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An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents with chronic pain and an evaluation of their experiences: a pilot randomized controlled trial

An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents with chronic pain and an evaluation of their experiences: a pilot randomized controlled trial
An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents with chronic pain and an evaluation of their experiences: a pilot randomized controlled trial
Background: 80% of nursing home residents have reported chronic pain, which is often accepted by older adults as part of aging. Peer support models are being used to help individuals manage their chronic conditions and overcome the challenges of limited healthcare resources. The aims of this study were: (i) to examine the effectiveness of a 12 week peer-led pain management program (PAP) for nursing home residents and (ii) to evaluate their experiences. Methods: A cluster randomized controlled trial (RCT) was used. The 12 week pain management program was provided for the experimental group. Outcomes were measured at three time points. The participants’ satisfaction and acceptance were evaluated by a semi-structured interview after the program was completed. Results: Pain self-efficacy, pain intensity, pain interference, pain knowledge, and depression levels improved after the completion of the 12 week peer-led PAP. The pain-intensity level reported at week 12 was significantly lower in the experimental group than in the control group. Semi-structured interviews showed that the nursing home residents were satisfied with the pain education that they received. Conclusions: The 12 week peer-led PAP appeared to improve the pain-related and psychological outcome measures in nursing home residents, and the feedback on the peer-led PAP from the nursing home residents was positive.
Older adults, Pain education, Pain management program, Peer led
1661-7827
Tse, Mimi
5d902c2e-ce73-4192-ab5f-ad99457d5ea2
Li, Yajie
3d6153d5-53cf-4780-8bd1-da5a756142f4
Tang, Shuk Kwan
43169605-f8c0-4c55-a6e4-4cc2664eb7b2
Ng, Shamay S.M.
6b3d5c59-13fe-4e80-b9ce-adaa496c9ebb
Bai, Xue
eef8d3ce-99bd-49aa-a999-629bb54f8651
Lee, Paul H.
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Lo, Raymond
2042fdb4-840f-42f1-bae5-dddcb39d55ea
Yeung, Suey Shuk Yu
02192276-663e-4969-9fb9-dd9fb898fe77
Tse, Mimi
5d902c2e-ce73-4192-ab5f-ad99457d5ea2
Li, Yajie
3d6153d5-53cf-4780-8bd1-da5a756142f4
Tang, Shuk Kwan
43169605-f8c0-4c55-a6e4-4cc2664eb7b2
Ng, Shamay S.M.
6b3d5c59-13fe-4e80-b9ce-adaa496c9ebb
Bai, Xue
eef8d3ce-99bd-49aa-a999-629bb54f8651
Lee, Paul H.
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Lo, Raymond
2042fdb4-840f-42f1-bae5-dddcb39d55ea
Yeung, Suey Shuk Yu
02192276-663e-4969-9fb9-dd9fb898fe77

Tse, Mimi, Li, Yajie, Tang, Shuk Kwan, Ng, Shamay S.M., Bai, Xue, Lee, Paul H., Lo, Raymond and Yeung, Suey Shuk Yu (2020) An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents with chronic pain and an evaluation of their experiences: a pilot randomized controlled trial. International Journal of Environmental Research and Public Health, 17 (11), [4090]. (doi:10.3390/ijerph17114090).

Record type: Article

Abstract

Background: 80% of nursing home residents have reported chronic pain, which is often accepted by older adults as part of aging. Peer support models are being used to help individuals manage their chronic conditions and overcome the challenges of limited healthcare resources. The aims of this study were: (i) to examine the effectiveness of a 12 week peer-led pain management program (PAP) for nursing home residents and (ii) to evaluate their experiences. Methods: A cluster randomized controlled trial (RCT) was used. The 12 week pain management program was provided for the experimental group. Outcomes were measured at three time points. The participants’ satisfaction and acceptance were evaluated by a semi-structured interview after the program was completed. Results: Pain self-efficacy, pain intensity, pain interference, pain knowledge, and depression levels improved after the completion of the 12 week peer-led PAP. The pain-intensity level reported at week 12 was significantly lower in the experimental group than in the control group. Semi-structured interviews showed that the nursing home residents were satisfied with the pain education that they received. Conclusions: The 12 week peer-led PAP appeared to improve the pain-related and psychological outcome measures in nursing home residents, and the feedback on the peer-led PAP from the nursing home residents was positive.

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More information

Accepted/In Press date: 5 June 2020
Published date: 8 June 2020
Additional Information: Funding Information: Funding: This study was funded by the Health and Medical Research Fund of the Food and Health Bureau, Hong Kong SAR Government (Ref. 15161051). Funding Information: This study was funded by the Health and Medical Research Fund of the Food and Health Bureau, Hong Kong SAR Government (Ref. 15161051). Publisher Copyright: © 2020 by the authors.
Keywords: Older adults, Pain education, Pain management program, Peer led

Identifiers

Local EPrints ID: 475047
URI: http://eprints.soton.ac.uk/id/eprint/475047
ISSN: 1661-7827
PURE UUID: b804e547-515d-49f2-94ad-0226981926bd
ORCID for Paul H. Lee: ORCID iD orcid.org/0000-0002-5729-6450

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Date deposited: 09 Mar 2023 18:47
Last modified: 18 Mar 2024 04:09

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Contributors

Author: Mimi Tse
Author: Yajie Li
Author: Shuk Kwan Tang
Author: Shamay S.M. Ng
Author: Xue Bai
Author: Paul H. Lee ORCID iD
Author: Raymond Lo
Author: Suey Shuk Yu Yeung

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