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Changes in actigraphy metrics associated with PROMIS measures after orthopaedic surgery.

Authors :
Giordano NA
Kane A
Rodriguez R
Papay D
Canales B
Kirk KF
Buckenmaier CC 3rd
Highland KB
Source :
International journal of nursing practice [Int J Nurs Pract] 2022 Dec; Vol. 28 (6), pp. e13089. Date of Electronic Publication: 2022 Aug 18.
Publication Year :
2022

Abstract

Aim: This study examined the feasibility of integrating actigraphy devices into orthopaedic surgical settings to assess the concurrent validity between objective actigraphy data and PROMIS measures. Additionally, the association between changes in actigraphy data and longitudinal changes in PROMIS measures was examined.<br />Methods: Data were collected from 17 participants using actigraphy devices the week prior to and after orthopaedic surgery from 02/2019 to 03/2020. Participants completed PROMIS measures (Physical Function, Sleep Disturbance, Pain Interference) preoperatively and up to 6 months postoperatively. Nonparametric correlations (r <subscript>s</subscript> ) assessed for concurrent validity. Linear mixed-effects models examined the association between changes in actigraphy data and PROMIS measures.<br />Results: Prolonged wake after sleep onset was associated with increased sleep disturbances (r <subscript>s</subscript>  = 0.49; p = 0.045) and pain interference (r <subscript>s</subscript>  = 0.51; p = 0.04). Changes in pain interference were correlated with increased awakenings (r <subscript>s</subscript>  = 0.54; p = 0.03). Increased wake after sleep onset was associated with worsening sleep disturbance (β = 0.12; p = 0.01) and pain interference scores over the postoperative period (β = 0.12; p = 0.02).<br />Conclusions: This study is among the first to examine changes in objective actigraphy data and longitudinal PROMIS measures following orthopaedic surgery and illustrates the feasibility of incorporating actigraphy into surgical settings to evaluate postoperative recovery.<br /> (© 2022 John Wiley & Sons Australia, Ltd. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.)

Details

Language :
English
ISSN :
1440-172X
Volume :
28
Issue :
6
Database :
MEDLINE
Journal :
International journal of nursing practice
Publication Type :
Academic Journal
Accession number :
35983591
Full Text :
https://doi.org/10.1111/ijn.13089