Determinants of daily activity value in a cross section of adults feeling pain

INTRODUCTION: Healthcare providers (HCPs) and patients value daily activities differently. So, HCPs routinely assess patients' preferences. To clarify the value of daily activities for people feeling pain, this study examined the influence of daily activity source (questionnaire or participant), daily activity performance, and daily activity-related difficulty and pain. The study also explored participants' perceptions of communicating daily activity-related difficulty and pain to HCPs. METHODS: = 457; Mean age 39.17 years (SD = 16.33)) feeling pain reported the importance, performance, difficulty, and painfulness of daily activities. The sources of the daily activities were questionnaires and participants. RESULTS: The odds of higher daily activity importance were 10.85 times larger for the participant-generated daily activity than the questionnaire and 11.00 times larger for performed daily activities than the not performed. Higher daily activity importance was also associated with daily activity-related pain (odds ratio; OR:2.29) and age (OR:1.07), but not daily activity-related difficulty (OR:0.98). Participants' certainty about daily activity-related difficulty and pain was positively associated with daily activity source (ORs:1.35 and 1.75, respectively) and performance (ORs:1.76 and 1.80, respectively). In addition, the importance of HCPs knowing participants' daily activity-related difficulty and pain was associated with daily activity source (OR:1.94 and OR:1.63, respectively), performance (OR:1.56 and OR: 1.55, respectively), age (OR:1.06 and OR: 1.05, respectively), and daily activity-related difficulty (OR:1.49 and OR: 1.33, respectively) and pain (OR:2.92 and OR:2.92, respectively). CONCLUSIONS: These results clarify the daily activities that participants with pain value and want to discuss with their HCPs. This information facilitates the provision of patient-centered care. The results also suggest that the positive relationship between daily activity value and daily activity-related pain is stronger than daily activity-related difficulty. Expectancy value models of health behaviors would benefit from future research comparing the influence of daily activity-related difficulty on daily activity value and the expectation of performing daily activity.