A Controlled Investigation of a Cognitive Behavioural Pain Management Program for Older Adults

Green, Sheryl M.; Hadjistavropoulos, Thomas; Hadjistavropoulos, Heather D.; Martin, R. Bruce; Sharpe, Donald

doi:10.1017/s1352465809005177

Cited by 22 publications

(31 citation statements)

References 10 publications

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“…Measures of pain, pain beliefs, and coping were taken at baseline, immediately after the 10th session, and (for the intervention group only) 3 months after conclusion of the sessions. The only significant differences found immediately after treatment were that the intervention group had a reduction in subjective pain and used relaxation as a coping strategy significantly more often than did the control group …”

Section: Resultsmentioning

confidence: 90%

Nonpharmacological Approaches to the Management of Chronic Pain in Community‐Dwelling Older Adults: A Review of Empirical Evidence

Park

Hughes

2012

J American Geriatrics Society

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The objective of this literature review is to gain insight into the efficacy of nonpharmacological interventions in chronic pain management in community‐dwelling older adults. An extensive search of pertinent databases was performed to identify reports of studies of nonpharmacological (physical and psychosocial) pain interventions. The review identifies intervention studies that used randomized controlled trials (RCTs) and summarizes existing evidence of effectiveness of nonpharmacological interventions. A literature search yielded 28 RCT intervention studies (18 for physical interventions and 10 for psychosocial interventions) that met inclusion criteria and are included in this review. Twenty‐one studies (75%) identified in this review demonstrated statistically significant differences (P < .05) in pain scores between nonpharmacological interventions and no intervention or sham interventions; the intervention groups showed lower pain intensity. More research is needed to determine the best format, intensity, duration, and content of such treatments, as well as their efficacy in the older adult population. Methodological limitations are identified in many of the studies, such as low statistical power due to sample size and imprecise measurement, lack of reliable sham controls, and inadequate blinding. Future intervention studies of nonpharmacological pain therapies may require larger sample sizes, control for comorbidities, and long‐term follow‐up.

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Section: Resultsmentioning

confidence: 90%

Nonpharmacological Approaches to the Management of Chronic Pain in Community‐Dwelling Older Adults: A Review of Empirical Evidence

Park

Hughes

2012

J American Geriatrics Society

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“…This may have limited the treatment effectiveness for the investigated population. One argument against this point, however, is that previous research appears to suggest that treatments specifically designed for older people have not produced results that one would expect based on the data from younger adults (11,12). Furthermore, a recent study suggests older adults with chronic pain are more likely to respond to ACT than other psychological treatments (21).…”

Section: Discussionmentioning

confidence: 99%

Treatment of Chronic Pain for Adults 65 and Over: Analyses of Outcomes and Changes in Psychological Flexibility Following Interdisciplinary Acceptance and Commitment Therapy (ACT)

Scott

Daly

et al. 2016

Pain Med

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Objective: The purpose of this study was to examine the effectiveness of Acceptance and Commitment Therapy (ACT) for older adults with chronic pain. Secondarily, we examined the associations between changes on processes of psychological flexibility and treatment outcome variables.Subjects: Participants were 60 adults with chronic pain aged 65 and older selected from a larger consecutive sample of 928 adults of any age. All participants had longstanding pain that was associated with significant distress and disability.Methods: Participants completed measures of pain, functioning, and depression, and processes of psychological flexibility at baseline, immediately post-treatment, and at a nine month follow-up. Treatment consisted of a two or four week residential program based on principles of ACT delivered by an interdisciplinary team. Treatment was designed to increase daily functioning by enhancing key processes of psychological flexibility, including openness, awareness, and committed action.Results: Participants showed significant improvements in functioning and mental health at posttreatment. Participants also showed significant increases in pain acceptance and committed action from pre-to post-treatment. Small effect sizes were observed for most treatment outcome and process variables in the pre-treatment to follow-up intervals; however, these improvements were not statistically significant. In secondary analyses, changes in facets of psychological flexibility were significantly associated with improvements in social functioning and mental health.Chronic pain in older adults 3Conclusion: This study supports the potential effectiveness of ACT for chronic pain among older adults. Future research is needed to determine how to maximize the impact of this treatment, particularly through greater impact on psychological flexibility.

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“…Those who indicated satisfaction with the early modules continued in the program. Personality traits (extraversion, openness to experience, agreeableness) and emotional characteristics (catastrophizing, neuroticism) can affect satisfaction with treatment (Green, Hadjistavropoulos, & Sharpe, 2009); this was not explored in this study. In questioning participants' satisfaction with modules weekly, participants may have formally recognized their own satisfaction or dissatisfaction with treatment, which might have prompted a conscious decision to either continue or abandon treatment.…”

Section: Usabilitymentioning

confidence: 99%

Guided Internet-based Psycho-educational Intervention Using Cognitive Behavioral Therapy and Self-management for Individuals with Chronic Pain: A Feasibility Study

Perry

VanDenKerkhof

Wilson

et al. 2017

Pain Management Nursing

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A Controlled Investigation of a Cognitive Behavioural Pain Management Program for Older Adults

Cited by 22 publications

References 10 publications

Nonpharmacological Approaches to the Management of Chronic Pain in Community‐Dwelling Older Adults: A Review of Empirical Evidence

Nonpharmacological Approaches to the Management of Chronic Pain in Community‐Dwelling Older Adults: A Review of Empirical Evidence

Treatment of Chronic Pain for Adults 65 and Over: Analyses of Outcomes and Changes in Psychological Flexibility Following Interdisciplinary Acceptance and Commitment Therapy (ACT)

Guided Internet-based Psycho-educational Intervention Using Cognitive Behavioral Therapy and Self-management for Individuals with Chronic Pain: A Feasibility Study

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