Kotte, E.M.G. (2015) Understanding Activity Pacing in the context of rehabilitation: Analysis of a newly developed Activity Pacing Questionnaire and associations with fatigue and perceived activity. thesis, Human Movement Sciences.
Full text available on request.Abstract
Objective: The overall aim of this study was to gain a better understanding of the concept of Activity Pacing (AP) in the context of rehabilitation. Which can be divided into, (1) getting insight into the different components of naturalistic AP based on a description of outcomes of a new measure for AP in rehabilitation and (2), to gain a better understanding of the effects of levels of fatigue and perceived activity on naturalistic AP. Method: The study was part of the multicenter longitudinal cohort study “Rehabilitation, Sports and Active lifestyle” (ReSpAct), and included 1593 persons with a physical disability or chronic disease. Since there was no reliable and valid AP questionnaire, a new 9 item pacing questionnaire was developed and analyzed in this study. Fatigue was assessed by the Fatigue Severity Scale (FSS), level of perceived activity was measured by a 0-10 Borg scale. Results: Following Principal Component Analysis (PCA), 2 components of naturalistic AP in rehabilitation were identified in the pacing questionnaire. The first component reflects active engagement in pacing-related decisions in naturalistic AP behavior, persons with higher levels of fatigue and lower levels of perceived activity are more actively engaged in pacing-related decisions in naturalistic AP. The second component reflects perceived difficulty in preventing overactivity in AP behavior, persons with high fatigue levels and high perceived activity levels face more difficulty in preventing overactivity in naturalistic AP. Conclusion: The analyzed AP questionnaire seems an interesting instrument to evaluate naturalistic AP in the rehabilitation context. The questionnaire includes two important components of the concept of AP. The component reflecting active engagement in pacing-related decisions is a generally known important component of the concept of naturalistic AP. However, our study indicates that perceived difficulty in prevention overactivity is also an important component within the concept of naturalistic AP. The found associations between fatigue, perceived activity and the components of AP gain a better understanding of the concept of AP in the rehabilitation.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Hettinga, dr. F.J. and Woude, prof. dr. L.H.V. van der and Alingh, R.A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 29 Apr 2022 12:29 |
| Last Modified: | 29 Apr 2022 12:29 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3163 |
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