The effect of Stanford-type self-management programmes on pain and function in older people with persistent pain: A systematic review of randomised controlled trials

Martin, Denis, Schofield, Patricia, Jones, Derek, McNamee, Paul, Clarke, Amanda and Anthony, Geraldine (2013) The effect of Stanford-type self-management programmes on pain and function in older people with persistent pain: A systematic review of randomised controlled trials. Journal of Pain Management, 6 (2). pp. 117-122. ISSN 1939-5914

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Abstract

Self-management is advocated for older people with persistent pain. Self-management can be used to describe a range of approaches. Of these, the model developed at Stanford University is one of the most well known. To examine claims of the effectiveness of this approach for pain and function in older people we carried out a systematic review of randomised controlled trials. Trials were included in which participants were aged at least 65 years old and living in the community with persistent pain; the intervention arm was the Stanford model or a close derivative; and measures were taken of pain severity, and/or physical function and/or psychological function at a follow up of at least 6 months. Studies were excluded if the sample also contained people younger than 65 years old or if they were in a language other than English. Three RCTs were identified, each rated as moderate quality. Analysis showed a lack of convincing evidence in support of the Stanford model of self-management or close derivatives, as delivered in the trials, for reducing pain severity or improving function in people over 65 years old with persistent pain.

Item Type: Article
Uncontrolled Keywords: pain, persistent pain, self management, randomised trials, gerontology, Stanford
Subjects: B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Paul Burns
Date Deposited: 04 Jun 2014 12:47
Last Modified: 24 Oct 2017 11:47
URI: http://nrl.northumbria.ac.uk/id/eprint/16509

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