Evaluation of a physical activity promotion intervention for adults with whiplash associated disorders: a single-case experimental design study

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Ritchie, Carrie
Clanchy, Kelly
Sterling, Michele
Tate, Robyn
Smits, Esther J
Day, Melissa
Nikles, Jane
Liimatainen, Jenna
Tweedy, Sean M
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2021
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Abstract

Purpose: There is considerable variation in the physical and psychological presentations of people with whiplash-associated disorder (WAD). Optimal treatment continues to be a challenge. This research evaluated the efficacy of a community-located, theory-based intervention designed to promote physically active behaviour in people with persistent WAD, and thereby improve perceptions of pain interference and confidence completing activities in the presence of neck pain. Materials and methods: A multiple-baseline, single-case experimental design was used to evaluate the 16-week intervention across six participants. Results: Weighted Tau-U showed significantly increased accelerometer-measured physical activity in three participants with large effect sizes (>0.5), with increased confidence in one participant (ES > 0.5), and reduced pain interference in another participant (ES > 0.7). Changes in other behaviours included clinically important improvements in quality of life for five participants and, in those participants with baseline symptom levels outside threshold levels, improvements in pain catastrophizing and pain self-efficacy. Conclusions: Participation in a theory-based intervention resulted in significant improvements in physical and psychological health for five of six participants. Providing this type of community-located physical activity promotion strategy, to individuals with persistent WAD, may help address physical impairments and psychological distress commonly experienced in WAD.

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Disability and Rehabilitation
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This publication has been entered in Griffith Research Online as an advanced online version.
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Rehabilitation
People with disability
Public health
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Ritchie, C; Clanchy, K; Sterling, M; Tate, R; Smits, EJ; Day, M; Nikles, J; Liimatainen, J; Tweedy, SM, Evaluation of a physical activity promotion intervention for adults with whiplash associated disorders: a single-case experimental design study, Disability and Rehabilitation
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