Pain Neuroscience Education for Older Adults

Watson, Stacey; Louw, Adriaan; Wingood, Mariana; Rico, Debbie; Podolak, Jessie; Maiers, Nicholas; Cox, Terry A.

doi:10.1080/02703181.2021.1970692

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…In this study, FABQ-PA did shift positively but not significantly. This result concurs with the study byWatson et al, who conducted a community center delivery of PNE to older adults[12]. It can be argued that this may be because the FABQ-PA was not designed for this purposeasking people to report their fear of physical activity "in the presence of pain" versus being in pain and facing impending physical activity, i.e., physical therapy, work or leisure activities[28].Another factor to consider is that the study did not target people presenting with high FABQ-PA scores.…”

supporting

confidence: 93%

Pain Neuroscience Education Via Sign Language: A Pilot Study

2023

J Med Case Rep Case Ser

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Background: Pain neuroscience education (PNE) is gaining clinical popularity and increasing evidence of its ability to yield positive clinical outcomes. Delivery methods for PNE are constantly expanding, and to date, it has never been explored if PNE can be successfully delivered via sign language.Objective: To determine if PNE delivered via sign language can positively influence pain knowledge, fear-avoidance of physical activity, and beliefs regarding pain.Design: Case series with pre-and immediate post-intervention measurements.Methods: A convenience sample of adults proficient in sign language attended a community educational session featuring a 30-minute, 32-slide PNE PowerPoint™ presentation via sign language. Before and immediately after PNE, pain knowledge, fear of physical activity, and a series of pain beliefs (Likert scale) were assessed.Results: Seven participants (4 females), with a mean age of 70.6 years, attended the session. Five participants were completely deaf, and the mean comfort level with sign language (0 = not at all; 10 = very comfortable) was 8. Immediately following PNE, pain knowledge improved by 28.5 % (p = 0.003). Fear avoidance improved but failed to reach significance (p = 0.41). All pain beliefs improved after PNE, but only one (Your brain decides if you feel pain, not your tissues) reached significance (p = 0.012). Conclusion:PNE delivered via sign language can significantly improve pain knowledge in older adults. Future studies, including clinical trials on patients presenting with pain, should be explored to see if these results can be replicated in patient populations and lead to clinical benefits associated with pain relief and decreased disability.

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supporting

confidence: 93%

Pain Neuroscience Education Via Sign Language: A Pilot Study

2023

J Med Case Rep Case Ser

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“…Knowledge changes were rarely a focus in KM programs for older adults. Knowledge increases were assessed in 2 studies; only 1 study reported significant improvements in pain knowledge scores after education 25 . In the other, mailed brochures did not lead to changes in chest pain knowledge in community-dwelling participants 26 …”

Section: Resultsmentioning

confidence: 99%

Initiatives Targeting Patients

Yarycky,

Castillo,

Gagnon

et al. 2024

The Clinical Journal of Pain

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Objectives: Older adults frequently suffer from pain but are often unaware of self-management and other strategies that can help improve their condition. In a related article, we reported on pain assessment and management knowledge translation initiatives related to older adults that were targeting health professionals. In this paper, we report on initiatives targeting older adults. Methods: Using systematic review methodology, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycInfo, and Web of Science databases were searched from inception to June 2023. Pain-related KT programs targeted towards older adults, their informal caregivers and health care professionals were examined. Results: From an initial 21,669 search results, 172 studies met our inclusion criteria. Of these studies, 49 targeted older adults. These studies varied widely in focus and delivery format, but the majority were associated with significant risk of bias. Older adults with musculoskeletal pain were the primary recipients of education. Most programs were classified as knowledge mobilization initiatives. The remainder were considered self-management programs. Knowledge users were satisfied with the suitability of information presented, and patient outcomes were a primary concern across all studies. Behavioral changes and pain management outcomes, however, were underemphasized in the literature. Discussion: Knowledge acquisition outcomes are overrepresented in the current literature compared to behavioral outcomes changes. Nonetheless, older adults report benefitting from the guidance provided in self-management programs when applying knowledge to practice. Future research is needed to better understand the facilitators and barriers to pain management changes in this population.

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“…This age group contains the largest share of health issues about cancer, cardiovascular disease, arthritis, Parkinson's disease, etc. Afron, in 1995 already showed that adults aged 65 and above account for 13% of the population yet consume nearly one-third of all medications [5].…”

Section: Introductionmentioning

confidence: 99%

Can Pain Neuroscience Education Change Older Adult’s Beliefs About Pain Medication?

2023

J Med Case Rep Case Ser

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Background: Pain neuroscience education (PNE) has been shown to increase knowledge of pain and improve cognitions and beliefs regarding pain. Most positive shifts in beliefs have focused on the connection between tissue health and pain. No study has ever explored whether increased pain knowledge may shift non-medical providers' thoughts about pain medication.Objective: To determine if a community-delivered PNE educational session for older adults can positively shift beliefs regarding pain medication.Design: Case series with pre-and immediate post-intervention measurements.Methods: A convenience sample of older adults who voluntarily signed up for a series of community events/lectures attended a 45-minute, 40slide PNE PowerPoint™ presentation by a physical therapist. Before and immediately after PNE, pain knowledge, pain beliefs regarding pain and aging (Likert scale), and ideas about pain medication were assessed.Results: Twenty-six participants (9 females), with a mean age of 74.3 years, attended the session. Immediately following education, pain knowledge improved by 16.4% (p<0.001), while all beliefs regarding pain and aging improved with two reaching significant differences ("The older I become, the more pain I have due to degeneration" (p = 0.001); "I hurt because of the bodily damage I sustained when I was younger" [p = 0.010]). Regarding pain medication, all beliefs regarding pain medication shifted positively, with two reaching significances after education: "Most pain medicines are addictive" (p = 0.010) and "If doctors had more time with patients, they would prescribe fewer pain medicines" (p = 0.007). Conclusion:A community-based educational session for older adults improves pain knowledge, which drives healthier beliefs regarding pain medication. Larger-scaled studies using control groups and long-term follow-up are needed to validate these early, immediate post-education results.

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Pain Neuroscience Education for Older Adults

Cited by 3 publications

References 41 publications

Pain Neuroscience Education Via Sign Language: A Pilot Study

Pain Neuroscience Education Via Sign Language: A Pilot Study

Initiatives Targeting Patients

Can Pain Neuroscience Education Change Older Adult’s Beliefs About Pain Medication?

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