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Adherence to Weight Loss and Physical Activity 

Adherence to Weight Loss and Physical Activity
Chapter:
Adherence to Weight Loss and Physical Activity
Author(s):

E. Amy Janke

and David E. Goodrich

DOI:
10.1093/med/9780190600075.003.0005
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date: 23 April 2021

Maintaining a healthy weight and engaging in regular physical activity are two health behaviors that can provide significant benefit to individuals with chronic pain. However, adhering to lifestyle programs that promote weight loss and/or physical activity can be challenging. A socioecological model of adherence to healthy lifestyle behaviors in individuals with pain can assist providers in understanding the physiological, intrapersonal/behavioral, and social/environmental factors that influence adherence. Providers can optimize adherence to weight loss by facilitating an effective patient–provider relationship, tailoring intervention approaches to meet a patient’s specific needs, and applying the Five A’s model of behavior change. Providers can support long-term engagement in physical activity by developing patient-centered exercise prescriptions based on an assessment of physical limitations, comorbidities, and age and to engage in shared decision-making to best account for patient preferences and barriers to exercise.

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