ReviewPain medicine (Malden, Mass.)
Self-management strategies to reduce pain and improve function among older adults in community settings: a review of the evidence.
Review in Pain medicine (Malden, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.
- An evidence map of the effect of Tai Chi on health outcomes.Systematic reviews · 2016Pooled it
- Interactive AI Routines for Pain Symptoms and Loneliness in Older Adults.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025Trial
- Trial
- Feasibility of a yoga intervention to decrease pain in older women: a randomized controlled pilot study.BMC geriatrics · 2020Trial
- Trial
- Adopting Principles to Guide Pathways: The Best Model for Geriatric Pain Management.Clinics in geriatric medicine · 2026Review
- Family function and health self-management ability among older adults from mountainous areas in China: moderated mediation model in a cross-sectional study.BMC public health · 2025Article
- Improving Pain Self-Management Among Rural Older Adults With Cancer.JAMA network open · 2024Article
- Effects of the ActiveHip+ mHealth intervention on the recovery of older adults with hip fracture and their family caregivers: a multicentre open-label randomised controlled trial.EClinicalMedicine · 2024Article
- Is Tai Chi beneficial for multisite pain syndrome in older adults?Aging clinical and experimental research · 2023Review
- Article
- Ca-HELP: Adaptation of a Communication Tool to Help Geriatric Cancer Patients in Rural Settings Talk to Their Doctors About Pain.Innovation in aging · 2023Article
- Assessing Healthy Aging Score and Its Association With All-Cause Mortality: Findings From the China Health and Retirement Longitudinal Study.Innovation in aging · 2023Article
- Black American older adults' motivation to engage in osteoarthritis treatment recommendations for pain self-management: A mixed methods study.International journal of nursing studies · 2021Article
- Adherence to and the Maintenance of Self-Management Behaviour in Older People with Musculoskeletal Pain-A Scoping Review and Theoretical Models.Journal of clinical medicine · 2021Article
- Physiotherapy support for self-management of persisting musculoskeletal pain disorders.The South African journal of physiotherapy · 2021Article
- 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.Frontiers in medicine · 2021Article
- Effectiveness of Hand Self-Shiatsu to Promote Sleep in Young People with Chronic Pain: a Case Series Design.International journal of therapeutic massage & bodywork · 2020Article
- Nearby nature buffers the pain catastrophizing - pain intensity relation among urban residents with chronic pain.Frontiers in built environment · 2019Article
- The Effect of Self-Management Educational Program on Pain Intensity in Elderly Patients with Knee Osteoarthritis: A Randomized Clinical Trial.Open access Macedonian journal of medical sciences · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
contextSelf-management strategies for pain hold substantial promise as a means of reducing pain and improving function among older adults with chronic pain, but their use in this age group has not been well defined.
objectiveTo review the evidence regarding self-management interventions for pain due to musculoskeletal disorders among older adults.
designWe searched the Medline and Cumulative Index to Nursing and Allied Health Literature databases to identify relevant articles for review and analyzed English-language articles that presented outcome data on pain, function, and/or other relevant endpoints and evaluated programs/strategies that could be feasibly implemented in the community. Abstracted information included study sample characteristics, estimates of treatment effect, and other relevant outcomes when present.
resultsRetained articles (N = 27) included those that evaluated programs sponsored by the Arthritis Foundation and other programs/strategies including yoga, massage therapy, Tai Chi, and music therapy. Positive outcomes were found in 96% of the studies. Proportionate change in pain scores ranged from an increase of 18% to a reduction of 85% (median = 23% reduction), whereas change in disability scores ranged from an increase of 2% to a reduction of 70% (median = 19% reduction). Generalizability issues identified included limited enrollment of ethnic minority elders, as well as non-ethnic elders aged 80 and above.
conclusionsOur results suggest that a broad range of self-management programs may provide benefits for older adults with chronic pain. Research is needed to establish the efficacy of the programs in diverse age and ethnic groups of older adults and identify strategies that maximize program reach, retention, and methods to ensure continued use of the strategies over time.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.