Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities.

Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities. Research Abstract Details 

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Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities. Abstract Text:

Sarah L Krein,Michele Heisler,John D Piette,Amy Butchart,Eve A Kerr,

PURPOSE: Many older patients with common chronic conditions also experience chronic pain. We examined how chronic pain affects patients' difficulty with recommended self-management activities and the potential intervening role of self-efficacy (the level of confidence in one's own ability to perform a specific task). DESIGN AND METHODS: We obtained data from a cross-sectional nationwide survey of older patients, primarily older men, with chronic health conditions (N = 543). We defined chronic pain as pain present most of the time for 6 months or more during the past year. We assessed ability to follow self-management recommendations by asking respondents to rate their level of difficulty in performing three commonly recommended activities as suggested by their doctor. RESULTS: More than 60% of survey respondents reported chronic pain. Chronic pain was significantly associated with difficulty exercising regularly (odds ratio [OR] = 1.57, 95% confidence interval [CI] = 1.04-2.37) and taking prescribed medications (OR = 3.08, 95% CI = 1.10-8.59) but not with following a recommended eating plan (OR = 1.16, 95% CI = 0.76-1.76). However, when we took self-efficacy into account, chronic pain was no longer significantly associated with either exercise or taking medications. IMPLICATIONS: Chronic pain is a prevalent condition among older patients and is associated with greater reported difficulty performing certain essential self-management activities. Self-efficacy, however, plays an important intervening role. Specifically, higher self-efficacy negated or reduced the association between chronic pain and reported difficulty exercising and taking medications. Promoting self-efficacy among older adults with multiple chronic health problems is a promising strategy to improve their ability to follow self-management recommendations.

Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities. Publishing Authors By Initials

SL Krein,M Heisler,JD Piette,A Butchart,EA Kerr,

For similar behavior and behavior mechanisms: behavior: health behavior: treatment refusal research abstracts see: behavior and behavior mechanisms: behavior: health behavior: treatment refusal research

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Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: The Gerontologist

VOLUME: 47

Page Numbers: 61-8

Journal Abbreviation:

ISSN: 0016-9013

DAY: 3

MONTH: Feb

YEAR: 2007

Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities. Information

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LANGUAGE: eng

NlmUniqueID: 375327

Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities. Keywords Mesh Terms:

KEYWORDS: Treatment Refusal

MESH TERMS: rehabilitation

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Grant and Affiliation Information for Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activities.

AFFILIATION: VA HSR&D, VA Ann Arbor HCS, P.O. Box 130170, Ann Arbor, MI 48113-0170, USA. skrein@umich.edu

Country: United States

AGENCY: United States NIDDK

GRANT: P60DK-20572

ACRONYM: DK

MEDLINETA: Gerontologist

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