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Centre for Policy on Ageing | |
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Telephone-based management of chronic pain in older adults in an integrated care system | Author(s) | Amy Helstrom, Josh Haratz, Shirley Chen |
Journal title | International Journal of Geriatric Psychiatry, vol 33, no 5, May 2018 |
Publisher | Wiley, May 2018 |
Pages | pp 779-785 |
Source | http://www.orangejournal.org |
Keywords | Pain ; Chronic illness ; Ageing process ; Anxiety ; Depression ; Behaviour modification ; Telephone ; Therapy ; Evaluation. |
Annotation | Few studies have explored behavioural strategies for managing chronic pain in older adults. Pain Care Management (PCM) is a telephone-based behavioural intervention for chronic pain. The present study examined chronic pain characteristics among older adults and tested the delivery of PCM as an adjunct to depression and anxiety care management. Participants were drawn from a state-sponsored programme offering care management services to community members aged 65 and older who were prescribed a psychotropic medication by a primary care provider. Chronic pain information was collected for all 250 participants in the programme and treatment outcome data were collected for a subset with significant chronic pain. 80 participants with high chronic pain interference were offered PCM and compared to 80 controls with chronic pain who received monitoring only on depression, anxiety and pain interference outcomes. Chronic pain was identified in 14% of older adults newly prescribed a psychotropic medication. Compared to monitoring only, PCM participants had higher odds of seeing a reduction of 2 or more points in pain interference at 6 months. Pain care management participants' anxiety scores significantly decreased over the study period. Older adults treated with psychotropic medications often also experience chronic pain that interferes with daily activities. A telephone-based care management intervention is acceptable and feasible with an older community-based population and can lead to improvements in anxiety symptoms and interference from chronic pain. Further research will help to refine interventions that may help improve symptoms and increase functioning with this population. (JL). |
Accession Number | CPA-180427203 A |
Classmark | CT7: CI: BG: ENP: ENR: LODM: UJ: LO: 4C |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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