TITLE

Mixed-effects regression modeling of real-time momentary pain assessments in osteoarthritis (OA) patients

AUTHOR(S)
Coffman, Cynthia; Allen, Kelli; Woolson, Robert
PUB. DATE
June 2012
SOURCE
Health Services & Outcomes Research Methodology;Jun2012, Vol. 12 Issue 2/3, p200
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Mixed-effects regression models have extraordinary capacity to capture the essence of complex longitudinal data. In this paper we present analyses from a longitudinal study on 157 patients with osteoarthritis (OA) where real-time momentary self-reported pain and physical activity level were collected. We illustrate the application of heterogeneous mixed effect (HME) models to examine the effect of time-varying activity level assessments (sedentary vs. moderate/vigorous) during the 30 min prior to the pain recording on mean pain levels and variability. We also examine the variation in pain associated with activity level and the degree that participant characteristics (weight-bearing vs. non-weight bearing joint w/OA, body mass index, white vs. non-white race, gender) and psychosocial factors (mood, tension, pain catastrophizing) influence pain variation. We fit separate HME models for each characteristic or factor. These HME models are fit with standard statistical software, but there are challenges to fitting and interpreting these models. Once fit the models provide a powerful tool to help guide researchers in understanding highly individualized pain trajectories.
ACCESSION #
77383981

 

Related Articles

  • The Therapeutic Alliance in Couple Therapy for Depression: Predicting Therapy Progress and Outcome from Assessments of the Alliance by the Patient, the Spouse, and the Therapists. Kuhlman, Ilpo; Tolvanen, Asko; Seikkula, Jaakko // Contemporary Family Therapy: An International Journal;Mar2013, Vol. 35 Issue 1, p1 

    This study examined Couple Therapy (CT) for depression in a naturalistic setting. It looked at the associations between the therapeutic alliance and subjective distress, and between the alliance and depression outcome. Twenty-nine depressive patients and their spouses were treated via CT....

  • Approaches to Identifying Appropriate Medication Adherence Assessments for HIV Infected Individuals with Comorbid Bipolar Disorder. Badiee, Jayraan; Riggs, Patricia K.; Rooney, Alexandra S.; Vaida, Florin; Grant, Igor; Atkinson, J. Hampton; Moore, and the HIV Neurobehavioral Research Program (HNRP) Group, David J. // AIDS Patient Care & STDs;Jul2012, Vol. 26 Issue 7, p388 

    Assessing medication adherence in already difficult-to-treat HIV-infected subpopulations presents a unique challenge. The objective of this study was to compare different approaches to assessing medication adherence: (1) electronic medication monitoring, (2) standardized self-report...

  • Evaluation of the Single-Item Self-Rating Adherence Scale for Use in Routine Clinical Care of People Living with HIV. Feldman, B.; Fredericksen, R.; Crane, P.; Safren, S.; Mugavero, M.; Willig, James; Simoni, J.; Wilson, I.; Saag, M.; Kitahata, M.; Crane, H. // AIDS & Behavior;Jan2013, Vol. 17 Issue 1, p307 

    The self-rating scale item (SRSI) is a single-item self-report adherence measure that uses adjectives in a 5-point Likert scale, from 'very poor' to 'excellent,' to describe medication adherence over the past 4 weeks. This study investigated the SRSI in 2,399 HIV-infected patients in routine...

  • Factors Promoting Mental Health of Adolescents Who Have a Parent with Mental Illness: A Longitudinal Study. Loon, L.; Ven, M.; Doesum, K.; Hosman, C.; Witteman, C. // Child & Youth Care Forum;Dec2015, Vol. 44 Issue 6, p777 

    Background: Children of parents with mental illness have an elevated risk of developing a range of mental health and psychosocial problems. Yet many of these children remain mentally healthy. Objective: The present study aimed to get insight into factors that protect these children from...

  • Pain Rating in Women with Provoked Vestibulodynia: Evaluating Influence of Race. Brown, Candace; Bachmann, Gloria A.; Wan, Jim; Foster, David // Journal of Women's Health (15409996);Jan2016, Vol. 25 Issue 1, p57 

    Background: Chronic pain may be perceived differently according to gender and race, which may affect physical health and psychological wellbeing. We evaluated daily pain ratings in black women as compared to white women with provoked vestibulodynia (PVD). Methods: Seventy-one women (44 black, 27...

  • Are Korean Adults Meeting the Recommendation for Physical Activity during Leisure Time? MIN-HAENG CHO // Journal of Physical Therapy Science;2014, Vol. 26 Issue 6, p841 

    [Purpose] The purpose of this study was to determine if Korean adults meet their physical activity recommendations during their leisure time to promote a healthy living. [Subjects and Methods] The sample included South Korean adults, aged over 20, who were currently residing in K City, South...

  • Chronic Generalized Harassment During College: Influences on Alcohol and Drug Use. McGinley, Meredith; Rospenda, Kathleen; Liu, Li; Richman, Judith // Journal of Youth & Adolescence;Oct2015, Vol. 44 Issue 10, p1898 

    The experience of chronic generalized harassment from others can have a deleterious impact on individuals over time. Specifically, coping resources may be taxed, resulting in the use of avoidant coping strategies such as substance use. However, little is known about the experience of chronic...

  • Seven-year predictors of self-rated health and life satisfaction in the elderly: The proof study. Rouch, Isabelle; Achour-Crawford, E.; Roche, F.; Castro-Lionard, C.; Laurent, B.; Ntougou Assoumou, G.; Gonthier, R.; Barthelemy, J.; Trombert, B. // Journal of Nutrition, Health & Aging;Sep2014, Vol. 18 Issue 9, p840 

    Objectives: To investigate the relationship between cognitive performance, affective state, metabolic syndrome and 7-year follow-up self-rated health (SRH) and perceived life satisfaction (PLS). Design: Analysis of a prospective cohort study. Setting: The PROOF study, including 1011 elderly...

  • Multiple Sclerosis Symptom Recrudescence at the End of the Natalizumab Dosing Cycle. Ratchford, John N.; Brock-Simmons, Regina; Augsburger, Amanda; Steele, Sonya U.; Mohn, Kristie; Rhone, Mandi; Jinyan Bo; Costello, Kathleen // International Journal of MS Care;Summer2014, Vol. 16 Issue 2, p92 

    Background: This study was undertaken to determine how frequently patients receiving natalizumab for multiple sclerosis (MS) experience recrudescence of their MS symptoms at the end of the dosing cycle. Methods: One hundred consecutive MS patients receiving natalizumab completed a survey...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics