Which strategy in PIPT reinforces gradual pacing to avoid flare-ups?

• A. Graded Activity
• B. Pacing Reinforcement
• C. Skilled communication
• D. Pain education

Answer: (B)

In PIPT, keeping activity within tolerable limits to prevent flare-ups relies on reinforcing the pacing plan you’ve agreed on. Pacing reinforcement uses positive feedback and encouragement to help patients stick to gradually timed activity and rest schedules, so they don’t push beyond their limits. This makes the pacing strategy more likely to become a durable habit, reducing the chance of sudden symptom spikes.

Graded activity does involve gradual increases in activity, but it focuses on the stepwise progression rather than actively reinforcing the moment-to-moment pacing decisions that keep symptoms stable. Skilled communication and pain education are important supports, but they don’t specifically target reinforcing pacing behavior to avoid flares in the same direct way.