Self-Management Strategies to Reduce Pain and Improve Function among Older Adults in Community Settings: A Review of the Evidence

Reid, M. Carrington; Papaleontiou, Maria; Ong, Anthony D.; Breckman, Risa; Wethington, Elaine; Pillemer, Karl

doi:10.1111/j.1526-4637.2008.00428.x

Cited by 117 publications

(65 citation statements)

References 83 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The high cost and adverse side effect profiles associated with many analgesic treatments, as well as the potential for drug-drug interactions, operate as significant barriers to the use of standard pharmacologic treatments in older adults [19,74]. Based on studies conducted to date, combined pharmacologic and non-pharmacologic therapies give the best results for pain relief.…”

Section: Resultsmentioning

confidence: 99%

“…Reid et al suggested in their review (N = 27) that a broad range of self-management programs (yoga, massage therapy, TC, and music therapy) may provide benefits for older adults with CMP highlighting the need for research to establish the efficacy of the programs in different age and ethnic groups of older adults and identify strategies that maximize program reach longterm participation [74].…”

Section: Mind-body Therapiesmentioning

confidence: 99%

“…Although there are variations among these approaches, they share some or all of the following components: 1) education about pain and its consequences; 2) relaxation skills training (e.g., progressive muscle relaxation); 3) cognitive coping skills training; 4) problem solving (e.g., addressing problems with homework exercises or goals that are proposed to be met after each class); and 5) communication skills training (e.g., how to talk to physicians or health care providers about pain). In pain management, self management therapy serves to focus a patient's attention to exercise control in decreasing sympathetic arousal [37,74]. Besides patient education caregiver education is especially important for caring in the elderly.…”

Section: Complementary and Alternative Therapiesmentioning

confidence: 99%

See 2 more Smart Citations

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Edeer¹,

Tuna²

2012

Pain in Perspective

View full text Add to dashboard Cite

Pain in Perspective 94percent of community dwelling adults aged 60 years or above have been found to experience pain and this number increases to 45-80% in the nursing home population with analgesics being used in 40% to 50% of residents [1,[13][14][15][16][17][18][19]. Brown et al report higher percentage and state that more than 90% of the elderly living in the community experienced pain within the past month [6]. Given the prevalence of chronic pain, its impact on health, and its costs, which approach $100 billion annually, chronic pain represents a major public health issue [20].While the existence of acute pain remains approximately the same across the adult life span, there is an age-related increase in the prevalence of chronic pain at least until the seventh decade of life [13,15]. Approximately 57% of older adults report experiencing pain for 1 or more years compared with less than 45% of younger people. Furthermore, long-term care data indicate that over 40% of patients, who were known to have pain at an initial assessment, had worsening or severe pain at the time of the second assessment 2-6 months later [21]. Chronic musculoskeletal painChronic musculoskeletal pain (CMP) is the most common, non-malignant disabling condition that affects at least one in four older people [22,23]. The most musculoskeletal pain in the joints of the upper and lower extremities, especially hips, knees, and hands, is associated with the degenerative changes of osteoarthritis. Older adults may also develop tendonitis and bursitis, as well as inflammatory joint and muscle disease [24]. The most common painful musculoskeletal conditions among older adults are osteoarthritis, low back pain, fibromyalgia, chronic shoulder pain, knee pain, myofascial pain syndrome and previous fracture sites [7,23,25].It is reported that the most common causes of pain identified in nursing home patients included arthritis and previous fractures. Arthritis alone affects well over 20 million Americans with an increase to 40 million expected by 2020. Twenty-nine percent of Medicare patients in nursing homes with a fracture in the prior 6 months suffer with daily pain [13]. Also surgical procedures are more frequently performed on older people. In the Medicare population in the United States for example, rates of total joint replacement surgery for patients with severe hip or knee osteoarthritis are more than doubled between 1988 and 1997. Over the same time period, rates of spine surgery in Medicare patients increased by 57% [23]. Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain condition s i n o l d e r a d u l t s [ 2 6 ] . M a n y o l d e r a d u l t s r e m a i n q u i t e functional despite CLBP, and because age-related co-morbidities often exist independently of pain, the unique impact of CLBP is unknown [27]. The Framingham Study (1992-1993 reported 63% of women pain in one or more regions, compared to 52% of men. Widespread CMP was more prevalent among women than men (15 versu...

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Mind-body Therapiesmentioning

confidence: 99%

Section: Complementary and Alternative Therapiesmentioning

confidence: 99%

See 1 more Smart Citation

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Edeer¹,

Tuna²

2012

Pain in Perspective

View full text Add to dashboard Cite

show abstract

“…In a literature review, Reid et al [6] investigated the evidence on self-managed interventions for pain among older adults. A total of 27 articles were identified, including those that evaluated programs sponsored by the Arthritis Foundation and other programs such as yoga, massage therapy, Tai Chi, and music therapy.…”

Section: Introductionmentioning

confidence: 99%

Peer volunteers in an integrative pain management program for frail older adults with chronic pain: study protocol for a randomized controlled trial

Tse

Lee

et al. 2014

Trials

View full text Add to dashboard Cite

BackgroundChronic pain is common among the older population. A literature review on pain management program showed that exercise, yoga, massage therapy, Tai Chi, and music therapy could significantly reduce pain. In spite of the proven benefits of pain management programs, these intervention programs were effective only in the short term, and older adults would resume their old habits. It has been suggested that interventions comprising some type of social support have great potential to increase the participation of older adults. Therefore, we propose the inclusion of peer volunteers in an integrated pain management program to relieve pain among frail older adults. This study aims to explore the effectiveness of an integrated pain management program supplemented with peer volunteers in improving pain intensity, functional mobility, physical activity, loneliness levels, happiness levels, and the use of non-pharmacological pain-relieving methods among frail older adults with chronic pain.Methods/DesignWe intend to recruit 30 nursing home residents and 30 peer volunteers from the Institute of Active Ageing in Hong Kong in a group trial for an 8-week group-based integrated pain management program. There will be 16 sessions, with two 1-hour sessions each week.The primary outcome will be pain levels, while secondary outcomes will be assessed according to functional mobility, physical activity, loneliness levels, happiness levels, the use of non-pharmacological pain-relieving methods, and through a questionnaire for volunteers.DiscussionIn view of the high prevalence of chronic pain among older adults and its adverse impacts, it is important to provide older adults with tools to control their pain. We propose the use of peer volunteers to enhance the effects of an integrated pain management program. It is expected that pain can be reduced and improvements can be achieved among older adults in the areas of physical activity, functional mobility, loneliness levels, happiness levels, and the use of non-pharmacological pain relieving methods. Using these results, we will assess the need to conduct a larger study with a randomized controlled design.Trial registrationThis trial was registered on 24 February 2014 at the Australian New Zealand Clinical Trials Registry (ANZCTR) with the trial number: ACTRN12614000195651

show abstract

“…The ICPI was well received by participants and demonstrated positive outcomes in this preliminary study. Further research with more participants is feasible and While research has established the effectiveness of these therapies, delivered via traditional face-toface methods, for those with chronic pain (Broderick et al, 2014;Hoffman, Papas, Chatkoff, & Kerns, 2007;LeFort, Gray-Donald, Rowat, & Jeans, 1998;McCracken, MacKichan, & Eccleston, 2007;Nicholas et al, 2010;Reid et al, 2008;Sveinsdottir, Eriksen, & Reme, 2012), early studies documenting delivery of these therapies online involved individuals with depression, anxiety, other social and mood disorders (Andersson, 2006;Andersson, Bergstrom, Carlbring, & Lindefors, 2005;, and other chronic diseases (Ghahari, Packer, & Passmore, 2009;Kerr et al, 2010;Lorig, Ritter, Laurent, & Plant, 2006). The effect of an Internet-based chronic pain psycho-educational intervention that included selfmanagement and CBT had not been studied in depth prior to initiation of this project.…”

mentioning

confidence: 97%

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

View full text Add to dashboard Cite

Self-Management Strategies to Reduce Pain and Improve Function among Older Adults in Community Settings: A Review of the Evidence

Cited by 117 publications

References 83 publications

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Peer volunteers in an integrative pain management program for frail older adults with chronic pain: study protocol for a randomized controlled trial

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

Contact Info

Product

Resources

About