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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

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, Anthony, Geraldine and Smith, Blair (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
Pre-2014 Departments: School of Health & Social Care
School of Health & Social Care > Centre for Nursing & Healthcare Research
Related URLs:
Last Modified: 14 Oct 2016 09:24
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: None
URI: http://gala.gre.ac.uk/id/eprint/10132

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