Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20220036-en
Brazilian Journal of Pain
Original Article

Pain self-efficacy and physical activity during COVID-19-related social distancing: cross-sectional study

Autoeficácia para dor e atividade física durante o distanciamento social relacionado à COVID-19: estudo transversal

Francisco Fleury Uchoa Santos-Júnior; Isabela de Paula Rodrigues; Rafael Krasic Alaiti; Anamaria Siriani de Oliveira

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Abstract

BACKGROUND AND OBJECTIVES: The COVID-19 pandemic has impacted the practice of physical activity in the population with musculoskeletal pain, and one of the ways to increase the performance of physical activity is to stimulate pain self-efficacy. However, to date, no study that brought the association between self-efficacy and physical activity in this population has been observed in the literature. The aim of this study was to analyze the association of the level of pain self-efficacy and physical activity weekly time in the population with pain during social distancing related to the COVID-19 pandemic in the states of Ceará and São Paulo.

METHODS: This study is characterized as a cross-sectional study with a quantitative approach. Data collection was performed using an electronic form. To identify the association between pain self-efficacy (Pain Self-Efficacy Questionnaire) and physical activity weekly time (dependent variable) in the population with pain, a multiple linear regression was performed.

RESULTS: Self-efficacy showed a direct association (ß = 0.015; p = 0.0016) with the time of physical activity practiced during the pandemic. Other variables were associated with longer time of physical activity, such as lower pain intensity during the pandemic (ß = -0.064; p = 0.0223), lower body mass index (ß = -0.036; p = 0.0004), the male gender (ß = -0.441; p<0.0001) and absence of reported comorbidities (ß = -0.297; p = 0.0116). The history of positive diagnosis for COVID-19 was not associated with the physical activity duration (p = 0.5347) in an alternative model.

CONCLUSION: A direct association between pain self-efficacy and time of physical activity in the population with musculoskeletal pain during COVID-19-related social distancing was identified.

HIGHLIGHTS

  • Greater self-efficacy for pain management was associated with more time of physical activities during the pandemic.
  • More time of physical activities was also associated with lower pain intensity during the pandemic.
  • History of positive diagnosis for COVID-19 did not show association with time of physical activity during the pandemic.

Keywords

Exercise therapy, Health belief model, Pain.

Resumo

JUSTIFICATIVA E OBJETIVOS: A pandemia de COVID-19 impactou a prática de atividade física da população com dor musculoesquelética (DME), e um dos modos de ampliar a realização da atividade física é estimulando a autoeficácia para dor. Entretanto, até o momento, não se observou na literatura qualquer estudo que trouxesse a relação entre autoeficácia e atividade física nessa população. O objetivo deste estudo foi analisar a associação do nível de autoeficácia e do tempo semanal de prática de atividade física na população com dor durante o distanciamento social relacionado à pandemia de COVID-19 nos estados do Ceará e São Paulo.

MÉTODOS: Este estudo se caracteriza como um estudo transversal com abordagem quantitativa. A coleta de dados foi realizada a partir de um formulário eletrônico. Para identificação da associação entre autoeficácia (Pain Self-Efficacy Questionnaire) e tempo semanal de prática de atividade física (variável dependente) na população com dor, foi realizada uma regressão linear múltipla.

RESULTADOS: A autoeficácia apresentou relação direta (ß = 0,015; p = 0,0016) com tempo de atividade física praticada durante a pandemia. Outras variáveis apresentaram associação com maior tempo de prática de atividade física, como menor intensidade de dor durante a pandemia (ß = -0,064; p = 0,0223), menor índice de massa corporal (ß = -0,036; p=0,0004), ser do sexo masculino (ß = -0,441; p<0,0001) e relatar ausência de comorbidades (ß = -0,297; p = 0,0116). O histórico de diagnóstico positivo para COVID-19 não apresentou associação com tempo de atividade física (p = 0,5347).

CONCLUSÃO: Identificou-se associação direta entre autoeficácia para dor e tempo de prática de atividade física na população com dor musculoesquelética durante o distanciamento social relacionado à COVID-19.

DESTAQUES 

  • Maior autoeficácia para o gerenciamento da dor foi associada com maior tempo de atividade física praticada durante a pandemia.
  • Maior tempo de prática de atividade física também foi associado com menor intensidade de dor durante a pandemia.
  • Histórico de diagnóstico positivo para COVID-19 não apresentou associação com tempo de atividade física durante a pandemia.

Palavras-chave

Dor, Modelo de crenças de saúde, Terapia por exercício.

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Submitted date:
04/12/2022

Accepted date:
07/22/2022

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