Self-Management and Support in Chronic Pain Subgroups: Integrative Review

Kawi, Jennifer

doi:10.1016/j.nurpra.2012.12.020

Cited by 15 publications

(18 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the scanty healthcare resources, healthcare professionals are di cult to carry out adequate pain management program in the caring process [7][8] [9]. Peer support models focusing on the provision of emotional, informational, and relationship support are being used to help individuals manage their chronic conditions, and the results have been promising [10] [11]. In this way, we are conducting an RCT to explore the effectiveness of this peer-led pain management program in nursing homes.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a peer-led pain management program for older adults: Baseline characteristics and preliminary results

Tse¹,

Tang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Chronic pain is common among nursing home residents and they may have difficulty seeking out pain management strategies. Due to the limitation of healthcare resources, peer support model was proved with promising effect in managing chronic conditions. Methods It is a clustered randomized controlled trial. 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. Results Totally 262 participants joined the study. Their overall pain score was 6.36. Leg was the most frequently reported site of pain and walking ability was interfered. Depression was also reported by the participants. The score for quality of life was 32.65 for physical component and 51.58 for mental component. The mean score for pain knowledge was 46.81 out of 100. No significant difference was shown between two groups at baseline. Discussion Severe pain intensity and low self-efficacy among the participants indicated it is necessary to provide pain management programs especially for this population. The frequency with strategies applied were significantly correlated with pain intensity, pain interference, depression, and quality of life. Pain knowledge also correlated significantly with some strategies.

show abstract

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a peer-led pain management program for older adults: Baseline characteristics and preliminary results

Tse¹,

Tang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In this regard, peer support models [5,6] involving the provision of emotional, informational, and relationship support are being used to help patients manage their chronic conditions, with promising results [5,6]. A Cochrane review described positive outcomes in people with chronic conditions, including a reduction in pain, disability, and fatigue when self-management education programs were led by lay individuals rather than health professionals [7].…”

Section: Introductionmentioning

confidence: 99%

“…Peer volunteers (PVs) are there to help patients manage their chronic conditions, including pain, with success and acceptance [5,6,7,8]. Indeed, the success of a peer-led program depends upon the feasibility of the PVs’ role [9].…”

Section: Introductionmentioning

confidence: 99%

Lesson Learned from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

Tse

Bai

et al. 2019

IJERPH

View full text Add to dashboard Cite

Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the burden of pain and limited healthcare resources, devising innovative and cost-effective ways of managing chronic pain is of high priority. The aim of this paper is to explore the experiences and perceptions of peer volunteers (PVs) in a peer-led pain management program among nursing home residents in Hong Kong. Methods: Forty-six PVs were recruited and trained to lead a pain management program (PAP). The PAP consisted of one 1 hour session per week for 12 weeks. It included 20 min of physical exercises performed under the supervision of PVs, followed by 30 min of pain management education, including information on pain situations, the impacts of pain, the use of drugs and non-drug strategies for pain management, demonstrations, and return demonstrations of various non-drug pain management techniques. Quantitative data were collected from questionnaires (demographics, pain situation, and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, barriers encountered, and recommendations for improving the PAP) were collected at week 12 (upon completion of the PAP). Data were analyzed using the Statistical Package for Social Sciences and content analysis for qualitative data. Results: A total of 46 PVs were recruited (34 females, 74%), with a mean ± SD age of 61.0 ± 5.1 years. Thirty-one of them reported having chronic pain. Before the training, their self-rated pain knowledge was 40.0 ± 20.5 (maximum 100 points) while their actual pain knowledge score was 86.1 ± 10.6 (maximum 100 points). The PVs reported an improvement in their knowledge and skills after leading PAPs. No PVs reported having received any negative comments about their role in leading the PAP but mentioned that they had received feedback on how to improve the program. Conclusions: This study provides further evidence that peer-led pain management programs are feasible and can lead to positive experiences for the PVs. Peer support models are coming into wide use because they show promise in helping patients to manage chronic conditions. Peer volunteers will become important resources in elderly care. The barriers that were identified may lead to improvements in the design and planning of future PAPs.

show abstract

“…Peer volunteers (PVs) have been used as an affordable alternative to professional services to help patients manage their chronic conditions including pain with success and acceptance [5][6][7][8]. Indeed, the success of peer-led program depends upon the feasibility of the PVs' role [9].…”

Section: Introductionmentioning

confidence: 99%

Lesson Learnt from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

Tse¹,

Ng²,

Bai³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the expected burden and limited healthcare resources, an innovative and cost-effective method to manage chronic pain should be developed. Peer volunteers (PVs) have been used as an affordable alternative to professional services to help patients manage their chronic conditions including pain with success and acceptance. The aim of this paper is to explore the experiences and perceptions of PVs in a peer-led pain management program among nursing home residents. Methods: This longitudinal study formed part of a wider research study, a clustered randomised controlled trial, which investigates the effectiveness of a 12-week peer-led pain management program (PAP) in relieving chronic pain and enhancing pain self-efficacy among nursing home residents. Quantitative data were collected from questionnaires (demographics, pain situation and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, limitations and barriers encountered, its usefulness to the participants and recommendations for improving the PAP) were collected from focus group for a selected sample at baseline (before attending the training) and at week 12 (upon completion of the PAP). Data were analysed using the Statistical Package for Social Sciences and NVivo 8. Results: A total of 46 PVs were recruited (34 female, 74%), with mean±SD age of 61.0±5.1 years. Thirty-one PVs reported to have chronic pain. Before the training, self-rated pain knowledge was 39.1±20.4 (maximum 100 points). When actual pain knowledge was assessed, a mean pain knowledge score of 86.1±10.6 points was found. There was a significant difference between the self-rated pain knowledge and the pain knowledge score (p<0.001). PVs reported to have improvement in their knowledge and skills. No PVs reported negative comments regarding their role in the PAP, although experienced barriers such as communication, space and privacy were reported. Conclusions: This study provides further evidence that peer-led pain management program is feasible. Barriers identified may benefit the design and planning of future PAP. Trial registration: ClincalTrials.gov (NCT03823495), 30 January 2019. (Retrospectively registered).

show abstract

Self-Management and Support in Chronic Pain Subgroups: Integrative Review

Cited by 15 publications

References 35 publications

A randomized controlled trial of a peer-led pain management program for older adults: Baseline characteristics and preliminary results

A randomized controlled trial of a peer-led pain management program for older adults: Baseline characteristics and preliminary results

Lesson Learned from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

Lesson Learnt from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

Contact Info

Product

Resources

About