The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

Smith, Toby; Purdy, Rachel; Latham, Sarah; Kingsbury, Sarah R.; Mulley, Graham; Conaghan, Philip G.

doi:10.1007/s00296-015-3322-1

Cited by 22 publications

(19 citation statements)

References 42 publications

(103 reference statements)

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“…Moreover, an analysis of Romanian mental health literature, published in English from 2000 to 2008, distinguished PsycINFO as the most comprehensive indexing database in the field, with 3,236 items retrieved from PsycINFO compared to 549 - by MEDLINE, and 139 - by EMBASE ( 25 ). Finally, PsycINFO is often employed for searches of trials and other evidence-based items at the interface of psychology, neurology, and other clinical disciplines ( 26 , 27 ).…”

Section: Psychology Psychiatry and Neurologymentioning

confidence: 99%

Specialist Bibliographic Databases

et al. 2016

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Specialist bibliographic databases offer essential online tools for researchers and authors who work on specific subjects and perform comprehensive and systematic syntheses of evidence. This article presents examples of the established specialist databases, which may be of interest to those engaged in multidisciplinary science communication. Access to most specialist databases is through subscription schemes and membership in professional associations. Several aggregators of information and database vendors, such as EBSCOhost and ProQuest, facilitate advanced searches supported by specialist keyword thesauri. Searches of items through specialist databases are complementary to those through multidisciplinary research platforms, such as PubMed, Web of Science, and Google Scholar. Familiarizing with the functional characteristics of biomedical and nonbiomedical bibliographic search tools is mandatory for researchers, authors, editors, and publishers. The database users are offered updates of the indexed journal lists, abstracts, author profiles, and links to other metadata. Editors and publishers may find particularly useful source selection criteria and apply for coverage of their peer-reviewed journals and grey literature sources. These criteria are aimed at accepting relevant sources with established editorial policies and quality controls.

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Section: Psychology Psychiatry and Neurologymentioning

confidence: 99%

Specialist Bibliographic Databases

et al. 2016

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“…Here we examine the prevalence of leading causes of non-malignant pain in care homes considering studies mainly published in the last five years. A recent and global review estimated that 30.2% of the residential care home population are affected by musculoskeletal pain [38], and alongside osteoporosis (19.1%) and back pain, arthritis (21.1%) is one of the most prevalent causes [39,40]. Risk factors for osteoporosis and osteoarthritis include female gender and old age [41,42], characteristics typical of care home residents.…”

Section: Causes Of Pain In Care Home Residents-what Recent Epidemiolomentioning

confidence: 99%

Analgesic Prescribing in Care Home Residents: How Epidemiological Studies May Inform Clinical Practice

2016

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Care home residents are often frail with multiple comorbidities and cognitive impairment, most commonly caused by dementia. This population is under-represented in clinical trials, leading to a lack of valid and reliable evidence to inform clinicians' prescribing practice. This paper summarizes how epidemiological research conducted in similar populations can inform pain management by describing pain prevalence, risk factors, typical features and functional consequences. This evidence can help overcome the numerous barriers to optimal pain management in care home residents.

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“…Internationally, between 40-85% of NH residents report pain (13,14). Insu cient pain management can result in severe consequences for NH residents' health and quality of life (15). Residents with cognitive impairment are at particular risk for unrecognized and undertreated pain due to their inability of communicating pain (16).…”

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confidence: 99%

Looking into mechanisms of change: Evaluation of a multifaceted implementation strategy to change pain management behavior of care workers

Brunkert¹,

Simon²,

Zúñiga³

2020

Preprint

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BackgroundUnderutilization of evidence-based pain management in nursing homes is common. Evidence towards effective approaches to improve adoption of evidence-based practices in nursing homes is limited. To get a better understanding of the impact of our multi-faceted implementation strategies, care worker training workshops and the introduction of trained pain champions, this study explored the underlying mechanisms of the implementation strategies using behavioral theory.MethodsWe conducted a mixed-methods evaluation alongside an implementation- effectiveness study in four Swiss nursing homes. Based on an a priori contextual analysis in the participating homes implementation strategies were developed. Furthermore, we developed a conceptual framework describing hypotheses concerning determinants of implementation and mechanisms of change underlying our implementation strategies.Care workers’ questionnaire surveys were conducted at baseline (n=136), after three (n= 99) and six months (n=83) to assess self-efficacy in pain management and self-reported guideline adoption. We computed linear mixed-effect models to assess changes over time in self-efficacy and logistic regressions to assess associations between self-efficacy and guideline adoption. Concurrently, we conducted focus groups with care workers (n=8) to explore their response to the implementation strategies and to gain a deeper understanding of the potential mechanisms. After transcription, interview data was analyzed using content analysis.ResultsOverall, there was a significant increase in self-efficacy after three and six months (p<0.001). Self-reported adoption of guideline components ranged between 44% and 73% depending on the component. We found significant associations between self-efficacy and adoption of two guideline components, i.e. performing a comprehensive pain assessment and using an observational pain assessment tool in cognitively impaired residents.Qualitative findings showed that the training workshops and pain champions were received positively by care workers. Focus group participants reported to be more attentive to residents` pain experience and to assess and document pain more frequently and with more detail than before.ConclusionsOur findings highlight the importance of continuous commitment of an implementation facilitator, e.g., a pain champion, within an organization. Regarding persistent implementation challenges, a theory-based conceptual model contributes to the overall understanding.Trial registrationClinicalTrials.gov (NCT03471390)

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The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

Cited by 22 publications

References 42 publications

Specialist Bibliographic Databases

Specialist Bibliographic Databases

Analgesic Prescribing in Care Home Residents: How Epidemiological Studies May Inform Clinical Practice

Looking into mechanisms of change: Evaluation of a multifaceted implementation strategy to change pain management behavior of care workers

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