A Pilot Study of a Chronic Pain Self-Management Program Delivered by Community Health Workers to Underserved African American Older Adults

Janevic, Mary R.; Robinson‐Lane, Sheria G.; Murphy, Susan L.; Courser, Rebecca; Piette, John D.

doi:10.1093/pm/pnaa468

Cited by 11 publications

(14 citation statements)

References 66 publications

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“…In this study, the digital self‐management program demonstrated superior 6‐month outcomes for both pain and functional status relative to usual and customary medical care 104. Other condition‐specific versions of PainGuide have demonstrated similar efficacy including for osteoarthritis (“ENGAGE”),105 chemotherapy‐induced peripheral neuropathy (“PROSPECT”),106 multiple sclerosis (My MSToolkit),107 and geriatric musculoskeletal pain (“STEPS”) 108…”

Section: A Closer Look At Nociplastic Painmentioning

confidence: 78%

“… 104 Other condition‐specific versions of PainGuide have demonstrated similar efficacy including for osteoarthritis (“ENGAGE”), 105 chemotherapy‐induced peripheral neuropathy (“PROSPECT”), 106 multiple sclerosis (My MSToolkit), 107 and geriatric musculoskeletal pain (“STEPS”). 108 …”

Section: A Closer Look At Nociplastic Painmentioning

confidence: 99%

“…[104] Other condition-specific versions of PainGuide have demonstrated similar efficacy including for osteoarthritis ("ENGAGE"), [105] chemotherapy-induced peripheral neuropathy ("PROSPECT"), [106] multiple sclerosis (My MSToolkit), [107] and geriatric musculoskeletal pain ("STEPS"). [108] Classic analgesic therapy is of limited efficacy for nociplastic pain, [47] although NSAIDs and acetaminophen may be helpful for relieving peripheral pain that could presumably be contributing to central sensitization. [13] Lowdose tricyclic compounds (e.g., low-dose cyclobenzaprine 5-20 mg at bedtime) are first-line and can relieve multiple symptoms.…”

Section: Treatmentmentioning

confidence: 99%

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Contemporary management of pain in cirrhosis: Toward precision therapy for pain

et al. 2022

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Chronic pain is highly prevalent in patients with cirrhosis and is associated with poor health‐related quality of life and poor functional status. However, there is limited guidance on appropriate pain management in this population, and pharmacologic treatment can be harmful, leading to adverse outcomes, such as gastrointestinal bleeding, renal injury, falls, and hepatic encephalopathy. Chronic pain can be categorized mechanistically into three pain types: nociceptive, neuropathic, and nociplastic, each responsive to different therapies. By discussing the identification, etiology, and treatment of these three mechanistic pain descriptors with a focus on specific challenges in patients with cirrhosis, we provide a framework for better tailoring treatments, including nonpharmacologic therapies, to patients' needs.

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Section: A Closer Look At Nociplastic Painmentioning

confidence: 78%

Section: A Closer Look At Nociplastic Painmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

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Contemporary management of pain in cirrhosis: Toward precision therapy for pain

et al. 2022

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“…15 A progressive muscle relaxation showed a significant result in coping strategies when the elderly feel pain. 27 The evaluation results showed an increase of the percentage in WOMAC scoring in the low category after the intervention. A progressive muscle relaxation technique is one of the coping strategies to reduce the scale of joint pain.…”

Section: Discussionmentioning

confidence: 91%

Modification of cognitive behavior therapy to improve the skill of elderly with osteoarthritis

Istifada

Rekawati

Widyatuti

2021

J Community Empowerment for Health

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One of the characteristics of physical changes in the elderly involves a decrease in the musculoskeletal system, such as the depletion of the synovial joint fluid which has an impact on the pain felt in joints. This condition can cause a disruption of the quality of life for the elderly and results in increases in the family burden. The purpose of cognitive-behavioral therapy in nurse care planning is to provide an overview of the implementation of family care nursing, community care health nursing, and management of health services by community health nurses to the elderly with osteoarthritis. The innovation and development of this senior citizen community program, initially named Lansia SMART (SMART Elderly), consists of six sessions, including psychoeducation sessions, cognitive restructuring sessions, pain management sessions with progressive muscle relaxation, activity scheduling sessions, problem-solving sessions, and tutorial sessions for the Lansia SMART (SMART Elderly) group with the Android application. The final maintaining challenging stage of these services involved 59 elderly participants. Data analysis used paired T-tests. The results of this innovation showed significant differences in the behavior of the elderly participants after the implementation of the SMART Elderly program (p < 0.05). The SMART Elderly program was effective to improve the elderly participants’ behavior. Nurses can use cognitive behavioral therapy to improve the process of self-management of osteoarthritis among their clients.

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“…Overall session attendance was high; rates ranged from 82.5% 23 to 95%. 24 We considered program reach (ie, the number of people exposed to the disseminated information) in some studies where attendance or participation numbers could not be determined. These studies are discussed under the "reach" subcategory below.…”

Section: Attendancementioning

confidence: 99%

Initiatives Targeting Patients

Yarycky,

Castillo,

Gagnon

et al. 2024

The Clinical Journal of Pain

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Objectives: Older adults frequently suffer from pain but are often unaware of self-management and other strategies that can help improve their condition. In a related article, we reported on pain assessment and management knowledge translation initiatives related to older adults that were targeting health professionals. In this paper, we report on initiatives targeting older adults. Methods: Using systematic review methodology, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycInfo, and Web of Science databases were searched from inception to June 2023. Pain-related KT programs targeted towards older adults, their informal caregivers and health care professionals were examined. Results: From an initial 21,669 search results, 172 studies met our inclusion criteria. Of these studies, 49 targeted older adults. These studies varied widely in focus and delivery format, but the majority were associated with significant risk of bias. Older adults with musculoskeletal pain were the primary recipients of education. Most programs were classified as knowledge mobilization initiatives. The remainder were considered self-management programs. Knowledge users were satisfied with the suitability of information presented, and patient outcomes were a primary concern across all studies. Behavioral changes and pain management outcomes, however, were underemphasized in the literature. Discussion: Knowledge acquisition outcomes are overrepresented in the current literature compared to behavioral outcomes changes. Nonetheless, older adults report benefitting from the guidance provided in self-management programs when applying knowledge to practice. Future research is needed to better understand the facilitators and barriers to pain management changes in this population.

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A Pilot Study of a Chronic Pain Self-Management Program Delivered by Community Health Workers to Underserved African American Older Adults

Cited by 11 publications

References 66 publications

Contemporary management of pain in cirrhosis: Toward precision therapy for pain

Contemporary management of pain in cirrhosis: Toward precision therapy for pain

Modification of cognitive behavior therapy to improve the skill of elderly with osteoarthritis

Initiatives Targeting Patients

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