ArticlePM & R : the journal of injury, function, and rehabilitation2026
Key determinants for successful lifestyle change to address chronic musculoskeletal pain: The patient's perspective.
Article in PM & R : the journal of injury, function, and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Core program elements for equitable, effective participation in a lifestyle medicine program for chronic musculoskeletal pain.PM & R : the journal of injury, function, and rehabilitation · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundLifestyle medicine aims to improve whole-person health, but unique implementation challenges exist when applying lifestyle medicine to address musculoskeletal pain.
objectives(1) To identify patient-perceived factors that affect patients' ability to make and maintain lifestyle changes in the context of having chronic musculoskeletal pain. (2) To summarize specific, patient-reported key strategies for success that clinicians can efficiently discuss with patients to facilitate lifestyle change.
designMixed methods study.
settingMusculoskeletal lifestyle medicine program within a tertiary care academic center.
participantsA purposively sampled, sociodemographically diverse group of adult patients who presented to a musculoskeletal-oriented lifestyle medicine program to address chronic musculoskeletal pain and coexisting metabolic disease.
interventionsNot applicable.
main outcome measuresParticipants' semistructured interview responses were triangulated with their final program disposition and mean (SD) change on Patient-Reported Outcomes Measurement Information System (PROMIS) physical and mental health measures from initial to final program visit.
resultsAmong 38 patients (median age 59 [range 31-74] years, 28 [74% women]), chronic pain and impaired mobility were common barriers to lifestyle change. Nevertheless, with instruction regarding how to move safely, increasing physical activity was also frequently described as patients' most impactful lifestyle change. Patients reported a wide variety of effective facilitators and motivators for change, some of which were affected by patients' gender, childhood food culture, and other life circumstances. Patients with depression commonly described clinician investment and accountability via the lifestyle medicine program as key facilitators. Although mean PROMIS score changes were modest, patients nearly universally made at least one lifestyle change and perceived related clinical benefits, even among patients whose success was not perceived by the clinical team.
conclusionsPatients with chronic musculoskeletal pain can successfully make lifestyle changes. They commonly cite clinician support as a key facilitator to safely increasing physical activity and identifying tailored strategies to overcome barriers to change.
Identifiers
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Registered trials
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