Management of Persistent Pain in Older Adults: The <scp>MOBILIZE</scp> Boston Study

Carrie Stewart; Suzanne G. Leveille; Robert H. Shmerling; Elizabeth J. Samelson; Jonathan F. Bean; Pat Schofield

doi:10.1111/j.1532-5415.2012.04197.x

Management of Persistent Pain in Older Adults: The <scp>MOBILIZE</scp> Boston Study

Carrie Stewart^*, Suzanne G. Leveille, Robert H. Shmerling, Elizabeth J. Samelson, Jonathan F. Bean, Pat Schofield

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

Abstract

ObjectivesTo describe the prevalence of pharmacological (PS) and nonpharmacological (NPS) pain management approaches used by older adults with persistent pain and to identify characteristics associated with use of these approaches.DesignPopulation‐based cohort.SettingUrban and suburban communities in the Boston, Massachusetts, area.ParticipantsSeven hundred sixty‐five adults aged 64 and older underwent a home interview and clinic examination. Those reporting any persistent pain were included in this analysis (N = 599).MeasurementsAll prescription and nonprescription medications were recorded during the home interview. NPS modalities for pain management were assessed using a modification of the Pain Management Inventory. The baseline assessment included extensive measures of pain, health, and functioning.ResultsMore than one‐third (37.5%) of participants reported using both PS and NPS modalities. Thirty‐one percent reported use of NPS modalities alone, and 11.5% used PS modalities alone. NPS modalities (68.4%) were reported more frequently than PS modalities (49%). Women (odds ratio (OR) = 2.2, 95% confidence interval (CI) = 1.26–3.82), individuals with knee osteoarthritis (OR = 3.07, 95% CI = 1.6–5.9), and individuals with moderate to severe pain (OR = 5.02, 95% CI = 2.23–11.28) were more likely to report combined use of PS and NPS modalities. Characteristics associated with individual NPS modalities varied greatly.ConclusionOnly one‐third of older adults with persistent pain reported pain management strategies consistent with current guidelines. Further research is required to understand reasons behind choices, barriers to adherence, and the benefits of multiple modalities that older adults with persistent pain use.

Original language	English
Pages (from-to)	2081-2086
Number of pages	0
Journal	Journal of the American Geriatrics Society
Volume	60
Issue number	11
DOIs	https://doi.org/10.1111/j.1532-5415.2012.04197.x
Publication status	Published - Nov 2012

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10.1111/j.1532-5415.2012.04197.x

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@article{4ece8d447af9464d9bab4fc5e000a3d5,

title = "Management of Persistent Pain in Older Adults: The MOBILIZE Boston Study",

abstract = "ObjectivesTo describe the prevalence of pharmacological (PS) and nonpharmacological (NPS) pain management approaches used by older adults with persistent pain and to identify characteristics associated with use of these approaches.DesignPopulation‐based cohort.SettingUrban and suburban communities in the Boston, Massachusetts, area.ParticipantsSeven hundred sixty‐five adults aged 64 and older underwent a home interview and clinic examination. Those reporting any persistent pain were included in this analysis (N = 599).MeasurementsAll prescription and nonprescription medications were recorded during the home interview. NPS modalities for pain management were assessed using a modification of the Pain Management Inventory. The baseline assessment included extensive measures of pain, health, and functioning.ResultsMore than one‐third (37.5%) of participants reported using both PS and NPS modalities. Thirty‐one percent reported use of NPS modalities alone, and 11.5% used PS modalities alone. NPS modalities (68.4%) were reported more frequently than PS modalities (49%). Women (odds ratio (OR) = 2.2, 95% confidence interval (CI) = 1.26–3.82), individuals with knee osteoarthritis (OR = 3.07, 95% CI = 1.6–5.9), and individuals with moderate to severe pain (OR = 5.02, 95% CI = 2.23–11.28) were more likely to report combined use of PS and NPS modalities. Characteristics associated with individual NPS modalities varied greatly.ConclusionOnly one‐third of older adults with persistent pain reported pain management strategies consistent with current guidelines. Further research is required to understand reasons behind choices, barriers to adherence, and the benefits of multiple modalities that older adults with persistent pain use.",

author = "Carrie Stewart and Leveille, {Suzanne G.} and Shmerling, {Robert H.} and Samelson, {Elizabeth J.} and Bean, {Jonathan F.} and Pat Schofield",

year = "2012",

month = nov,

doi = "10.1111/j.1532-5415.2012.04197.x",

language = "English",

volume = "60",

pages = "2081--2086",

journal = "Journal of the American Geriatrics Society",

issn = "0002-8614",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "11",

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T1 - Management of Persistent Pain in Older Adults: The MOBILIZE Boston Study

AU - Stewart, Carrie

AU - Leveille, Suzanne G.

AU - Shmerling, Robert H.

AU - Samelson, Elizabeth J.

AU - Bean, Jonathan F.

AU - Schofield, Pat

PY - 2012/11

Y1 - 2012/11

N2 - ObjectivesTo describe the prevalence of pharmacological (PS) and nonpharmacological (NPS) pain management approaches used by older adults with persistent pain and to identify characteristics associated with use of these approaches.DesignPopulation‐based cohort.SettingUrban and suburban communities in the Boston, Massachusetts, area.ParticipantsSeven hundred sixty‐five adults aged 64 and older underwent a home interview and clinic examination. Those reporting any persistent pain were included in this analysis (N = 599).MeasurementsAll prescription and nonprescription medications were recorded during the home interview. NPS modalities for pain management were assessed using a modification of the Pain Management Inventory. The baseline assessment included extensive measures of pain, health, and functioning.ResultsMore than one‐third (37.5%) of participants reported using both PS and NPS modalities. Thirty‐one percent reported use of NPS modalities alone, and 11.5% used PS modalities alone. NPS modalities (68.4%) were reported more frequently than PS modalities (49%). Women (odds ratio (OR) = 2.2, 95% confidence interval (CI) = 1.26–3.82), individuals with knee osteoarthritis (OR = 3.07, 95% CI = 1.6–5.9), and individuals with moderate to severe pain (OR = 5.02, 95% CI = 2.23–11.28) were more likely to report combined use of PS and NPS modalities. Characteristics associated with individual NPS modalities varied greatly.ConclusionOnly one‐third of older adults with persistent pain reported pain management strategies consistent with current guidelines. Further research is required to understand reasons behind choices, barriers to adherence, and the benefits of multiple modalities that older adults with persistent pain use.

AB - ObjectivesTo describe the prevalence of pharmacological (PS) and nonpharmacological (NPS) pain management approaches used by older adults with persistent pain and to identify characteristics associated with use of these approaches.DesignPopulation‐based cohort.SettingUrban and suburban communities in the Boston, Massachusetts, area.ParticipantsSeven hundred sixty‐five adults aged 64 and older underwent a home interview and clinic examination. Those reporting any persistent pain were included in this analysis (N = 599).MeasurementsAll prescription and nonprescription medications were recorded during the home interview. NPS modalities for pain management were assessed using a modification of the Pain Management Inventory. The baseline assessment included extensive measures of pain, health, and functioning.ResultsMore than one‐third (37.5%) of participants reported using both PS and NPS modalities. Thirty‐one percent reported use of NPS modalities alone, and 11.5% used PS modalities alone. NPS modalities (68.4%) were reported more frequently than PS modalities (49%). Women (odds ratio (OR) = 2.2, 95% confidence interval (CI) = 1.26–3.82), individuals with knee osteoarthritis (OR = 3.07, 95% CI = 1.6–5.9), and individuals with moderate to severe pain (OR = 5.02, 95% CI = 2.23–11.28) were more likely to report combined use of PS and NPS modalities. Characteristics associated with individual NPS modalities varied greatly.ConclusionOnly one‐third of older adults with persistent pain reported pain management strategies consistent with current guidelines. Further research is required to understand reasons behind choices, barriers to adherence, and the benefits of multiple modalities that older adults with persistent pain use.

U2 - 10.1111/j.1532-5415.2012.04197.x

DO - 10.1111/j.1532-5415.2012.04197.x

M3 - Article

SN - 0002-8614

VL - 60

SP - 2081

EP - 2086

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

IS - 11

ER -

Management of Persistent Pain in Older Adults: The <scp>MOBILIZE</scp> Boston Study

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