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

The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

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

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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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Research works printed but not linked: 2

  1. Beck, 1988, Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation., Clin Psychol Rev, 8, 77, 10.1016/0272-7358(88)90050-5 · DOI · Paper page
  2. 2003, Projected prevalence of self reported arthritis or chronic joint symptoms among persons 65 yearsUnited States, 2005-2030., MMWR Morb Mortal Wkly Rep, 52, 489

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Metadata

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.
Venue
Pain
Published
2014-09
Volume
155
Issue
9
Pages
1743-1754
ISSN
0304-3959 (ISSN-L)
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
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 › 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
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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