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Title: 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
Authors: Tse, MMY 
Ng, SSM 
Lee, PH
Bai, X 
Lo, R
Tang, SK 
Chan, KL 
Li, Y
Issue Date: Aug-2021
Source: Frontiers in medicine, Aug. 2021, v. 8, 709141
Abstract: 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.
Keywords: Chronic pain
Nursing home residents
Pain management program
Randomized controlled trial
Publisher: Frontiers Research Foundation
Journal: Frontiers in medicine 
EISSN: 2296-858X
DOI: 10.3389/fmed.2021.709141
Rights: © 2021 Tse, Ng, Lee, Bai, Lo, Tang, Chan and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) ( The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
The following publication Tse MMY, Ng SSM, Lee PH, Bai X, Lo R, Tang SK, Chan KL and Li Y (2021) 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. Front. Med. 8:709141 is available at
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