Effectiveness of a peer-led pain management program in relieving chronic pain and enhancing pain self-efficacy among older adults: a clustered randomized controlled trial
Effectiveness of a peer-led pain management program in relieving chronic pain and enhancing pain self-efficacy among older adults: a clustered randomized controlled trial
Chronic pain is common in nursing home residents, who may have difficulty seeking out pain management strategies. Peer support model show promise as a strategy for managing chronic conditions. This was a clustered randomized controlled trial. A peer-led pain management program was provided for the experimental group. Pain situation, depression, quality of life, non-drug strategies used, and pain knowledge were measured. A total of 262 participants joined the study (146 were allocated as experimental group and 116 as control group). Before our intervention, the mean pain score reported was as high as 6.36 on a 10-point Likert Scale. The high intensity of their pain very much interfered with the daily activities of the participants. Pain interference was high and the participants had poor coping as indicated by the low pain self-efficacy. Depression and a low quality of life score was found. Upon completion of our PAP, there was a significant increase in pain self-efficacy, pain interference as well as quality of life for the participants in the experimental group and not in the control group, and this improvement sustained in 3-month follow up. The present study used a peer support models and proven to be effective in managing pain and pain related situations for nursing home residents with chronic pain. The peer volunteers involved in the pain management program taught relevant pain knowledge and pain management strategies to help our participants. Clinical Trial Registration: https://clinicaltrials.gov/ct2/show/NCT03823495, NCT03823495.
chronic pain, nursing home residents, pain management program, peer-led, randomized controlled trial
Tse, Mimi M.Y.
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Ng, Shamay S.M.
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Lee, Paul H.
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Bai, Xue
eef8d3ce-99bd-49aa-a999-629bb54f8651
Lo, Raymond
2042fdb4-840f-42f1-bae5-dddcb39d55ea
Tang, Shuk Kwan
43169605-f8c0-4c55-a6e4-4cc2664eb7b2
Chan, Ka Long
c12d6436-1163-41ee-8696-8fbf05cefffd
Li, Yajie
3d6153d5-53cf-4780-8bd1-da5a756142f4
5 August 2021
Tse, Mimi M.Y.
5d902c2e-ce73-4192-ab5f-ad99457d5ea2
Ng, Shamay S.M.
6b3d5c59-13fe-4e80-b9ce-adaa496c9ebb
Lee, Paul H.
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Bai, Xue
eef8d3ce-99bd-49aa-a999-629bb54f8651
Lo, Raymond
2042fdb4-840f-42f1-bae5-dddcb39d55ea
Tang, Shuk Kwan
43169605-f8c0-4c55-a6e4-4cc2664eb7b2
Chan, Ka Long
c12d6436-1163-41ee-8696-8fbf05cefffd
Li, Yajie
3d6153d5-53cf-4780-8bd1-da5a756142f4
Tse, Mimi M.Y., Ng, Shamay S.M., Lee, Paul H., Bai, Xue, Lo, Raymond, Tang, Shuk Kwan, Chan, Ka Long and Li, Yajie
(2021)
Effectiveness of a peer-led pain management program in relieving chronic pain and enhancing pain self-efficacy among older adults: a clustered randomized controlled trial.
Frontiers in Medicine, 8, [709141].
(doi:10.3389/fmed.2021.709141).
Abstract
Chronic pain is common in nursing home residents, who may have difficulty seeking out pain management strategies. Peer support model show promise as a strategy for managing chronic conditions. This was a clustered randomized controlled trial. A peer-led pain management program was provided for the experimental group. Pain situation, depression, quality of life, non-drug strategies used, and pain knowledge were measured. A total of 262 participants joined the study (146 were allocated as experimental group and 116 as control group). Before our intervention, the mean pain score reported was as high as 6.36 on a 10-point Likert Scale. The high intensity of their pain very much interfered with the daily activities of the participants. Pain interference was high and the participants had poor coping as indicated by the low pain self-efficacy. Depression and a low quality of life score was found. Upon completion of our PAP, there was a significant increase in pain self-efficacy, pain interference as well as quality of life for the participants in the experimental group and not in the control group, and this improvement sustained in 3-month follow up. The present study used a peer support models and proven to be effective in managing pain and pain related situations for nursing home residents with chronic pain. The peer volunteers involved in the pain management program taught relevant pain knowledge and pain management strategies to help our participants. Clinical Trial Registration: https://clinicaltrials.gov/ct2/show/NCT03823495, NCT03823495.
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More information
Accepted/In Press date: 13 July 2021
Published date: 5 August 2021
Additional Information:
Funding Information:
This research was supported by the Health and Medical Research Fund of the Food and Health Bureau, Hong Kong SAR Government (Ref. 15161051).
Funding Information:
The authors thank all of the participating nursing homes, as well as the Institute of Active Aging and the School of Nursing, The Hong Kong Polytechnic University. Funding. This research was supported by the Health and Medical Research Fund of the Food and Health Bureau, Hong Kong SAR Government (Ref. 15161051).
Publisher Copyright:
© Copyright © 2021 Tse, Ng, Lee, Bai, Lo, Tang, Chan and Li.
Keywords:
chronic pain, nursing home residents, pain management program, peer-led, randomized controlled trial
Identifiers
Local EPrints ID: 474958
URI: http://eprints.soton.ac.uk/id/eprint/474958
ISSN: 2296-858X
PURE UUID: 46f6b995-a7e1-4cd3-9aa5-239dfd5b6e88
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Date deposited: 07 Mar 2023 17:46
Last modified: 06 Jun 2024 02:15
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Contributors
Author:
Mimi M.Y. Tse
Author:
Shamay S.M. Ng
Author:
Paul H. Lee
Author:
Xue Bai
Author:
Raymond Lo
Author:
Shuk Kwan Tang
Author:
Ka Long Chan
Author:
Yajie Li
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