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Cited by 118Musculoskeletal pain and rehabilitationPain Management and Opioid UsePediatric Pain Management Techniques

Nurse practitioners can effectively deliver pain coping skills training to osteoarthritis patients with chronic pain: A randomized, controlled trial

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Broderick, Joan E., Keefe, Francis J., Bruckenthal, Patricia, Junghaenel, Doerte U., Schneider, Stefan, Schwartz, Joseph E., Kaell, Alan T., Caldwell, David S. +3 more·2014·Pain
DOI 10.1016/j.pain.2014.05.024PMC PMC4171086
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Abstract

A multisite, randomized, controlled clinical effectiveness trial was conducted for osteoarthritis patients with chronic pain of the knee or hip. Adult health nurse practitioners provided a 10-session intervention, pain coping skills training (PCST), in patients' doctors' offices (N=129 patients); the control group received usual care (N=127 patients). Primary outcomes assessed at baseline, posttreatment, 6-month follow-up, and 12-month follow-up were: pain intensity, physical functioning, psychological distress, self-efficacy, catastrophizing, use of coping strategies, and quality of life. Secondary measures included fatigue, social functioning, health satisfaction, and use of pain medication. Methods favoring external validity, consistent with pragmatic, effectiveness research, were utilized. Primary ITT and secondary per-protocol analyses were conducted. Attrition was within the expected range: 11% at posttreatment and 29% at 12-month follow-up; rates did not differ between groups. Omnibus ITT analyses across all assessment points indicated significant improvement for the PCST group compared with the control group for pain intensity, physical functioning, psychological distress, use of pain coping strategies, and self-efficacy, as well as fatigue, satisfaction with health, and reduced use of pain medication. Treatment effects were robust to covariates (demographics and clinical sites). Trends in the outcomes across the assessments were examined. All outcomes, except for self-efficacy, were maintained through the 12-month follow-up; effects for self-efficacy degraded over time. Per-protocol analyses did not yield greater effect sizes. Comparisons of PCST patients who were more vs less treatment adherent suggested greater effectiveness for patients with high adherence. Results support the effectiveness of nurse practitioner delivery of PCST for chronic osteoarthritis pain.

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Crossref · 10.1016/j.pain.2014.05.024

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  • In the OA intervention, all outcomes except self-efficacy were maintained at 12-month follow-up while effects on self-efficacy degraded over time.

    “All outcomes, except for self-efficacy, were maintained at 12-month follow-up while effects on self-efficacy degraded over time”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [84]

    Results §3.5 reports that treatment effects were largely maintained through 12 months and that the self-efficacy effect degraded. But daily IVR pain ratings also showed a decrease in gains between 6 and 12 months, so the claim that all other outcomes were maintained is too absolute. (LLM, conf=0.88)

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  • Broderick et al. reported significant improvement in self-efficacy (F(3,232) = 10.59, p = 0.001) following a nurse-practitioner delivered intervention for OA patients, but this was not maintained at 12-month follow-up (p = 0.158).

    “Broderick et al. [84] reported significant improvement in self-efficacy (F(3,232) = 10.59, p = 0.001) following a nurse-practitioner delivered intervention for OA patients, however this was not maintained at 12-month follow up (p = 0.158).”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [84]

    Results §3.3 reports improved self-efficacy with the stated F statistic, but gives P < .001, not P = .001. Results §3.5 says the self-efficacy effect degraded by 12 months; it reports P = .003 for the change from posttreatment to 12 months, while the cited P = .158 was not found in the retrieved passages. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Psychological functioning was measured using the Beck Depression Inventory (BDI) and Beck Depression Inventory-II (BDI-II) scale in eight studies.

    “Psychological functioning was measured using the Beck Depression Inventory (BDI) and Beck Depression Inventory-II (BDI-II) scale [124] in eight studies”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [84]

    The Methods, §2.3.2.5, identifies the BDI as a measure of depressed mood, and §2.3.3 includes it in the psychological-distress measure. The paper does not identify its measure as the BDI-II or establish the citing document’s count of eight studies. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • An OA intervention's intention-to-treat analyses yielded significant group differences indicating improvement in pain intensity, physical functioning, psychological distress, use of pain coping strategies, and self-efficacy in the intervention compared with control.

    “ITT analyses were performed on primary outcomes at baseline, post-treatment, 6 and 12 month follow-up which yielded significant group differences, indicating improvement in pain intensity (F(3,233) = 2.75, p = 0.044), physical functioning (F(3,233) = 3.11, p = 0.027), psychological distress (F(3,233) = 2.83, p = 0.039), use of pain coping strategies (F(3,233) = 4.97, p = 0.002), and self-efficacy”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [84]

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Research works printed but not linked: 1

  1. [26]Institute of Medicine The future of nursing: leading change, advancing health 2011 Washington, DC National Academies Press 24983041

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Authors
Broderick, J. E., Keefe, F. J., Bruckenthal, P., Junghaenel, D. U., Schneider, S., Schwartz, J. E., Kaell, A. T., Caldwell, D. S., McKee, D., Reed, S., & Gould, E.
Affiliations
  • Duke University (US)
  • Duke Medical Center (US)
  • Stony Brook University (US)
Corresponding author
Broderick, Joan E.
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014-09
Volume
155
Issue
9
Pages
1743-1754
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/j.pain.2014.05.024
PMC
PMC4171086
OpenAlex
W2042890873
Cited by
118
References
63
Citations by year
2026: 5 · 2025: 6 · 2024: 8 · 2023: 9 · 2022: 7 · 2021: 19 · 2020: 15 · 2019: 9 · 2018: 8 · 2017: 12 · 2016: 10 · 2015: 8 · 2014: 2
FWCI
7.75
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health (AR054626)
Topics
  • Health Sciences › Medicine › Pharmacology › 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
nurse practitioners, pain coping skills training, chronic osteoarthritis, knee osteoarthritis, hip osteoarthritis, chronic pain, pain intensity, physical function, psychological distress, self-efficacy, pain catastrophizing, coping strategies, quality of life, fatigue, analgesic use, medication adherence, primary care delivery
MeSH terms
Adaptation, Psychological, Aged, Female, Humans, Male, Middle Aged, Nurse Practitioners, Osteoarthritis, Pain Measurement, Quality of Life, Surveys and Questionnaires, Cognitive Behavioral Therapy, Treatment Outcome, Chronic Pain

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