The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.
Self-management intervention for chronic pain in older adults: A randomised controlled trial
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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“The SD for changes in RMDQ was calculated from data reported in a previous trial52 of 471 participants, with 397 excluding the wait-list control group.52”
Citations
Cites
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“and other chronic illnesses [7,22,60], there is little evidence of their widespread application in the treatment of older chronic pain patients [27].”
BackgroundCore outcome domains for chronic pain clinical trials: IMMPACT recommendations
Turk, D. C., Dworkin, R. H., Allen, R. R., Bellamy, N., Brandenburg, N., Carr, D. B., Cleeland, C., Dionne, R., Farrar, J. T., Galer, B. S., et al. (2003) · Pain · doi:10.1016/j.pain.2003.08.001 · Cited by 3,510
The pain self-efficacy questionnaire: Taking pain into account
Nicholas, M. K. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2005.12.008 · Cited by 1,656
Self-citationPsychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634
Credibility of analogue therapy rationales
Borkovec, T. D., & Nau, S. D. (1972) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(72)90045-6 · Cited by 1,553 · cited 1×
“Treatment credibility/acceptability At the end of the first session, participants in both intervention groups (PSM and EAC) completed a treatment credibility rating form [8].”
Method
Research works printed but not linked: 1
- Jacobson, 1988, Statistics for assessing clinical significance of psychotherapy techniques: issues, problems, and new developments., Behav Assess, 19, 133
Cited by
Sorted by citations
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634
Self-Management: A Comprehensive Approach to Management of Chronic Conditions
Grady, P. A., & Gough, L. L. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.302041 · Cited by 923
Ehde, D. M., Dillworth, T. M., & Turner, J. A. (2014) · American Psychologist · doi:10.1037/a0035747 · Cited by 879
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain
Kamper, S. J., Apeldoorn, A. T., Chiarotto, A., Smeets, R. J. E. M., Ostelo, R. W., Guzman, J., & van Tulder, M. W. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000963.pub3 · Cited by 629
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605
Metadata
- 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.
- Venue
- Pain
- Published
- 2013-06
- Volume
- 154
- Issue
- 6
- Pages
- 824-835
- ISSN
- 0304-3959 (ISSN-L)
- 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
- 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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