@article{22437, author = {Nicholas M. and Brnabic A. and Asghari A. and Murray R. and McCabe R. and Beeston L. and Corbett M. and Overton S. and Blyth F. and Sherrington C. and Wood B.}, title = {Long-term outcomes from training in self-management of chronic pain in an elderly population: A randomised controlled trial}, abstract = {
This study compares the outcomes, from pre-treatment to 1 year follow-up, of an outpatient, CBT-based pain self-management program (PSM) that included exercises, pain education, and pain coping strategies, with a control condition (EAC) that included exercises and a control for the attention of the treatment team. We previously reported short-term results (to 1 month follow-up) from the same study. This new paper considers the important issue of maintenance of treatment-related gains. The participants (n = 141) were a heterogeneous sample of ambulant, community-dwelling older adult chronic pain patients (mean age: 73.90 (6.5) years (range: 65-87 years). The long-term results indicate the PSM group achieved and maintained significantly better results than the EAC group on the primary outcome, pain-related disability, as well as on usual pain, pain distress, depression, and fear-avoidance beliefs. The mean effect size for these gains by the PSM group over the EAC group was 0.37 (range: 0.29-0.45), which is in the small effect size range. While statistically and clinically meaningful, these findings do indicate some weakening in effects over time but not to a significant degree. The study has implications for the provision of pain management interventions for community-dwelling older adults with chronic pain.
}, year = {2016}, journal = {Pain}, edition = {2016/09/30}, isbn = {1872-6623 (Electronic)