Culturally Responsive Pain Management for Black Older Adults

Robinson‐Lane, Sheria G.; Booker, Staja Q.

doi:10.3928/00989134-20170224-03

Cited by 26 publications

(14 citation statements)

References 43 publications

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“…The Japanese mean score of the CSI (21.91; SD = 13.31) was lower than the American (52.4; SD = 14.3; 50.7; SD = 13.0) [ 34 , 35 ], Dutch (43.88; SD = 17.67) [ 36 ], and Korean (42.4; range 15–80) [ 57 ] samples. Previous studies have shown that cultural or ethnic differences influence pain and pain management [ 58 – 60 ]. Cultural differences may continue to contribute to these observed discrepancies.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Japanese version of the Central Sensitization Inventory in patients with musculoskeletal disorders

et al. 2017

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BackgroundMany musculoskeletal pain conditions are characterized by hypersensitivity, which is induced by central sensitization (CS). A questionnaire, the Central Sensitization Inventory (CSI), was recently developed to help clinicians identify patients whose presenting symptoms may be related to central sensitivity syndrome (CSS). The aims of the present study were to examine criterion validity and construct validity of the Japanese version of the CSI (CSI-J), and to investigate prevalence rates of CS severity levels in patients with musculoskeletal disorders.MethodsTranslation of the CSI into Japanese was conducted using a forward-backward method. Two hundred and ninety patients with musculoskeletal pain disorders completed the resultant CSI-J. A subset of the patients (n = 158) completed the CSI-J again one week later. The relationships between CSI and clinical symptoms, EuroQol 5-dimension (EQ-5D) and Brief Pain Inventory (BPI), were examined for criterion validity. EQ-5D assesses Health-related QOL and BPI measures pain intensity and pain interference. The psychometric properties were evaluated with analyses of construct validity, factor structure and internal consistency, and subsequently investigate the prevalence rates of CS severity levels.ResultsThe CSI-J demonstrated high internal consistency (Cronbach’s α = 0.89) and test-retest reliability was excellent value (ICC = 0.85). The CSI-J was significantly correlated with EQ-5D (r = −0.44), pain intensity (r = 0.42), and pain interference (r = 0.48) (p < 0.01 for all). Ten percent of the participants were above the cutoff “40”. The exploratory factor analysis resulted in 5-factor model.ConclusionsThis study reported that the CSI-J was a useful and psychometrically sound tool to assess CSS in Japanese patients with musculoskeletal disorders. The finding of the prevalence rates of CS severity levels in patients with musculoskeletal disorders may help clinicians to decide strategy of treatment.

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Section: Discussionmentioning

confidence: 99%

Validation of the Japanese version of the Central Sensitization Inventory in patients with musculoskeletal disorders

et al. 2017

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“…With this approach, we can better facilitate family-rich outcomes (Sullivan-Bolyai, 2017). Recommendations for the care of diverse older African American adults have been published, and these practice considerations center on the importance of acknowledging family and spirituality in pain care (Robinson-Lane & Booker, 2017).…”

Section: Implications For Family Nursingmentioning

confidence: 99%

“Puttin’ on”: Expectations Versus Family Responses, the Lived Experience of Older African Americans With Chronic Pain

2019

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The lack of family research documenting the changes that occur and the capacity of families to support individuals with chronic pain effectively is a major limitation in the application of the biopsychosocial model of pain. This study investigated the lived experience of older African Americans ( N = 18) with chronic pain and explored their expectations and perceptions of familial support. A descriptive phenomenology framework revealed an existential theme: “puttin’ on,” a phenomenon that potentiates the power of pain to disrupt roles and relationships and discourages the family from meeting the expected needs of older African Americans. We uncovered new information into the actual support mechanisms that are missing or, when present, are not as positive and strong as would be expected in the African American culture, at least in the context of chronic pain management. Interventions should target family-based education, chronic pain destigmatization, and intergenerational empathy in the African American community.

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“…Culturally congruent pain management seeks to provide culturally relevant and personalized pain care within evidence-based standards of care (Rosa, 2018). There are a number of clinical implications that support trends in culturally responsive pain care (Robinson-Lane & Booker, 2017). The importance of open communication about pain between older African Americans and people and/or providers they trust cannot be overstated.…”

Section: Discussionmentioning

confidence: 99%

“Bearing the Pain”: The Experience of Aging African Americans With Osteoarthritis Pain

Booker

Tripp–Reimer

Herr

2020

Global Qualitative Nursing Research

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Studies document that osteoarthritis-related joint pain is more severe in African American older adults, but research on the personal experience of osteoarthritis pain self-management in this population is limited. Using a qualitative descriptive design, our objective was to extend our understanding of the experience of life with osteoarthritis pain. Eighteen African Americans (50 years and older) were recruited from Louisiana to participate in a single semi-structured, in-depth interview. A conventional content analysis revealed that “Bearing the pain” characterized how older African Americans dealt with osteoarthritis. Bearing the pain comprised three actions: adjusting to pain, sharing pain with others, and trusting God as healer. We discovered that a metapersonal experience subsumes the complex biopsychosocial-cultural patterns and the intricate interaction of self, others, and God in living with and managing osteoarthritis pain. Study findings have implications for application of more inclusive self-management frameworks and interventions.

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Culturally Responsive Pain Management for Black Older Adults

Cited by 26 publications

References 43 publications

Validation of the Japanese version of the Central Sensitization Inventory in patients with musculoskeletal disorders

Validation of the Japanese version of the Central Sensitization Inventory in patients with musculoskeletal disorders

“Puttin’ on”: Expectations Versus Family Responses, the Lived Experience of Older African Americans With Chronic Pain

“Bearing the Pain”: The Experience of Aging African Americans With Osteoarthritis Pain

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