The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial
| Autor: | Angel Tang, Ziyan Li, Mimi Tse |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Health Toxicology and Mutagenesis Psychological intervention lcsh:Medicine Pilot Projects Exercise time Article law.invention older adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law informal caregiver Humans Pain Management Medicine 030212 general & internal medicine Aged Pain symptoms Aged 80 and over dyadic pain management Pain score business.industry lcsh:R Public Health Environmental and Occupational Health Chronic pain Repeated measures design Middle Aged Pain management medicine.disease Quality of Life Physical therapy Female Independent Living business chronic pain 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 14 International Journal of Environmental Research and Public Health, Vol 17, Iss 4966, p 4966 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17144966 |
| Popis: | Background: Chronic pain is a major health problem among older adults and their informal caregivers, which has negative effects on their physical and psychological status. The dyadic pain management program (DPMP) is provided to community-dwelling older adults and informal caregivers to help the dyads reduce pain symptoms, improve the quality of life, develop good exercise habits, as well as cope and break the vicious circle of pain. Methods: A pilot randomized controlled trial was designed and all the dyads were randomly divided into two groups: the DPMP group and control group. Dyads in the DPMP group participated in an 8-week DPMP (4-week face-to-face program and 4-week home-based program), whereas dyads in the control group received one page of simple pain-related information. Results: In total, 64 dyads participated in this study. For baseline comparisons, no significant differences were found between the two groups. After the interventions, the pain score was significantly reduced from 4.25 to 2.57 in the experimental group, respectively. In the repeated measures ANOVA, the differences in pain score (F = 107.787, p < 0.001, d = 0.777) was statistically significant for the group-by-time interaction. After the interventions, the experimental group participants demonstrated significantly higher pain self-efficacy compared with the control group (F = 80.535, p < 0.001, d = 0.722). Furthermore, the elderly increased exercise time significantly (F = 111.212, p < 0.001, d = 0.782) and reported developing good exercise habits. Conclusions: These results provide preliminary support for the effectiveness of a DPMP for relieving the symptoms of chronic pain among the elderly. |
| Databáze: | OpenAIRE |
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