Cited by 137Musculoskeletal pain and rehabilitationPain Management and Opioid UsePediatric Pain Management Techniques

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Self-management intervention for chronic pain in older adults: A randomised controlled trial

Nicholas, Michael K., Asghari, Ali, Blyth, Fiona M., Wood, Bradley M., Murray, Robin, McCabe, Rebecca, Brnabic, Alan, Beeston, Lee, Corbett, Mandy, Sherrington, Catherine, Overton, Sarah·2013·Pain

DOI 10.1016/j.pain.2013.02.009

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Abstract

This study compared an outpatient pain self-management (PSM) program, using cognitive-behavioural therapy and exercises, with 2 control conditions in 141 chronic pain patients aged > 65 years. Results immediately posttreatment indicated that relative to the Exercise-Attention Control (EAC) group, the PSM group was significantly improved on measures of pain distress, disability, mood, unhelpful pain beliefs, and functional reach. The mean effect size for these gains was 0.52 (range: 0.44-0.68). By 1-month follow-up, relative to the EAC group, the PSM group remained better on most measures. At the 1-month follow-up, relative to a Waiting List (usual care) (WL) group, the PSM group was significantly improved on measures of pain distress, disability, and unhelpful pain beliefs. The mean effect size for these variables was 0.69 (range: 0.56-0.83). Relative to the WL group, the EAC group made no significant gains on any of the measured variables. At 1-month follow-up, the mean proportion of reliably improved cases (across outcome variables) was 41% (range: 16-60%) for the PSM group, twice that of those who met this criterion in the 2 control conditions (and this difference was statistically significant). Similarly, significantly more (44%) of the PSM group (vs 22% and 20% for the control groups) achieved a clinically significant improvement on pain disability. In the short term at least, cognitive-behavioural therapy-based PSM was more effective than exercises and usual care.

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Authors: Nicholas, M. K., Asghari, A., Blyth, F. M., Wood, B. M., Murray, R., McCabe, R., Brnabic, A., Beeston, L., Corbett, M., Sherrington, C., & Overton, S.
Affiliations: The University of Sydney (AU)
Shahed University (IR)
Corresponding author: Nicholas, Michael K.
ORCID: Nicholas, Michael K.
Blyth, Fiona M.
McCabe, Rebecca
Brnabic, Alan
Sherrington, Catherine
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2013-06
Volume: 154
Issue: 6
Pages: 824-835
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2013.02.009
OpenAlex: W2168681512
Cited by: 137
References: 69
Citations by year: 2026: 5 · 2025: 9 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 10 · 2020: 12 · 2019: 8 · 2018: 15 · 2017: 15 · 2016: 10 · 2015: 9 · 2014: 14 · 2013: 5
FWCI: 9.30
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: Australian Health Ministers Advisory Council (AHMAC PDR 2005/08)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic pain, older adults, pain self-management, cognitive behavioral therapy, physical activity, pain beliefs, pain-related disability, pain-related distress, mood, functional reach test, outpatient intervention
MeSH terms: Aged, Aged, 80 and over, Exercise Therapy, Female, Humans, Male, Self Care, Cognitive Behavioral Therapy, Treatment Outcome, Chronic Pain, Pain Management

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Self-management intervention for chronic pain in older adults: A randomised controlled trial

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