F. Kung et al., A community-based program that provides free choice of intervention for older people with chronic pain, J PAIN, 1(4), 2000, pp. 293-308
This study sought to evaluate the efficacy of a community-based interventio
n program that provides free choice of intervention for improving outcomes
for community-dwelling older people with chronic nonmalignant pain. A quasi
experimental before and after nonequivalent group design was used. The trea
ted group was composed of 71 participants, and the untreated group was comp
osed of 40 individuals. A 6-month follow-up measurement was included to det
ermine the long-term effects of the program. The findings of the program sh
owed significant benefits for those who completed the program compared with
those who did not participate. Evaluation of the program suggested that an
initial educational seminar had a positive impact that empowered the parti
cipants to make more informed choices regarding interventions for managing
pain. Significant reduction in pain intensity and improved level of physica
l activity were reported by the participants at completion of the intervent
ions. However, results of a 6-month follow-up showed that only the benefits
for physical activity were maintained. The findings show that the present
program improved the short-term outcomes for older people with chronic pain
and has potential as a clinical option for accessible and low-cost pain ma
nagement for older people with chronic pain.