Telephone‐based management of chronic pain in older adults in an integrated care program

Helstrom, Amy; Haratz, Josh; Chen, Shirley; Benson, Amy; Streim, Joel E.; Oslin, David W.

doi:10.1002/gps.4860

Cited by 7 publications

(17 citation statements)

References 31 publications

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“…The major findings suggest that this DPMP has the potential to relieve the pain symptoms of older adults. The results of a significant decrease in pain intensity and pain interference are in keeping with previous studies [50][51][52][53][54][55]. However, the improvement of psychological parameters was not obvious.…”

Section: Discussionsupporting

confidence: 90%

The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial

Tse

Tang

2020

IJERPH

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Background: Chronic pain is a major health problem among older adults and their informal caregivers, which has negative effects on their physical and psychological status. The dyadic pain management program (DPMP) is provided to community-dwelling older adults and informal caregivers to help the dyads reduce pain symptoms, improve the quality of life, develop good exercise habits, as well as cope and break the vicious circle of pain. Methods: A pilot randomized controlled trial was designed and all the dyads were randomly divided into two groups: the DPMP group and control group. Dyads in the DPMP group participated in an 8-week DPMP (4-week face-to-face program and 4-week home-based program), whereas dyads in the control group received one page of simple pain-related information. Results: In total, 64 dyads participated in this study. For baseline comparisons, no significant differences were found between the two groups. After the interventions, the pain score was significantly reduced from 4.25 to 2.57 in the experimental group, respectively. In the repeated measures ANOVA, the differences in pain score (F = 107.787, p < 0.001, d = 0.777) was statistically significant for the group-by-time interaction. After the interventions, the experimental group participants demonstrated significantly higher pain self-efficacy compared with the control group (F = 80.535, p < 0.001, d = 0.722). Furthermore, the elderly increased exercise time significantly (F = 111.212, p < 0.001, d = 0.782) and reported developing good exercise habits. Conclusions: These results provide preliminary support for the effectiveness of a DPMP for relieving the symptoms of chronic pain among the elderly.

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Section: Discussionsupporting

confidence: 90%

The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial

Tse

Tang

2020

IJERPH

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“…Similar studies support this finding with users of psychotropic drugs reporting poor pain control [ 42 , 43 ]. Helstrom and colleagues (2018) found that chronic pain was identified in 14% of 250 older adults who were recently prescribed a psychotropic medication, who also reported pain interference with daily activities [ 44 ]. It is important to note that pain is often a symptom of mental illness, such as depression, and mentally ill persons may be untreated for their pain due to the priority given to treating symptoms of mental illness [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

et al. 2020

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African-American older adults, particularly those who live in economically deprived areas, are less likely to receive pain and psychotropic medications, compared to Whites. This study explored the link between social, behavioral, and health correlates of pain and psychotropic medication use in a sample of economically disadvantaged African-American older adults. This community-based study recruited 740 African-American older adults who were 55+ yeas-old in economically disadvantaged areas of South Los Angeles. Opioid-based and psychotropic medications were the outcome variables. Gender, age, living arrangement, socioeconomic status (educational attainment and financial strain), continuity of medical care, health management organization membership, sleeping disorder/insomnia, arthritis, back pain, pain severity, self-rated health, depressive symptoms, and major chronic conditions were the explanatory variables. Logistic regression was used for data analyses. Arthritis, back pain, severe pain, and poor self-rated health were associated with opioid-based medications. Pain severity and depressive symptoms were correlated with psychotropic medication. Among African-American older adults, arthritis, back pain, poor self-rated health, and severe pain increase the chance of opioid-based and psychotropic medication. Future research should test factors that can reduce inappropriate and appropriate use and prescription of opioid-based and psychotropic medication among economically disadvantaged African-American older adults.

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“…Of the eight included studies, one was a randomised controlled trial (RCT), 24 one was a randomised trial (no control), 23 two were non-randomised trials, 25,28 one was a longitudinal case-control study, 26 one had a single-case experimental design, 27 one was a retrospective cohort analysis 29 and one was a descriptive study. 30 Participant characteristics are demonstrated in Table 1.…”

Section: Study and Participant Characteristicsmentioning

confidence: 99%

“…Graded activation guided by participant goals was present in four interventions. 24,26,29,30 Goal setting was used in all four of these studies and coincided with physical activity 24,26,30 and self-care. 29 'Relapse prevention', a strategy aimed at facilitating maintenance of change, was present in two of these studies.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

What is the content of virtually delivered pain management programmes for people with persistent musculoskeletal pain? A systematic review

Booth

Williams

Patel

et al. 2021

British Journal of Pain

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Introduction: Virtual consultations (VC) have been embraced by healthcare organisations during the COVID-19 pandemic. VC allows continuation of patient care while adhering to government advised restrictions and social distancing measures. Multidisciplinary pain management programmes (PMPs) are a core element of many pain services and utilising virtual methods to deliver PMPs has allowed them to continue to provide care. This systematic review aimed to explore the content of existing virtually delivered PMPs and discuss if and how these findings can be used to guide clinical delivery. Methods: Eligible studies included adults (aged ⩾18 years) with persistent musculoskeletal pain and any virtually delivered intervention that was described as a PMP or that had components of PMPs. Databases were searched from inception until July 2020. We performed a content analysis comparing existing interventions with established evidence-based clinical guidelines published by the British Pain Society (BPS). Intervention reporting quality was assessed using the Template for Intervention Description and Replication (TIDieR) checklist: an established checklist developed to improve the completeness of the reporting of interventions. Results: Eight studies were included. One intervention included six of the seven components recommended by the BPS; none included all seven. ‘Skills training and activity management’ was present in all eight interventions; ‘education’ and ‘cognitive therapy methods’ were present in six interventions; ‘graded activation’ and ‘methods to enhance acceptance, mindfulness and psychological flexibility’ were present in four interventions; ‘physical exercise’ was present in two interventions and ‘graded exposure’ was present in one intervention. None of the studies described all 12 items of the TIDieR checklist adequately enough for replication. Conclusion: Published virtual PMPs partially meet established clinical guidelines. Future virtual PMPs should be based on evidence-based clinical guidelines, and more research is needed to explore the effectiveness of virtually delivered PMPs and each recommended component.

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Telephone‐based management of chronic pain in older adults in an integrated care program

Cited by 7 publications

References 31 publications

The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial

The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

What is the content of virtually delivered pain management programmes for people with persistent musculoskeletal pain? A systematic review

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