02002nas a2200241   4500000000100000008004100001100001600042700001500058700001500073700001400088700001400102700001500116700001500131700001500146700001300161700001900174700001200193245012800205250001500333050001600348520134500364020005101709       2016                            d1 aNicholas M.1 aBrnabic A.1 aAsghari A.1 aMurray R.1 aMcCabe R.1 aBeeston L.1 aCorbett M.1 aOverton S.1 aBlyth F.1 aSherrington C.1 aWood B.00aLong-term outcomes from training in self-management of chronic pain in an elderly population: A randomised controlled trial  a2016/09/30  a[IF]: 5.2133 a<p>
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.
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