Evaluation of a self-management program for older adults with chronic pain.

详细信息   

• 作者：Barefoot ; Clair Andrea.
• 学历：Master
• 年：2011
• 毕业院校：University of Regina
• ISBN：9780494885222
• CBH：MR88522
• Country：Canada
• 语种：English
• FileSize：4505078
• Pages：120

文摘

Chronic pain is a prevalent experience for older adults that interferes with daily activities and negatively influences quality of life (Schuler, Njoo, Hestermann, Oster, &； Hauer, 2004). Multidisciplinary treatment programs with a cognitive behavioural basis have been shown to be effective in helping older persons manage chronic pain (e.g., Green, Hadjistavropoulos, Hadjistavropoulos, Martin, &； Sharpe, 2009). However, such programs are costly and difficult to access. To address these issues, education and self-management approaches to treating chronic pain have been proposed (e.g., Hadjistavropoulos &； Hadjistavropoulos, 2008). The purpose of this study was to evaluate the effectiveness of a cognitive behavioural, multidimensional 10 week self-management guide for older adults with chronic pain. Participants were divided into two groups； one used the self-management guide (Hadjistavropoulos &； Hadjistavropoulos, 2008) and the other was placed on a waitlist control group and offered treatment after 14 weeks. Measures of pain, coping, beliefs, depression, readiness to change and self-efficacy were administered to both groups when enrolled, at 10 weeks, and at one month following the study. Participants in the treatment and control groups were compared on study measures. Contrary to expectation, we did not identify any differences in the outcomes observed in the self-help patient group as compared to the control group, despite a great deal of satisfaction with the manualized program that was expressed by the participants. To assess the role of initial readiness to change and self-efficacy scores on outcome measures at Time 2 and Follow-up, partial correlations were calculated. Reductions in depression, pain interference and emotion-focused coping were associated with higher readiness to change scores. Similarly, significant inverse relationships were found between self-efficacy and depression, pain interference, pain intensity, psychological beliefs, and palliative, instrumental, and emotion focused coping.