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Effects of a peer-led pain management program for nursing home residents with chronic pain: a pilot study

Effects of a peer-led pain management program for nursing home residents with chronic pain: a pilot study
Effects of a peer-led pain management program for nursing home residents with chronic pain: a pilot study
Objectives To examine the feasibility of a peer-led pain management program among nursing home residents. Design A quasi-experimental design. Setting Two nursing homes. Subjects Fifty nursing home residents. Methods The experimental group (n = 32) was given a 12-week group-based peer-led pain management program. There were two 1-hour sessions per week. Education in pain and demonstrations of nonpharmacological pain management strategies were provided. The research team and 12 trained peers led the sessions. The control group (n = 18) received one 1-hour session of pain management program each week over 12 weeks from the research team only. Outcome measures for the participants were collected at baseline (P1) and at week 12 (P2). Data from peer volunteers were collected prior to training (V1) and at week 12 (V2). T-tests were used to compare the differences in outcome measures collected at two time points. Results There was a significant reduction in pain intensity from 5.8 ± 2.6 (P1) to 3.4 ± 2.5 (P2) for the experimental group (p = 0.003) and from 6.3 ± 3.0 (P1) to 3.1±2.4 (P2) for the control group (p = 0.001). Activities of daily living significantly improved for both the experimental group (p = 0.008) and the control group (p = 0.014). There was an enhancement in happiness level for the experimental group (p < 0.001), while the loneliness level dropped significantly for the experimental group (p < 0.001) and the control group (p = 0.031). The peer volunteers showed a significant increase in self-rated pain management knowledge (2.9 ± 2.6 to 8.1 ± 1.2, p<0.001)andself-efficacyinvolunteering(5.8±2.9 to 8.3 ± 1.5, p = 0.032). Conclusion The peer-led pain management program was feasible and has potential in relieving chronic pain and enhancing the physical and psychological health of nursing home residents.
Chronic pain, Exercise, Older adults, Pain management, Peer
1526-2375
1648-1657
Tse, Mimi Mun Yee
5d902c2e-ce73-4192-ab5f-ad99457d5ea2
Yeung, Suey Shuk Yu
02192276-663e-4969-9fb9-dd9fb898fe77
Lee, Paul Hong
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Ng, Shamay Sheung Mei
6b3d5c59-13fe-4e80-b9ce-adaa496c9ebb
Tse, Mimi Mun Yee
5d902c2e-ce73-4192-ab5f-ad99457d5ea2
Yeung, Suey Shuk Yu
02192276-663e-4969-9fb9-dd9fb898fe77
Lee, Paul Hong
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Ng, Shamay Sheung Mei
6b3d5c59-13fe-4e80-b9ce-adaa496c9ebb

Tse, Mimi Mun Yee, Yeung, Suey Shuk Yu, Lee, Paul Hong and Ng, Shamay Sheung Mei (2016) Effects of a peer-led pain management program for nursing home residents with chronic pain: a pilot study. Pain Medicine (United States), 17 (9), 1648-1657. (doi:10.1093/pm/pnv121).

Record type: Article

Abstract

Objectives To examine the feasibility of a peer-led pain management program among nursing home residents. Design A quasi-experimental design. Setting Two nursing homes. Subjects Fifty nursing home residents. Methods The experimental group (n = 32) was given a 12-week group-based peer-led pain management program. There were two 1-hour sessions per week. Education in pain and demonstrations of nonpharmacological pain management strategies were provided. The research team and 12 trained peers led the sessions. The control group (n = 18) received one 1-hour session of pain management program each week over 12 weeks from the research team only. Outcome measures for the participants were collected at baseline (P1) and at week 12 (P2). Data from peer volunteers were collected prior to training (V1) and at week 12 (V2). T-tests were used to compare the differences in outcome measures collected at two time points. Results There was a significant reduction in pain intensity from 5.8 ± 2.6 (P1) to 3.4 ± 2.5 (P2) for the experimental group (p = 0.003) and from 6.3 ± 3.0 (P1) to 3.1±2.4 (P2) for the control group (p = 0.001). Activities of daily living significantly improved for both the experimental group (p = 0.008) and the control group (p = 0.014). There was an enhancement in happiness level for the experimental group (p < 0.001), while the loneliness level dropped significantly for the experimental group (p < 0.001) and the control group (p = 0.031). The peer volunteers showed a significant increase in self-rated pain management knowledge (2.9 ± 2.6 to 8.1 ± 1.2, p<0.001)andself-efficacyinvolunteering(5.8±2.9 to 8.3 ± 1.5, p = 0.032). Conclusion The peer-led pain management program was feasible and has potential in relieving chronic pain and enhancing the physical and psychological health of nursing home residents.

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More information

Published date: 1 September 2016
Additional Information: Publisher Copyright: © 2016 American Academy of Pain Medicine. All rights reserved.
Keywords: Chronic pain, Exercise, Older adults, Pain management, Peer

Identifiers

Local EPrints ID: 475347
URI: http://eprints.soton.ac.uk/id/eprint/475347
ISSN: 1526-2375
PURE UUID: de9530de-c906-41e5-8c5a-c2cac1b62f0e
ORCID for Paul Hong Lee: ORCID iD orcid.org/0000-0002-5729-6450

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Date deposited: 15 Mar 2023 17:48
Last modified: 17 Mar 2024 04:16

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Contributors

Author: Mimi Mun Yee Tse
Author: Suey Shuk Yu Yeung
Author: Paul Hong Lee ORCID iD
Author: Shamay Sheung Mei Ng

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