P < 0.05) for work-related fear-avoidance beliefs. The between-group difference at follow-up was -2.2 (-4.0 to -0.5), corresponding to a small to medium effect size (Cohen's d = 0.30).Our study shows that work-related, but not leisure time activity-related, fear-avoidance beliefs, as assessed by the Fear-avoidance Beliefs Questionnaire, can be significantly reduced by 10 weeks of physical-cognitive-mindfulness training in female laboratory technicians with chronic pain.

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U2 - 10.1097/MD.0000000000003945

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VL - 95

JO - Medicine

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