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

article

Mimi M. Y. Tse¹  Shamay S. M. Ng²  Paul H. Lee³  Xue Bai⁴  Raymond Lo⁵  Shuk Kwan Tang¹  Ka Long Chan⁶  Yajie Li⁷ 

[1] School of Nursing, The Hong Kong Polytechnic University;Department of Rehabilitation Sciences, The Hong Kong Polytechnic University;Department of Health Sciences, The University of Leicester, United Kingdom;Department of Applied Social Sciences, The Hong Kong Polytechnic University;Department of Geriatrics and Palliative Medicine, Shatin Hospital, Hospital Authority;Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic University;School of Nursing, University of Hong Kong

关键词: chronic pain;    nursing home residents;    pain management program;    peer-led;    randomized controlled trial;   

DOI  :  10.3389/fmed.2021.709141

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

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/ {"type":"clinical-trial","attrs":{"text":"NCT03823495","term_id":"NCT03823495"}} NCT03823495 , {"type":"clinical-trial","attrs":{"text":"NCT03823495","term_id":"NCT03823495"}} NCT03823495 .

【 授权许可】

CC BY