Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain
Background: Motivational and behavioral models of adjustment to chronic pain make different predictions about change processes, which can be tested in longitudinal analyses. Methods: We examined changes in motivation, coping and acceptance among 78 men with chronic hemophilia-related joint pain....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017
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| Online Access: | https://repository.londonmet.ac.uk/2866/1/Elander-et-al-2017_Motivational-versus-behavioral-models-of-change.pdf |
| _version_ | 1804071987965853696 |
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| author | Elander, James Richardson, Cassandra Morris, John Robinson, Georgina Schofield, Malcolm B. |
| author_facet | Elander, James Richardson, Cassandra Morris, John Robinson, Georgina Schofield, Malcolm B. |
| author_sort | Elander, James |
| collection | LMU |
| description | Background: Motivational and behavioral models of adjustment to chronic pain make different predictions about change processes, which can be tested in longitudinal analyses.
Methods: We examined changes in motivation, coping and acceptance among 78 men with chronic hemophilia-related joint pain. Using cross-lagged regression analyses of changes from baseline to 6 months as predictors of changes from 6 to 12 months, with supplementary structural equation modelling, we tested two models in which motivational changes influence behavioral changes, and one in which behavioral changes influence motivational changes.
Results: Changes in motivation to self-manage pain influenced later changes in pain coping, consistent with the motivational model of pain self-management, and also influenced later changes in activity engagement, the behavioral component of pain acceptance. Changes in activity engagement influenced later changes in pain willingness, consistent with the behavioral model of pain acceptance.
Conclusions: Based on the findings, a combined model of changes in pain self-management and acceptance is proposed, which could guide combined interventions based on theories of motivation, coping and acceptance in chronic pain. |
| first_indexed | 2024-07-09T03:51:59Z |
| format | Article |
| id | oai:repository.londonmet.ac.uk:2866 |
| institution | London Metropolitan University |
| language | English |
| last_indexed | 2024-07-09T03:51:59Z |
| publishDate | 2017 |
| publisher | Wiley |
| record_format | eprints |
| spelling | oai:repository.londonmet.ac.uk:28662019-10-16T11:09:48Z http://repository.londonmet.ac.uk/2866/ Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain Elander, James Richardson, Cassandra Morris, John Robinson, Georgina Schofield, Malcolm B. 610 Medicine & health Background: Motivational and behavioral models of adjustment to chronic pain make different predictions about change processes, which can be tested in longitudinal analyses. Methods: We examined changes in motivation, coping and acceptance among 78 men with chronic hemophilia-related joint pain. Using cross-lagged regression analyses of changes from baseline to 6 months as predictors of changes from 6 to 12 months, with supplementary structural equation modelling, we tested two models in which motivational changes influence behavioral changes, and one in which behavioral changes influence motivational changes. Results: Changes in motivation to self-manage pain influenced later changes in pain coping, consistent with the motivational model of pain self-management, and also influenced later changes in activity engagement, the behavioral component of pain acceptance. Changes in activity engagement influenced later changes in pain willingness, consistent with the behavioral model of pain acceptance. Conclusions: Based on the findings, a combined model of changes in pain self-management and acceptance is proposed, which could guide combined interventions based on theories of motivation, coping and acceptance in chronic pain. Wiley 2017-04-17 Article PeerReviewed text en https://repository.londonmet.ac.uk/2866/1/Elander-et-al-2017_Motivational-versus-behavioral-models-of-change.pdf Elander, James, Richardson, Cassandra, Morris, John, Robinson, Georgina and Schofield, Malcolm B. (2017) Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain. European Journal of Pain, 21 (8). pp. 1384-1396. ISSN 1090-3801 10.1002/ejp.1040 |
| spellingShingle | 610 Medicine & health Elander, James Richardson, Cassandra Morris, John Robinson, Georgina Schofield, Malcolm B. Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain |
| title | Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain |
| title_full | Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain |
| title_fullStr | Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain |
| title_full_unstemmed | Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain |
| title_short | Motivational and behavioural models of change: a longitudinal analysis of change among men with chronic haemophilia-related joint pain |
| title_sort | motivational and behavioural models of change a longitudinal analysis of change among men with chronic haemophilia related joint pain |
| topic | 610 Medicine & health |
| url | https://repository.londonmet.ac.uk/2866/1/Elander-et-al-2017_Motivational-versus-behavioral-models-of-change.pdf |
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