Trial Outcomes & Findings for Integrating Mind-Body Skills With Physical Activity to Improve Physical and Emotional Outcomes in Patients With Chronic Pain (NCT NCT03412916)

NCT ID: NCT03412916

Last Updated: 2025-10-14

Results Overview

Items are summed to generate a total score; scores range from 3 to 12, with higher values indicating higher satisfaction.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

82 participants

Primary outcome timeframe

Post-Test (10 Weeks)

Results posted on

2025-10-14

Participant Flow

Participant milestones

Participant milestones
Measure
GetActive
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Overall Study
STARTED
41
41
Overall Study
COMPLETED
35
37
Overall Study
NOT COMPLETED
6
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Integrating Mind-Body Skills With Physical Activity to Improve Physical and Emotional Outcomes in Patients With Chronic Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Total
n=82 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=5 Participants
34 Participants
n=7 Participants
66 Participants
n=5 Participants
Age, Categorical
>=65 years
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Continuous
54.46 years
STANDARD_DEVIATION 14.5 • n=5 Participants
49.07 years
STANDARD_DEVIATION 14.2 • n=7 Participants
51.77 years
STANDARD_DEVIATION 14.53 • n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
31 Participants
n=7 Participants
54 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
10 Participants
n=7 Participants
28 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants
n=5 Participants
37 Participants
n=7 Participants
72 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
32 Participants
n=5 Participants
34 Participants
n=7 Participants
66 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Marital status
Single, never married
13 Participants
n=5 Participants
15 Participants
n=7 Participants
28 Participants
n=5 Participants
Marital status
Living with significant other
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Marital status
Married
15 Participants
n=5 Participants
8 Participants
n=7 Participants
23 Participants
n=5 Participants
Marital status
Separated/divorced
5 Participants
n=5 Participants
11 Participants
n=7 Participants
16 Participants
n=5 Participants
Marital status
Widowed
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Education
High school (12 years)
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Education
Some college/associate degree (<16 years)
15 Participants
n=5 Participants
11 Participants
n=7 Participants
26 Participants
n=5 Participants
Education
Completed college (16 years)
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Education
Graduate/professional degree (>16 years)
12 Participants
n=5 Participants
16 Participants
n=7 Participants
28 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-Test (10 Weeks)

Items are summed to generate a total score; scores range from 3 to 12, with higher values indicating higher satisfaction.

Outcome measures

Outcome measures
Measure
GetActive
n=34 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=36 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Percentage of Participants With Client Satisfaction Questionnaire 3-Item (CSQ-3) Scores Above and Below the Scale Midpoint
Scored above the scale midpoint
34 Participants
35 Participants
Percentage of Participants With Client Satisfaction Questionnaire 3-Item (CSQ-3) Scores Above and Below the Scale Midpoint
Scored below the scale midpoint
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Collected during the intervention

Two independent coders rated whether clinicians delivered each component of study sessions (e.g., deep breathing, providing education on prevalent myths about chronic pain) , exhibited skillful delivery (e.g., active listening, validation), and followed study protocol (e.g., collecting home practice sheets, logging attendance). Each individual component was rated on a yes/no scale. The adherent ("yes") components were summed, tallied against the total number of components in the adherence checklist, and averaged between the 2 reviewers. The score represents a total rate of adherence.

Outcome measures

Outcome measures
Measure
GetActive
n=391 Components
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=347 Components
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Therapist Adherence
94 percentage of adherence
98 percentage of adherence

PRIMARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks)

Population: The number of participants who received an ActiGraph at post-tests was fewer than baselines because of patients discontinuing participation.

Rate of participant's use of ActiGraph watch for a period of one week at both baseline and post-treatment assessments. A valid day of wear consisted of at least 7 hours of wear time.

Outcome measures

Outcome measures
Measure
GetActive
n=33 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=39 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Adherence to DMD - Number of Participants Who Wore DMD for ≥ 5 and < 5 Out of 7 Days
Baseline · Who received the ActiGraph and wore it for ≥ 5 out of 7 days
31 Participants
36 Participants
Adherence to DMD - Number of Participants Who Wore DMD for ≥ 5 and < 5 Out of 7 Days
Baseline · Who received the ActiGraph and wore it for < 5 out of 7 days
2 Participants
3 Participants
Adherence to DMD - Number of Participants Who Wore DMD for ≥ 5 and < 5 Out of 7 Days
Post-Test · Who received the ActiGraph and wore it for ≥ 5 out of 7 days
25 Participants
29 Participants
Adherence to DMD - Number of Participants Who Wore DMD for ≥ 5 and < 5 Out of 7 Days
Post-Test · Who received the ActiGraph and wore it for < 5 out of 7 days
2 Participants
4 Participants

PRIMARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks)

Any self-reported or observed negative events related to participation.

Outcome measures

Outcome measures
Measure
GetActive
n=35 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=37 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Program Safety - Number of Adverse Events Related to Study Participation
0 adverse events
0 adverse events

PRIMARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks)

Rate of participant's completion of homework assigned throughout the study. Logs were considered adherent if participants completed 3 home practice components 3 out of 7 days per week or 1 home practice component 5 out of 7 days per week.

Outcome measures

Outcome measures
Measure
GetActive
n=35 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=37 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Adherence to Home Practice - Number of Participants That Completed Homework Logs That Met Adherence Criteria
participants that completed logs handed in met adherence criteria
34 Participants
36 Participants
Adherence to Home Practice - Number of Participants That Completed Homework Logs That Met Adherence Criteria
participants that completed logs handed in that did not meet adherence criteria
1 Participants
1 Participants

PRIMARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks)

The number of participants that completed quantitative measures. Rate of participant's completion of self-report measures administered at baseline and post-test assessments.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Feasibility of Quantitative Measures
41 Participants
40 Participants

PRIMARY outcome

Timeframe: Baseline (0 Weeks)

Number of participants who score above the midpoint on two subscales assessed using frequencies and proportions. The measure involves two subscales: credibility (questions 1-3) and expectancy (questions 4-6). Subscale scores range from 3 to 27. Higher scores indicate greater perceived credibility and greater belief that treatment will help.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Credibility and Expectancy Questionnaire (CEQ)
Expectancy · scored above the scale midpoint
27 Participants
22 Participants
Credibility and Expectancy Questionnaire (CEQ)
Expectancy · scored below the scale midpoint
14 Participants
19 Participants
Credibility and Expectancy Questionnaire (CEQ)
Credibility · scored above the scale midpoint
37 Participants
38 Participants
Credibility and Expectancy Questionnaire (CEQ)
Credibility · scored below the scale midpoint
4 Participants
3 Participants

PRIMARY outcome

Timeframe: Post-Test (10 Weeks)

Assessed via the percentage of participants who attended at least 7 out of 10 sessions.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Program Acceptability
Attended ≥7 out of 10 group or make-up sessions
31 Participants
34 Participants
Program Acceptability
Attended <7 out of 10 group or make-up sessions
10 Participants
7 Participants

SECONDARY outcome

Timeframe: 6 minutes at baseline (0 Weeks), 6 minutes at post-test (10 Weeks).

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

Recorded the distance in meters each participant covered by walking on a flat surface for 6 minutes.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
6-Min Walk Test Distance
Baseline
346.244 Meters
Standard Error 13.684
331.866 Meters
Standard Error 13.898
6-Min Walk Test Distance
Posttest
389.492 Meters
Standard Error 12.950
385.872 Meters
Standard Error 12.691

SECONDARY outcome

Timeframe: 1 week at baseline (0 Weeks), 1 week at post-test (10 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

Average steps counted for using the wGT3X-BT ActiGraph accelerometer device. Daily step counts were collected using the device for a week at each assessment period. A weekly average was calculated from the daily totals.

Outcome measures

Outcome measures
Measure
GetActive
n=31 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=37 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
ActiGraph Average Steps
Baseline
5621.095674 Steps
Standard Error 595.369
5226.732 Steps
Standard Error 409.875
ActiGraph Average Steps
Posttest
5606.226 Steps
Standard Error 600.898
5271.760 Steps
Standard Error 391.723

SECONDARY outcome

Timeframe: Post-Test (10 Weeks)

The PGIC assesses clinically important change in symptoms since beginning treatment. Each of the 6 items assesses a different treatment target. Items are assessed on a scale of 0 to 6. Lower scores indicate greater symptom improvement.

Outcome measures

Outcome measures
Measure
GetActive
n=35 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=37 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Patient Global Impression of Change (PGIC)
Impression of change in pain
2.51 score on a scale
Standard Deviation 1.17
2.70 score on a scale
Standard Deviation 1.20
Patient Global Impression of Change (PGIC)
Impression of change in physical activity
2.31 score on a scale
Standard Deviation 1.18
2.30 score on a scale
Standard Deviation 1.10
Patient Global Impression of Change (PGIC)
Impression of change in physical function
2.57 score on a scale
Standard Deviation 1.19
2.78 score on a scale
Standard Deviation 0.95
Patient Global Impression of Change (PGIC)
Impression of change in emotional function
2.40 score on a scale
Standard Deviation 1.01
2.54 score on a scale
Standard Deviation 0.84
Patient Global Impression of Change (PGIC)
Impression of change in resiliency
2.14 score on a scale
Standard Deviation 0.91
2.32 score on a scale
Standard Deviation 1.03
Patient Global Impression of Change (PGIC)
Impression of change from use of Fitbit
NA score on a scale
Standard Deviation NA
1.86 score on a scale
Standard Deviation 0.95

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The PASIPD is a 13-item measure that assesses one's level of physical activity and exercise in the past 7 days. Scores range from 0 to 100. Higher scores indicate greater activity.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Physical Activity Scale for Persons With Physical Disabilities (PASIPD)
Baseline
9.200 score on a scale
Standard Error 1.073
14.213 score on a scale
Standard Error 2.819
Physical Activity Scale for Persons With Physical Disabilities (PASIPD)
Posttest
10.985 score on a scale
Standard Error 1.422
16.742 score on a scale
Standard Error 2.421
Physical Activity Scale for Persons With Physical Disabilities (PASIPD)
Follow up
9.097 score on a scale
Standard Error 1.280
13.396 score on a scale
Standard Error 1.791

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The WHODAS measures level of functioning in six domains: cognition, mobility, self-care, getting along, life activities, and participation. Scores range from 0 to 100. Higher scores indicate more disability.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
WHO Disability Assessment Schedule 2.0 (WHODAS)
Baseline
26.91 score on a scale
Standard Error 2.51
36.64 score on a scale
Standard Error 3.28
WHO Disability Assessment Schedule 2.0 (WHODAS)
Posttest
18.56 score on a scale
Standard Error 2.28
27.88 score on a scale
Standard Error 2.71
WHO Disability Assessment Schedule 2.0 (WHODAS)
Follow-up
20.88 score on a scale
Standard Error 3.17
27.42 score on a scale
Standard Error 3.38

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The 8-item scale assesses for how difficult it is for one to perform daily living activities. Raw scores range from 8 to 40. T scores range from 20.3 to 60.1. Higher scores indicate better physical function and ability to perform activities of daily living.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Patient-Reported Outcomes Measurement Information System Physical Function v.8b
Baseline
39.74 score on a scale
Standard Error 1.05
37.29 score on a scale
Standard Error 1.26
Patient-Reported Outcomes Measurement Information System Physical Function v.8b
Posttest
42.27 score on a scale
Standard Error 1.21
40.18 score on a scale
Standard Error 1.37
Patient-Reported Outcomes Measurement Information System Physical Function v.8b
Follow-up
44.70 score on a scale
Standard Error 1.35
41.30 score on a scale
Standard Error 1.65

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The 8-item scale measures fear and worry over the past week. Raw scores range from 8 to 40. T-scores range from 37.1 to 83.1. Higher scores indicate higher levels of anxiety.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Patient-Reported Outcomes Measurement Information System Anxiety v.8a
Baseline
53.50 score on a scale
Standard Deviation 1.58
59.33 score on a scale
Standard Deviation 1.39
Patient-Reported Outcomes Measurement Information System Anxiety v.8a
Posttest
51.26 score on a scale
Standard Deviation 1.41
56.39 score on a scale
Standard Deviation 1.53
Patient-Reported Outcomes Measurement Information System Anxiety v.8a
Follow-up
51.49 score on a scale
Standard Deviation 1.68
57.27 score on a scale
Standard Deviation 1.62

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The 8-item scale measures depressive symptoms over the past week. Raw scores range from 8 to 40 and t scores range from 37.1 to 82.4. Higher scores indicate greater depressive symptoms.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Patient-Reported Outcomes Measurement Information System Depression v.8b
Baseline
53.14 score on a scale
Standard Error 1.69
60.02 score on a scale
Standard Error 1.45
Patient-Reported Outcomes Measurement Information System Depression v.8b
Posttest
50.21 score on a scale
Standard Error 1.55
55.74 score on a scale
Standard Error 1.21
Patient-Reported Outcomes Measurement Information System Depression v.8b
Follow-up
50.21 score on a scale
Standard Error 1.54
55.75 score on a scale
Standard Error 1.70

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The PRS, a 14-item scale, measures pain resilience and how one would respond emotionally when faced with prolonged pain. Scores range from 0 to 56. Higher scores indicate greater resilience.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Pain Resilience Scale (PRS)
Baseline Pain resilience
37.68 score on a scale
Standard Error 1.47
32.51 score on a scale
Standard Error 1.58
Pain Resilience Scale (PRS)
Posttest Pain resilience
43.55 score on a scale
Standard Error 1.64
36.19 score on a scale
Standard Error 1.82
Pain Resilience Scale (PRS)
3-Month follow- up Pain resilience
45.02 score on a scale
Standard Error 1.39
36.13 score on a scale
Standard Error 2.07

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

Measures pain at rest and pain with activity on a Likert scale with 0 being no pain and 10 being the worst pain ever

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Numerical Rating Scale
Baseline Pain at rest
5.07 score on a scale
Standard Error 0.39
5.70 score on a scale
Standard Error 0.34
Numerical Rating Scale
Posttest Pain at rest
3.73 score on a scale
Standard Error 0.41
4.58 score on a scale
Standard Error 0.36
Numerical Rating Scale
Follow up Pain at rest
4.18 score on a scale
Standard Error 0.41
4.30 score on a scale
Standard Error 0.50
Numerical Rating Scale
Baseline Pain during activity
6.93 score on a scale
Standard Error 0.31
7.15 score on a scale
Standard Error 0.34
Numerical Rating Scale
Posttest Pain during activity
5.16 score on a scale
Standard Error 0.42
6.01 score on a scale
Standard Error 0.41
Numerical Rating Scale
Follow-up Pain during activity
5.28 score on a scale
Standard Error 0.45
5.31 score on a scale
Standard Error 0.60

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The CAMS, a 12-item scale, measures how much one experiences their thoughts and feelings. Items range from 1 to 4. Total scores range from 12 to 48. Higher values reflect higher levels of mindfulness.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Cognitive and Affective Mindfulness Scale (CAMS)
Baseline Mindfulness
32.12 score on a scale
Standard Error 0.99
30.29 score on a scale
Standard Error 1.11
Cognitive and Affective Mindfulness Scale (CAMS)
Posttest Mindfulness
36.09 score on a scale
Standard Error 1.07
33.07 score on a scale
Standard Error 1.00
Cognitive and Affective Mindfulness Scale (CAMS)
Three-Month follow-up Mindfulness
35.95 score on a scale
Standard Error 1.09
34.08 score on a scale
Standard Error 1.36

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

Measures one's sleep quality. Scores range from 0 to 21. Higher scores indicate worse sleep quality.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Pittsburgh Sleep Quality Index (PSQI)
Baseline
8.756 score on a scale
Standard Error .664
11.293 score on a scale
Standard Error .629
Pittsburgh Sleep Quality Index (PSQI)
Post-test
6.979 score on a scale
Standard Error .622
10.754 score on a scale
Standard Error .686
Pittsburgh Sleep Quality Index (PSQI)
Follow up
6.565 score on a scale
Standard Error .558
10.046 score on a scale
Standard Error .737

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The 4-item scale measures how often one perceives feeling apart from others and excluded. Raw scores range from 4 to 20. Scaled scores range from 34.8 to 74.2. Higher scores indicate greater social isolation.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Patient-Reported Outcomes Measurement Information System Social Isolation v.4a
Baseline
48.788 score on a scale
Standard Error 1.743
51.880 score on a scale
Standard Error 1.538
Patient-Reported Outcomes Measurement Information System Social Isolation v.4a
Post-test
45.364 score on a scale
Standard Error 1.556
49.793 score on a scale
Standard Error 1.629
Patient-Reported Outcomes Measurement Information System Social Isolation v.4a
Follow-up
47.582 score on a scale
Standard Error 1.673
51.252 score on a scale
Standard Error 1.916

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The 4-item scale measures perceived emotional support. Raw scores range from 4 to 20. Scaled scores range from 25.7 to 62. Higher score indicate greater emotional support.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Patient-Reported Outcomes Measurement Information System Emotional Support v.4a
Baseline
49.924 score on a scale
Standard Error 1.365
48.432 score on a scale
Standard Error 1.288
Patient-Reported Outcomes Measurement Information System Emotional Support v.4a
Post-test
53.078 score on a scale
Standard Error 1.604
50.330 score on a scale
Standard Error 1.560
Patient-Reported Outcomes Measurement Information System Emotional Support v.4a
Follow-up
53.425 score on a scale
Standard Error 1.417
52.311 score on a scale
Standard Error 1.845

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The PCS, a 13-item scale, measures how individuals experience pain, in terms of catastrophizing. Total scores range from 0 to 52. A higher score indicates more catastrophizing.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Pain Catastrophizing Scale (PCS)
Baseline
19.71 score on a scale
Standard Error 1.84
22.27 score on a scale
Standard Error 1.89
Pain Catastrophizing Scale (PCS)
Posttest
9.98 score on a scale
Standard Error 1.29
16.75 score on a scale
Standard Error 1.77
Pain Catastrophizing Scale (PCS)
Three-Month follow-up
9.91 score on a scale
Standard Error 1.49
16.79 score on a scale
Standard Error 2.03

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The TKS is a 17-item scale that measures one's fear of movement, with a greater score indicating greater fear of injury due to movement. Scores range from 11 to 44.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Tampa Kinesiophobia Scale (TKS)
Baseline
38.65 score on a scale
Standard Error 1.32
39.54 score on a scale
Standard Error 1.38
Tampa Kinesiophobia Scale (TKS)
Posttest
31.42 score on a scale
Standard Error 1.27
35.22 score on a scale
Standard Error 1.32
Tampa Kinesiophobia Scale (TKS)
3-Month follow- up
35.82 score on a scale
Standard Error 1.46
35.92 score on a scale
Standard Error 1.45

SECONDARY outcome

Timeframe: Baseline (0 Weeks), Post-Test (10 Weeks), 3-Month Follow-Up (23 Weeks)

Population: We used linear mixed-models repeated measures analyses of covariance, which implicitly impute unobserved data

The MOCS-A, a 13-item scale, measures one's perceived ability to perform various skills that the intervention aims to target. Scores range from 0 to 52. Higher scores indicate greater perceived ability.

Outcome measures

Outcome measures
Measure
GetActive
n=41 Participants
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=41 Participants
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Measure of Current Status (MOCS-A)
Baseline Adaptive Coping
27.56 score on a scale
Standard Error 1.49
27.27 score on a scale
Standard Error 1.50
Measure of Current Status (MOCS-A)
Posttest Adaptive Coping
36.09 score on a scale
Standard Error 1.43
34.10 score on a scale
Standard Error 1.33
Measure of Current Status (MOCS-A)
Three-Month follow-up Adaptive Coping
34.24 score on a scale
Standard Error 1.50
31.98 score on a scale
Standard Error 1.36

Adverse Events

GetActive

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

GetActive With Fitbit

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
GetActive
n=35 participants at risk
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=37 participants at risk
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Vascular disorders
Stroke
2.9%
1/35 • 10 weeks
0.00%
0/37 • 10 weeks
Musculoskeletal and connective tissue disorders
Fall
0.00%
0/35 • 10 weeks
2.7%
1/37 • 10 weeks

Other adverse events

Other adverse events
Measure
GetActive
n=35 participants at risk
The GetActive program uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The GetActive sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is a 10-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. GetActive: GetActive is a comprehensive, multimodal treatment that was designed to increase quality of life, resiliency and ability to cope with medical symptoms and stress. This program is rooted in the elicitation of the relaxation response, a non-judgmental state of focused attention and increased awareness.
GetActive With Fitbit
n=37 participants at risk
The GetActive with Fitbit is identical to that of the p3RP with the addition of a digital monitoring device (i.e., Fitbit) for recording of physical activity. Get Active with Fitbit: The GetActive Program for Pain with a Digital Monitoring Device (GetActive Fitbit) is identical to the GetActive with the addition of a FitBit for recording of physical activity.
Nervous system disorders
Sciatica
2.9%
1/35 • Number of events 1 • 10 weeks
0.00%
0/37 • 10 weeks
Musculoskeletal and connective tissue disorders
Sprained quadricep muscle
0.00%
0/35 • 10 weeks
2.7%
1/37 • Number of events 1 • 10 weeks
Respiratory, thoracic and mediastinal disorders
Lung Infection
2.9%
1/35 • 10 weeks
0.00%
0/37 • 10 weeks
Musculoskeletal and connective tissue disorders
Pain Flare
2.9%
1/35 • 10 weeks
2.7%
1/37 • 10 weeks
Blood and lymphatic system disorders
Sickle Cell Anemia Flare
0.00%
0/35 • 10 weeks
2.7%
1/37 • 10 weeks
Gastrointestinal disorders
Diverticulitis
0.00%
0/35 • 10 weeks
2.7%
1/37 • 10 weeks
Surgical and medical procedures
Chemotherapy
0.00%
0/35 • 10 weeks
2.7%
1/37 • 10 weeks
General disorders
Hospitalization
0.00%
0/35 • 10 weeks
2.7%
1/37 • 10 weeks
Cardiac disorders
Elevated blood pressure and heart rate
0.00%
0/35 • 10 weeks
2.7%
1/37 • 10 weeks

Additional Information

Ana-Maria Vranceanu

Center for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital

Phone: (617) 724-3953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place