Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management

AbstractPurpose To propose a comprehensive multidimensional model of activity pacing that improves health-related quality of life and promotes sustained physical activity engagement among adults with chronic conditions.Materials and methods A narrative review was conducted to examine the existing li...

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Main Authors: Ioulia Barakou, Katie L. Hackett, Tracy Finch, Florentina Johanna Hettinga
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2023.2270688
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author Ioulia Barakou
Katie L. Hackett
Tracy Finch
Florentina Johanna Hettinga
author_facet Ioulia Barakou
Katie L. Hackett
Tracy Finch
Florentina Johanna Hettinga
author_sort Ioulia Barakou
collection DOAJ
description AbstractPurpose To propose a comprehensive multidimensional model of activity pacing that improves health-related quality of life and promotes sustained physical activity engagement among adults with chronic conditions.Materials and methods A narrative review was conducted to examine the existing literature on activity pacing, health-related quality of life, pain and fatigue management, and physical activity promotion in chronic conditions.Results The literature revealed a lack of a cohesive approach towards a multidimensional model for using activity pacing to improve health-related quality of life. A comprehensive multidimensional model of activity pacing was proposed, emphasizing the importance of considering all aspects of pacing for sustained physical activity engagement and improved health-related quality of life. The model incorporates elements such as rest breaks, self-regulatory skills, environmental factors, and effective coping strategies for depression/anxiety. It takes into account physical, psychological, and environmental factors, all of which contribute significantly to the enhancement of health-related quality of life, physical function, and overall well-being, reflecting a holistic approach.Conclusions The model offers guidance to researchers and clinicians in effectively educating patients on activity pacing acquisition and in developing effective interventions to enhance physical activity engagement and health outcomes among adults with chronic conditions. Additionally, it serves as a tool towards facilitating discussions on sustained physical activity and a healthy lifestyle for patients, which can eventually lead to improved quality of life.
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spelling doaj.art-e9fc1572c1754a46a5f3e83dff8f5b682024-02-20T11:58:25ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155210.1080/07853890.2023.2270688Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue managementIoulia Barakou0Katie L. Hackett1Tracy Finch2Florentina Johanna Hettinga3Department of Nursing, Midwifery & Health, Northumbria University, Newcastle upon Tyne, UKDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UKDepartment of Nursing, Midwifery & Health, Northumbria University, Newcastle upon Tyne, UKDepartment of Sport Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UKAbstractPurpose To propose a comprehensive multidimensional model of activity pacing that improves health-related quality of life and promotes sustained physical activity engagement among adults with chronic conditions.Materials and methods A narrative review was conducted to examine the existing literature on activity pacing, health-related quality of life, pain and fatigue management, and physical activity promotion in chronic conditions.Results The literature revealed a lack of a cohesive approach towards a multidimensional model for using activity pacing to improve health-related quality of life. A comprehensive multidimensional model of activity pacing was proposed, emphasizing the importance of considering all aspects of pacing for sustained physical activity engagement and improved health-related quality of life. The model incorporates elements such as rest breaks, self-regulatory skills, environmental factors, and effective coping strategies for depression/anxiety. It takes into account physical, psychological, and environmental factors, all of which contribute significantly to the enhancement of health-related quality of life, physical function, and overall well-being, reflecting a holistic approach.Conclusions The model offers guidance to researchers and clinicians in effectively educating patients on activity pacing acquisition and in developing effective interventions to enhance physical activity engagement and health outcomes among adults with chronic conditions. Additionally, it serves as a tool towards facilitating discussions on sustained physical activity and a healthy lifestyle for patients, which can eventually lead to improved quality of life.https://www.tandfonline.com/doi/10.1080/07853890.2023.2270688Chronic conditionsphysical activity behaviourpainfatigue managementself-regulationquality of life
spellingShingle Ioulia Barakou
Katie L. Hackett
Tracy Finch
Florentina Johanna Hettinga
Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management
Annals of Medicine
Chronic conditions
physical activity behaviour
pain
fatigue management
self-regulation
quality of life
title Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management
title_full Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management
title_fullStr Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management
title_full_unstemmed Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management
title_short Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management
title_sort self regulation of effort for a better health related quality of life a multidimensional activity pacing model for chronic pain and fatigue management
topic Chronic conditions
physical activity behaviour
pain
fatigue management
self-regulation
quality of life
url https://www.tandfonline.com/doi/10.1080/07853890.2023.2270688
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