A community-based program that provides free choice of intervention for older people with chronic pain

Abstract

This study sought to evaluate the efficacy of a community-based intervention program that provides free choice of intervention for improving outcomes for community-dwelling older people with chronic nonmalignant pain. A quasiexperimental before and after nonequivalent group design was used. The treated group was composed of 71 participants, and the untreated group was composed of 40 individuals. A 6-month follow-up measurement was included to determine the long-term effects of the program. The findings of the program showed significant benefits for those who completed the program compared with those who did not participate. Evaluation of the program suggested that an initial educational seminar had a positive impact that empowered the participants to make more informed choices regarding interventions for managing pain. Significant reduction in pain intensity and improved level of physical activity were reported by the participants at completion of the interventions. However, results of a 5-month follow-up showed that only the benefits for physical activity were maintained. The findings show that the present program improved the short-term outcomes for older people with chronic pain and has potential as a clinical option for accessible and low-cost pain management for older people with chronic pain.