The effectiveness of an integrated pain management program for older persons and staff in nursing homes

Tse, Mun Yee Mimi; Vong, Sinfia K.S.; Ho, Suki S.K.

doi:10.1016/j.archger.2011.04.015

Cited by 39 publications

(68 citation statements)

References 51 publications

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“…Whilst studies also reported the results to the previous evidence, and provided results and reporting of findings to permit the generalisability of these to the general population in seven papers (Table 3). Only three studies provided sufficient follow-up periods to answer their research questions [31,32,40] and only five studies reported sufficient follow-up of their cohorts to account for attrition [29,31,32,40,42].…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Two studies were undertaken in the Netherlands [21,32], Canada [40,41], and China [29,42]. There was a single study from each of the following countries: Turkey [27], Taiwan [28], Japan [24], Norway [26], Italy [30], the United Kingdom (UK) [10], Australia [33] and Singapore [34].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The prevalence of musculoskeletal pain in care homes was estimated as 30.2% (95% CI: 29.9% to 30.5%; n=105,463) from 20 studies [1,10,[21][22][23][24][25][26][27][28]30,32,34,35,[37][38][39][40][41][42]. No studies were identified assessing the incidence of musculoskeletal disorders in care home residents.…”

Section: Prevalencementioning

confidence: 99%

“…Two presented the results of the same eight-week integrated pain management programme designed for older people living in nursing homes and their carers [29,42]. On meta-analysis (N=554), the findings indicated that there was no significant difference between the introduction of the integrated pain management programme compared to conventional nursing home pain management systems in respect to pain, UCLA Loneliness Scale [43], life satisfaction index [44] and Geriatric Depression Scale [45,46] p Table There was however a statistical significant difference with greater subjective happiness scores in residents for the integrated pain management programme compared to the conventional programme (MD: 1.18; 95% CI: 0.21 to 2.15; Figure 2), although this did not reach a clinically significant difference level which was regarded as a minimum of a four point difference [47].…”

Section: Managementmentioning

confidence: 99%

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The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

et al. 2015

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Purpose: To systematically review the literature describing the prevalence, impact and current management of musculoskeletal pain in older people living in care homes. All studies assessing the prevalence, impact and management of musculoskeletal disorders in older people living in care homes was included. Literature was appraised using the CASP cohort and qualitative critical appraisal tools. Data were analysed using descriptive statistical approaches, meta-analysis and meta-ethnography techniques. Materials andPrinciple Results: Twenty-four papers reporting the results of 263,775 care home residents in 12 countries were identified. The evidence-base was moderate in quality. Prevalence of musculoskeletal pain for people in care homes was 30.2% (95% confidence intervals: 29.9% to 30.5%; n=105,463). Care home residents reported that musculoskeletal pain had a significant impact on their perceived independence and overall ability to participate in everyday activities of daily living. Three papers which presented data on interventions demonstrated that whilst multi-component assessment and management packages did not significantly change clinical outcomes, these empowered care home staff to feel more confident in managing these patients.Major Conclusions: Musculoskeletal pain is a common problem in care homes worldwide and residents report significant impact on their lives. However there is uncertainty regarding how to assess and manage such pain.

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Section: Methodological Qualitymentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Prevalencementioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

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The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

et al. 2015

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“…In 2012, Tse et al 21 published their outcome report of a pain management programme for chronic non-cancer pain among elderly home residents. Over 290 elderly subjects enrolled in the 8-week programme with physical exercises and multisensory art and craft therapy, together with pain education for their carer.…”

Section: Discussionmentioning

confidence: 99%

Pain management programme for Chinese patients: a 10-year outcome review

Chu¹,

Law²,

Cheung³

et al. 2015

Hong Kong Med J

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Interventions Associated With Reduced Loneliness and Social Isolation in Older Adults

et al. 2022

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ImportanceLoneliness and social isolation are public health concerns faced by older adults due to physical, cognitive, and psychosocial changes that develop with aging. Loneliness and social isolation are associated with increased morbidity and mortality.ObjectiveTo evaluate interventions, targeting older adults, associated with a reduction in loneliness and social isolation.Data SourcesOVID, CINAHL, CENTRAL, Embase, PsychINFO, Web of Science, and Scopus were searched from inception to March 2020.Study SelectionPeer-reviewed randomized clinical trials measuring loneliness and social isolation or support in adults aged 65 years or older. Only English language articles were included.Data Extraction and SynthesisTwo independent reviewers screened studies, extracted data, and assessed risk of bias. Random-effects models were performed to pool the overall effect size by intervention. Statistical heterogeneity was evaluated with the I2 statistic and by estimating prediction intervals. Data were analyzed from November 2021 to September 2022.Main Outcomes and MeasuresQuantitative measures of loneliness, social isolation, or social support based on an effect size of standardized mean differences.ResultsSeventy studies were included in the systematic review (8259 participants); 44 studies were included in the loneliness meta-analysis (33 in the community with 3535 participants; 11 in long-term care with 1057 participants), with participants’ ages ranging from 55 to 100 years. Study sizes ranged from 8 to 741 participants. Interventions included animal therapy, psychotherapy or cognitive behavioral therapy, multicomponent, counseling, exercise, music therapy, occupational therapy, reminiscence therapy, social interventions, and technological interventions. Most interventions had a small effect size. Animal therapy in long-term care, when accounting for studies with no active controls, had the largest effect size on loneliness reduction (−1.86; 95% CI, −3.14 to −0.59; I2 = 86%) followed by technological interventions (videoconferencing) in long-term care (−1.40; 95% CI, −2.37 to −0.44; I2 = 70%).Conclusions and RelevanceIn this study, animal therapy and technology in long-term care had large effect sizes, but also high heterogeneity, so the effect size’s magnitude should be interpreted with caution. The small number of studies per intervention limits conclusions on sources of heterogeneity. Overall quality of evidence was very low. Future studies should consider measures of social isolation in long-term care and identify the contextual components that are associated with a reduction in loneliness.

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The effectiveness of an integrated pain management program for older persons and staff in nursing homes

Cited by 39 publications

References 51 publications

The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

Pain management programme for Chinese patients: a 10-year outcome review

Interventions Associated With Reduced Loneliness and Social Isolation in Older Adults

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