{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:04:38Z","timestamp":1790949878709,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["HPF\u20102016\u20101685"],"award-info":[{"award-number":["HPF\u20102016\u20101685"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Acceptance and Commitment Therapy (ACT) is a type of Cognitive Behavioural Therapy, which has demonstrated positive outcomes in individuals with chronic pain. The purpose of this study was to compare the effect of an 8\u2010week programme combining Exercise with Acceptance and Commitment Therapy (ExACT) with a standalone supervised exercise programme at 1\u2010year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and seventy\u2010five people with chronic pain were randomly assigned to ExACT or supervised exercise only. The primary outcome was pain interference measured with the Brief Pain Inventory\u2010Interference Scale. Secondary and treatment process outcomes included pain severity, depression, anxiety, pain catastrophizing, pain self\u2010efficacy, fear avoidance, pain acceptance, committed action, healthcare utilization, patient satisfaction, and global impression of change. Estimates of treatment effects at 1\u2010year follow\u2010up were based on intention\u2010to\u2010treat analyses, implemented using a linear mixed\u2010effects model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010three participants (47.4%) returned the outcome measures at 1\u2010year follow\u2010up. No significant difference was observed between the groups for the primary outcome, pain interference. There was a statistically significant difference between the groups, in favour of ExACT for pain catastrophizing. Within group improvements that were observed within both groups at earlier timepoints were maintained at 1\u2010year follow\u2010up for many of the secondary and treatment process outcomes. ExACT group participants reported higher levels of satisfaction with treatment and global perceived change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study results showed no significant difference between the two groups for the primary outcome pain interference at 1\u2010year follow\u2010up. Future research could investigate factors that may predict and optimize outcomes from these types of intervention for people living with chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Few previous randomized controlled trials investigating ACT for chronic pain have included long\u2010term follow\u2010up. This study found that Exercise combined with ACT was not superior to supervised exercise alone for reducing pain interference at 1\u2010year follow\u2010up. Further research is necessary to identify key processes of therapeutic change and to explore how interventions may be modified to enhance clinical outcomes for people with chronic pain.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.2229","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T09:19:47Z","timestamp":1707815987000},"page":"913-928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exercise combined with Acceptance and Commitment Therapy for chronic pain: One\u2010year follow\u2010up from a randomized controlled trial"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3594-6977","authenticated-orcid":false,"given":"M. B.","family":"Casey","sequence":"first","affiliation":[{"name":"Department of Public Health &amp; Primary Care, Institute of Population Health, School of Medicine, Trinity College Dublin The University of Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Takemasa","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"},{"name":"Clinical Development, Clinical Development Centre Asahi Kasei Pharma Corporation  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"O'Reilly","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Leamy","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Mc\u00a0Kearney","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Buckley","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. M.","family":"Smart","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Segurado","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Lowry","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Gopal","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Hearty","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Doody","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy &amp; Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"APA. (2019).American Psychological Association Division 12. Chronic or persistent pain in general.https:\/\/www.div12.org\/treatment\/acceptance\u2010and\u2010commitment\u2010therapy\u2010for\u2010chronic\u2010pain\/"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2016.09.001"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.06.009"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010018\u20102543\u20105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002487"},{"key":"e_1_2_11_7_1","unstructured":"Cleeland C. S.(2009).The Brief Pain Inventory User Guide.https:\/\/www.mdanderson.org\/content\/dam\/mdanderson\/documents\/Departments\u2010and\u2010Divisions\/Symptom\u2010Research\/BPI_UserGuide.pdf"},{"key":"e_1_2_11_8_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.09.022"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2007.09.005"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S144631"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011279.pub2"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2019.05.012"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.14139"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2009.08.002"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2023.104308"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0149-7189(79)90094-6"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/ajp.0000000000001096"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102021\u2010057212"},{"key":"e_1_2_11_21_1","volume-title":"Chronic pain (primary and secondary) in over 16s: Assessment of all chronic pain and management of chronic primary pain","author":"NICE","year":"2021"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.12.008"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2011.11.012"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf136"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2013.09.010"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnz363"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741\u20107015\u20108\u201018"},{"key":"e_1_2_11_28_1","volume-title":"Scottish Intercolegiate Guidelines Network (SIGN) 136. Management of chronic pain","author":"SIGN","year":"2013"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/1040\u20103590.7.4.524"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2003.12.005"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2003.08.001"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.03.017"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.05.016"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010018\u20102020\u2010z"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007407.pub3"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(96)02996-X"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007407.pub4"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002273"}],"container-title":["European Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ejp.2229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T08:04:38Z","timestamp":1718697878000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.2229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,13]]},"references-count":38,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1002\/ejp.2229"],"URL":"https:\/\/doi.org\/10.1002\/ejp.2229","archive":["Portico"],"relation":{},"ISSN":["1090-3801","1532-2149"],"issn-type":[{"value":"1090-3801","type":"print"},{"value":"1532-2149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,13]]},"assertion":[{"value":"2023-07-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}