scholarly journals Effects of a Peer-Led Pain Management Program for Nursing Home Residents with Chronic Pain: A Pilot Study

Pain Medicine ◽  
2016 ◽  
Vol 17 (9) ◽  
pp. 1648-1657 ◽  
Author(s):  
Mimi Mun Yee Tse ◽  
Suey Shuk Yu Yeung ◽  
Paul Hong Lee ◽  
Shamay Sheung Mei Ng
Keyword(s):  
Chronic Pain ◽  
Nursing Home ◽  
Pain Management ◽  
Pilot Study ◽  
Nursing Home Residents ◽  
Management Program ◽  
Pain Management Program

scholarly journals Lesson Learned from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

2019 ◽  
Vol 16 (17) ◽  
pp. 3097 ◽  
Author(s):  
Mimi Tse ◽  
Shamay Ng ◽  
Xue Bai ◽  
Paul Lee ◽  
Raymond Lo ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Nursing Home ◽  
Pain Management ◽  
Qualitative Data ◽  
Elderly Care ◽  
Nursing Home Residents ◽  
Management Program ◽  
Pain Management Program ◽  
Peer Volunteers ◽  
Pain Knowledge

Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the burden of pain and limited healthcare resources, devising innovative and cost-effective ways of managing chronic pain is of high priority. The aim of this paper is to explore the experiences and perceptions of peer volunteers (PVs) in a peer-led pain management program among nursing home residents in Hong Kong. Methods: Forty-six PVs were recruited and trained to lead a pain management program (PAP). The PAP consisted of one 1 hour session per week for 12 weeks. It included 20 min of physical exercises performed under the supervision of PVs, followed by 30 min of pain management education, including information on pain situations, the impacts of pain, the use of drugs and non-drug strategies for pain management, demonstrations, and return demonstrations of various non-drug pain management techniques. Quantitative data were collected from questionnaires (demographics, pain situation, and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, barriers encountered, and recommendations for improving the PAP) were collected at week 12 (upon completion of the PAP). Data were analyzed using the Statistical Package for Social Sciences and content analysis for qualitative data. Results: A total of 46 PVs were recruited (34 females, 74%), with a mean ± SD age of 61.0 ± 5.1 years. Thirty-one of them reported having chronic pain. Before the training, their self-rated pain knowledge was 40.0 ± 20.5 (maximum 100 points) while their actual pain knowledge score was 86.1 ± 10.6 (maximum 100 points). The PVs reported an improvement in their knowledge and skills after leading PAPs. No PVs reported having received any negative comments about their role in leading the PAP but mentioned that they had received feedback on how to improve the program. Conclusions: This study provides further evidence that peer-led pain management programs are feasible and can lead to positive experiences for the PVs. Peer support models are coming into wide use because they show promise in helping patients to manage chronic conditions. Peer volunteers will become important resources in elderly care. The barriers that were identified may lead to improvements in the design and planning of future PAPs.

scholarly journals Lesson Learnt from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

2019 ◽  
Author(s):  
Mimi Tse ◽  
Shamay Sheung Mei NG ◽  
Xue BAI ◽  
Paul Lee ◽  
Raymond LO ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Residents ◽  
Knowledge Score ◽  
Management Program ◽  
Pain Management Program ◽  
Significant Difference ◽  
Peer Volunteers ◽  
Pain Knowledge

Abstract Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the expected burden and limited healthcare resources, an innovative and cost-effective method to manage chronic pain should be developed. Peer volunteers (PVs) have been used as an affordable alternative to professional services to help patients manage their chronic conditions including pain with success and acceptance. The aim of this paper is to explore the experiences and perceptions of PVs in a peer-led pain management program among nursing home residents. Methods: This longitudinal study formed part of a wider research study, a clustered randomised controlled trial, which investigates the effectiveness of a 12-week peer-led pain management program (PAP) in relieving chronic pain and enhancing pain self-efficacy among nursing home residents. Quantitative data were collected from questionnaires (demographics, pain situation and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, limitations and barriers encountered, its usefulness to the participants and recommendations for improving the PAP) were collected from focus group for a selected sample at baseline (before attending the training) and at week 12 (upon completion of the PAP). Data were analysed using the Statistical Package for Social Sciences and NVivo 8. Results: A total of 46 PVs were recruited (34 female, 74%), with mean±SD age of 61.0±5.1 years. Thirty-one PVs reported to have chronic pain. Before the training, self-rated pain knowledge was 39.1±20.4 (maximum 100 points). When actual pain knowledge was assessed, a mean pain knowledge score of 86.1±10.6 points was found. There was a significant difference between the self-rated pain knowledge and the pain knowledge score (p<0.001). PVs reported to have improvement in their knowledge and skills. No PVs reported negative comments regarding their role in the PAP, although experienced barriers such as communication, space and privacy were reported. Conclusions: This study provides further evidence that peer-led pain management program is feasible. Barriers identified may benefit the design and planning of future PAP. Trial registration: ClincalTrials.gov (NCT03823495), 30 January 2019. (Retrospectively registered).

scholarly journals An Exploration of the Effectiveness of a Peer-Led Pain Management Program (PAP) for Nursing Home Residents with Chronic Pain and an Evaluation of Their Experiences: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 17 (11) ◽  
pp. 4090
Author(s):  
Mimi Tse ◽  
Yajie Li ◽  
Shuk Kwan Tang ◽  
Shamay S. M. Ng ◽  
Xue Bai ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Randomized Controlled Trial ◽  
Nursing Home ◽  
Pain Management ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Management Program ◽  
Randomized Controlled ◽  
Pain Management Program ◽  
Experimental Group

Background: 80% of nursing home residents have reported chronic pain, which is often accepted by older adults as part of aging. Peer support models are being used to help individuals manage their chronic conditions and overcome the challenges of limited healthcare resources. The aims of this study were: (i) to examine the effectiveness of a 12 week peer-led pain management program (PAP) for nursing home residents and (ii) to evaluate their experiences. Methods: A cluster randomized controlled trial (RCT) was used. The 12 week pain management program was provided for the experimental group. Outcomes were measured at three time points. The participants’ satisfaction and acceptance were evaluated by a semi-structured interview after the program was completed. Results: Pain self-efficacy, pain intensity, pain interference, pain knowledge, and depression levels improved after the completion of the 12 week peer-led PAP. The pain-intensity level reported at week 12 was significantly lower in the experimental group than in the control group. Semi-structured interviews showed that the nursing home residents were satisfied with the pain education that they received. Conclusions: The 12 week peer-led PAP appeared to improve the pain-related and psychological outcome measures in nursing home residents, and the feedback on the peer-led PAP from the nursing home residents was positive.

scholarly journals Effectiveness of a Peer-Led Pain Management Program in Relieving Chronic Pain and Enhancing Pain Self-Efficacy Among Older Adults: A Clustered Randomized Controlled Trial

2021 ◽  
Vol 8 ◽  
Author(s):  
Mimi M. Y. Tse ◽  
Shamay S. M. Ng ◽  
Paul H. Lee ◽  
Xue Bai ◽  
Raymond Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Management ◽  
Self Efficacy ◽  
Nursing Home Residents ◽  
Management Program ◽  
Control Group ◽  
Pain Management Program ◽  
Experimental Group

Chronic pain is common in nursing home residents, who may have difficulty seeking out pain management strategies. Peer support model show promise as a strategy for managing chronic conditions. This was a clustered randomized controlled trial. A peer-led pain management program was provided for the experimental group. Pain situation, depression, quality of life, non-drug strategies used, and pain knowledge were measured. A total of 262 participants joined the study (146 were allocated as experimental group and 116 as control group). Before our intervention, the mean pain score reported was as high as 6.36 on a 10-point Likert Scale. The high intensity of their pain very much interfered with the daily activities of the participants. Pain interference was high and the participants had poor coping as indicated by the low pain self-efficacy. Depression and a low quality of life score was found. Upon completion of our PAP, there was a significant increase in pain self-efficacy, pain interference as well as quality of life for the participants in the experimental group and not in the control group, and this improvement sustained in 3-month follow up. The present study used a peer support models and proven to be effective in managing pain and pain related situations for nursing home residents with chronic pain. The peer volunteers involved in the pain management program taught relevant pain knowledge and pain management strategies to help our participants.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT03823495, NCT03823495.

scholarly journals The Impact of a Cognitive Behavioral Pain Management Program on Sleep in Patients with Chronic Pain: Results of a Pilot Study

Pain Medicine ◽  
2015 ◽  
pp. n/a-n/a ◽  
Author(s):  
Catherine Blake ◽  
Jennifer Cunningham ◽  
Camillus K. Power ◽  
Sheila Horan ◽  
Orla Spencer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Pilot Study ◽  
Management Program ◽  
Cognitive Behavioral ◽  
Pain Management Program ◽  
The Impact
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