Self-management strategies to reduce pain and improve function among older adults in community settings: a review of the evidence
Language: 
English
Short Title: 
Self-management strategies to reduce pain and improve function among older adults in community settings
Abstract: 

CONTEXT: Self-management strategies for pain hold substantial promise as a means of reducing pain and improving function among older adults with chronic pain, but their use in this age group has not been well defined. OBJECTIVE: To review the evidence regarding self-management interventions for pain due to musculoskeletal disorders among older adults. DESIGN: We searched the Medline and Cumulative Index to Nursing and Allied Health Literature databases to identify relevant articles for review and analyzed English-language articles that presented outcome data on pain, function, and/or other relevant endpoints and evaluated programs/strategies that could be feasibly implemented in the community. Abstracted information included study sample characteristics, estimates of treatment effect, and other relevant outcomes when present. RESULTS: Retained articles (N = 27) included those that evaluated programs sponsored by the Arthritis Foundation and other programs/strategies including yoga, massage therapy, Tai Chi, and music therapy. Positive outcomes were found in 96% of the studies. Proportionate change in pain scores ranged from an increase of 18% to a reduction of 85% (median = 23% reduction), whereas change in disability scores ranged from an increase of 2% to a reduction of 70% (median = 19% reduction). Generalizability issues identified included limited enrollment of ethnic minority elders, as well as non-ethnic elders aged 80 and above. CONCLUSIONS: Our results suggest that a broad range of self-management programs may provide benefits for older adults with chronic pain. Research is needed to establish the efficacy of the programs in diverse age and ethnic groups of older adults and identify strategies that maximize program reach, retention, and methods to ensure continued use of the strategies over time.

Author(s): 
Reid, M. Carrington
Papaleontiou, Maria
Ong, Anthony
Breckman, Risa
Wethington, Elaine
Pillemer, Karl
Item Type: 
Journal Article
Publication Title: 
Pain Medicine (Malden, Mass.)
Journal Abbreviation: 
Pain Med
Publication Date: 
2008-06
Publication Year: 
2008
Pages: 
409-424
Volume: 
9
Issue: 
4
ISSN: 
1526-4637
DOI: 
10.1111/j.1526-4637.2008.00428.x
Library Catalog: 
PubMed
Extra: 
PMID: 18346056 PMCID: PMC3407960

Turabian/Chicago Citation

M. Carrington Reid, Maria Papaleontiou, Anthony Ong, Risa Breckman, Elaine Wethington and Karl Pillemer. 2008-06. "Self-management strategies to reduce pain and improve function among older adults in community settings: a review of the evidence." Pain Medicine (Malden, Mass.) 9: 4: 409-424. 10.1111/j.1526-4637.2008.00428.x.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1111/j.1526-4637.2008.00428.x | issn = 1526-4637 | volume = 9 | pages = 409-424 | last = Reid | first = M. Carrington | coauthors = Papaleontiou, Maria, Ong, Anthony, Breckman, Risa, Wethington, Elaine, Pillemer, Karl | title = Self-management strategies to reduce pain and improve function among older adults in community settings: a review of the evidence | journal = Pain Medicine (Malden, Mass.) | date = 2008-06 | pmid = | pmc = }} </ref>