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.
AD - 1Pain Management Research Institute, University of Sydney at Royal North Shore Hospital, Sydney, AUSTRALIA 2School of Psychology, Shahed University, Tehran, IRAN 3School of Public Health, Concord Clinical School, Univesity of Sydney, Sydney, AUSTRALIA 4Sax Institute, Sydney, AUSTRALIA 5The George Institute, Sydney Medical School, University of Sydney, AUSTRALIA. AN - 27682207 BT - Pain CN - [IF]: 5.213 DP - NLM ET - 2016/09/30 LA - Eng LB - AUSThis 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.
PY - 2016 SN - 1872-6623 (Electronic)