Management of persistent pain in older adults: the MOBILIZE Boston Study

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

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

OBJECTIVES: To 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.

DESIGN: Population-based cohort.

SETTING: Urban and suburban communities in the Boston, Massachusetts, area.

PARTICIPANTS: Seven 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).

MEASUREMENTS: All 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.

RESULTS: More 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.

CONCLUSION: Only 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 languageEnglish
Pages (from-to)2081-2086
Number of pages6
JournalJournal of the American Geriatrics Society
Volume60
Issue number11
DOIs
Publication statusPublished - Nov 2012

Fingerprint

Pain Management
Pain
Odds Ratio
Confidence Intervals
Interviews
Knee Osteoarthritis
Prescriptions
Pharmacology
Guidelines
Equipment and Supplies
Health
Research
Population

Keywords

  • Aged
  • Aged, 80 and over
  • Chronic Pain/therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Management/methods

Cite this

Management of persistent pain in older adults : the MOBILIZE Boston Study. / Stewart, Carrie; Leveille, Suzanne G; Shmerling, Robert H; Samelson, Elizabeth J; Bean, Jonathan F; Schofield, Pat.

In: Journal of the American Geriatrics Society, Vol. 60, No. 11, 11.2012, p. 2081-2086.

Research output: Contribution to journalArticle

Stewart, Carrie ; Leveille, Suzanne G ; Shmerling, Robert H ; Samelson, Elizabeth J ; Bean, Jonathan F ; Schofield, Pat. / Management of persistent pain in older adults : the MOBILIZE Boston Study. In: Journal of the American Geriatrics Society. 2012 ; Vol. 60, No. 11. pp. 2081-2086.
@article{80da8f561e7840429e6eee852b7feb7a,
title = "Management of persistent pain in older adults: the MOBILIZE Boston Study",
abstract = "OBJECTIVES: To 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.DESIGN: Population-based cohort.SETTING: Urban and suburban communities in the Boston, Massachusetts, area.PARTICIPANTS: Seven 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).MEASUREMENTS: All 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.RESULTS: More 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.CONCLUSION: Only 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.",
keywords = "Aged, Aged, 80 and over, Chronic Pain/therapy, Female, Humans, Male, Middle Aged, Pain Management/methods",
author = "Carrie Stewart and Leveille, {Suzanne G} and Shmerling, {Robert H} and Samelson, {Elizabeth J} and Bean, {Jonathan F} and Pat Schofield",
note = "Funding Information Research Nursing Home Project National Institute on Aging Grant. Grant Number: P01AG004390 Pfizer, Inc. University of Aberdeen Siddall",
year = "2012",
month = "11",
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",
number = "11",

}

TY - JOUR

T1 - Management of persistent pain in older adults

T2 - 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

N1 - Funding Information Research Nursing Home Project National Institute on Aging Grant. Grant Number: P01AG004390 Pfizer, Inc. University of Aberdeen Siddall

PY - 2012/11

Y1 - 2012/11

N2 - OBJECTIVES: To 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.DESIGN: Population-based cohort.SETTING: Urban and suburban communities in the Boston, Massachusetts, area.PARTICIPANTS: Seven 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).MEASUREMENTS: All 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.RESULTS: More 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.CONCLUSION: Only 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 - OBJECTIVES: To 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.DESIGN: Population-based cohort.SETTING: Urban and suburban communities in the Boston, Massachusetts, area.PARTICIPANTS: Seven 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).MEASUREMENTS: All 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.RESULTS: More 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.CONCLUSION: Only 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.

KW - Aged

KW - Aged, 80 and over

KW - Chronic Pain/therapy

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Pain Management/methods

U2 - 10.1111/j.1532-5415.2012.04197.x

DO - 10.1111/j.1532-5415.2012.04197.x

M3 - Article

C2 - 23126624

VL - 60

SP - 2081

EP - 2086

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 11

ER -