Use of self-management interventions for chronic pain management: a comparison between rural and nonrural residents
Open accessAbstract
Individuals with chronic pain who live in rural communities often lack access to pain specialists and rely on primary care providers who may be less prepared. Research has indicated that rural residents with chronic pain are more likely to receive an opioid prescription than nonrural residents. Although self-management approaches are available for chronic pain management, it is unclear to what extent rural residents use these interventions. This study compares usage of self-management interventions and opioid-based analgesics for chronic pain management between rural and nonrural residents. This study is a secondary analysis of baseline data from a randomized controlled trial evaluating a telehealth intervention for chronic pain management. Participants, recruited from primary care clinics, were 65 rural residents and 144 nonrural residents with similar demographic characteristics. Differences in the use of self-management interventions, pain intensity, and opioid dose were evaluated between rural and nonrural residents. Rural residents (n = 50, 77%) were less likely to use self-management interventions compared with nonrural residents (n = 133, 92%) (p = .019). Opioids were taken for pain relief by 76% of the rural residents compared with 52% of the nonrural residents. A disparity exists in the use of self-management interventions for chronic pain management by rural residents compared with nonrural residents. Further study is needed to determine if this is related to the lack of access to specialists and/or pain management training of primary care providers. Nurses can play an essential role in addressing this disparity by educating patients about self-management interventions.
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The availability of multidimensional and interdisciplinary therapies is limited.
“Moreover, the availability of multidimensional and interdisciplinary therapies is limited.27–29”
From Clinical and cost-effectiveness of a guided internet-based Acceptance and Commitment Therapy to improve chronic pain-related disability in green professions (PACT-A): Study protocol of a pragmatic randomised controlled trial (2020) · cites this paper as [28]
The Discussion (page not provided) says that access to clinician-delivered self-management interventions may be limited in rural settings, and the Background notes possible rural barriers to chronic-pain care. The paper does not establish that multidimensional or interdisciplinary therapies are generally limited in availability; its access claim is narrower and qualified. (LLM, conf=0.84)
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Cites
Improving Primary Care for Patients With Chronic Illness
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.14.1775 · Cited by 2,961 · see citing works
RELIEVING PAIN IN AMERICA: A BLUEPRINT FOR TRANSFORMING PREVENTION, CARE, EDUCATION, AND RESEARCH
Simon, L. S. (2012) · Journal of Pain & Palliative Care Pharmacotherapy · doi:10.3109/15360288.2012.678473 · Cited by 2,185 · see citing works
Furlong, W. J., Feeny, D. H., Torrance, G. W., & Barr, R. D. (2001) · Annals of Medicine · doi:10.3109/07853890109002092 · Cited by 751 · see citing works
Trends in long‐term opioid therapy for chronic non‐cancer pain
Boudreau, D. M., Korff, M. V., Rutter, C. M., Saunders, K. W., Ray, G. T., Sullivan, M. D., Campbell, C. I., Merrill, J. O., Silverberg, M. J., Banta‐Green, C. J., et al. (2009) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1833 · Cited by 522 · see citing works
Pain Education in North American Medical Schools
Mezei, L., & Murinson, B. B. (2011) · Journal of Pain · doi:10.1016/j.jpain.2011.06.006 · Cited by 348 · see citing works
Ambulatory Diagnosis and Treatment of Nonmalignant Pain in the United States, 2000–2010
Daubresse, M., Chang, H., Yu, Y., Viswanathan, S., Shah, N. D., Stafford, R. S., Kruszewski, S. P., & Alexander, G. C. (2013) · Medical Care · doi:10.1097/mlr.0b013e3182a95d86 · Cited by 318 · see citing works
Tompkins, D. A., Hobelmann, J. G., & Compton, P. A. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.12.002 · Cited by 251 · see citing works
Gordon, D. B., Polomano, R. C., Pellino, T. A., Turk, D. C., McCracken, L. M., Sherwood, G. D., Paice, J. A., Wallace, M. S., Strassels, S. A., & Farrar, J. T. (2010) · Journal of Pain · doi:10.1016/j.jpain.2010.02.012 · Cited by 250 · see citing works
Opioid Prescriptions by U.S. Primary Care Physicians From 1992 to 2001
Olsen, Y. K., Daumit, G. L., & Ford, D. E. (2006) · Journal of Pain · doi:10.1016/j.jpain.2005.11.006 · Cited by 230 · see citing works
Krebs, E. E., Bair, M. J., Damush, T. M., Tu, W., Wu, J., & Kroenke, K. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181eaf835 · Cited by 162 · see citing works
Prunuske, J. P., Hill, C. A. S., Hager, K. D., Lemieux, A. M., Swanoski, M. T., Anderson, G. W., & Lutfiyya, M. N. (2014) · BMC Health Services Research · doi:10.1186/s12913-014-0563-8 · Cited by 138 · see citing works
Complementary and Alternative Medicine Use by Primary Care Patients with Chronic Pain
Rosenberg, E. I., Genao, I., Chen, I., Mechaber, A. J., Wood, J. A., Faselis, C. J., Kurz, J., Menon, M. P., O’Rorke, J. E., Panda, M., et al. (2008) · Pain Medicine · doi:10.1111/j.1526-4637.2008.00477.x · Cited by 130 · see citing works
A Comparison of Chronic Pain Between an Urban and Rural Population
Hoffman, P. K., Meier, B. P., & James R. Council (2002) · Journal of Community Health Nursing · doi:10.1207/s15327655jchn1904_02 · Cited by 88 · see citing works
Theodore, B. R., Whittington, J., Towle, C. B., Tauben, D. J., Endicott-Popovsky, B. E., Cahana, A., & Doorenbos, A. Z. (2015) · Pain Medicine · doi:10.1111/pme.12688 · Cited by 41 · see citing works
Self-citationVallerand, A. H., Fouladbakhsh, J. M., & Templin, T. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.6.923 · Cited by 39 · see citing works
Development and implementation of a telehealth-enhanced intervention for pain and symptom management
Eaton, L. H., Gordon, D. B., Wyant, S., Theodore, B. R., Meins, A. R., Rue, T. C., Towle, C. B., Tauben, D. J., & Doorenbos, A. Z. (2014) · Contemporary Clinical Trials · doi:10.1016/j.cct.2014.05.005 · Cited by 35 · see citing works
Self-citationLukewich, J., Mann, E. G., VanDenKerkhof, E. G., & Tranmer, J. E. (2015) · Journal of Advanced Nursing · doi:10.1111/jan.12717 · Cited by 29 · see citing works
Healthcare use and prescription of opioids in rural residents with pain
Kapoor, S., & Thorn, B. E. (2014) · Rural and Remote Health · doi:10.22605/rrh2879 · Cited by 24 · see citing works
Self‐Treatment of Pain in a Rural Area
Vallerand, A. H., Fouladbakhsh, J. M., & Templin, T. (2004) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2004.tb00024.x · Cited by 23 · see citing works
TelePain: A Community of Practice for Pain Management
Meins, A. R. (2015) · Journal of Pain & Relief · doi:10.4172/2167-0846.1000177 · Cited by 18 · see citing works
Self-citationSurvey of Primary-Care Providers on Perceived Benefits of and Barriers to PainTracker
Schorn, M., Doorenbos, A. Z., Gordon, D. B., & Read-Williams, P. (2014) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2014.08.003 · Cited by 11 · see citing works
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Bringing chronic-pain care to rural veterans: A telehealth pilot program description.
Glynn, L. H., Chen, J. A., Dawson, T. C., Gelman, H., & Zeliadt, S. B. (2021) · Psychological Services · doi:10.1037/ser0000408 · Cited by 40 · see citing works
Voice Assistant Reminders for Pain Self-Management Tasks in Aging Adults
Shade, M. Y., Rector, K., Soumana, R., & Kupzyk, K. (2020) · Journal of Gerontological Nursing · doi:10.3928/00989134-20200820-03 · Cited by 21 · see citing works
Terhorst, Y., Braun, L., Titzler, I., Buntrock, C., Freund, J., Thielecke, J., Ebert, D., & Baumeister, H. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034271 · Cited by 9 · see citing works
- Authors
- Eaton, L. H., Langford, D. J., Meins, A. R., Rue, T., Tauben, D. J., & Doorenbos, A. Z.
- Affiliations
- University of Washington (US)
- Corresponding author
- Eaton, Linda H.
- Venue
- Pain Management Nursing
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 19
- Issue
- 1
- Pages
- 8-13
- ISSN
- 1524-9042 (ISSN-L)
- PMC
- PMC5807105
- OpenAlex
- W2768359248
- Cited by
- 49
- References
- 21
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 11 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 2
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Pain Management Nursing (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UNM’s Digital Repository (University of New Mexico) (submittedVersion)
- Funders
- National Institutes of Health (R01NR012450, K24NR015340)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- chronic pain management, self-management interventions, urban-rural differences, opioid use, primary care, telehealth intervention, pain intensity, opioid dose, nurse-led patient education
- MeSH terms
- Self-Management, Adult, Aged, Complementary Therapies, Female, Humans, Male, Massage, Middle Aged, Montana, Oregon, Surveys and Questionnaires, Rural Population, Temperature, Washington, Wyoming, Chronic Pain, Pain Management
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