ArticlePain medicine (Malden, Mass.)2009
Older people's experiences of patient-centered treatment for chronic pain: a qualitative study.
Article in Pain medicine (Malden, Mass.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses 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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Do Decision Aids Benefit Patients with Chronic Musculoskeletal Pain? A Systematic Review.Pain medicine (Malden, Mass.) · 2020Pooled it
- Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Pooled it
- Structural barriers and facilitators of accessing rehabilitation among adults aged 50 years and older with low back pain: a scoping review of the literature.BMC health services research · 2026Article
- Pain Affirming Care in Older Adults with Marginalized Experiences: A New Framework for Care.Clinics in geriatric medicine · 2026Review
- Assessing qualitative data richness and thickness: Development of an evidence-based tool for use in qualitative evidence synthesis.Cochrane evidence synthesis and methods · 2024Article
- Article
- Acceptability, values, and preferences of older people for chronic low back pain management; a qualitative evidence synthesis.BMC geriatrics · 2024Review
- What do older adults want from spine care?Brain & spine · 2024Article
- Which Pain Treatment Goals Are Important to Community-Dwelling Older Adults?Pain medicine (Malden, Mass.) · 2022Article
- Harnessing Placebo Effects in Primary Care: Using the Person-Based Approach to Develop an Online Intervention to Enhance Practitioners' Communication of Clinical Empathy and Realistic Optimism During Consultations.Frontiers in pain research (Lausanne, Switzerland) · 2021Article
- The Public's Perception of Interventions for Migraine Headache Disorders: A Crowdsourcing Population-Based Study.Aesthetic surgery journal. Open forum · 2019Article
- The Situated Influence of Chronic Pain Perception on Chinese Older Adults' Self-Management in Home Care.Geriatrics (Basel, Switzerland) · 2018Article
- Physical, Emotional, and Social Impacts of Restricting Back Pain in Older Adults: A Qualitative Study.Pain medicine (Malden, Mass.) · 2017Article
- Patient and caregiver goals for dementia care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
- Mechanism of engaging self-management behavior in rural heart failure patients.Applied nursing research : ANR · 2016Article
- Living with a long-term condition: Understanding well-being for individuals with thrombophilia or asthma.International journal of qualitative studies on health and well-being · 2016Article
- Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation.Pain research & management · 2016Article
- A qualitative study of older adults seeking appropriate treatment to self-manage their chronic pain in rural North-East Thailand.BMC geriatrics · 2015Article
- Ageism, negative attitudes, and competing co-morbidities--why older adults may not seek care for restricting back pain: a qualitative study.BMC geriatrics · 2015Article
- Botlhoko, botlhoko! How people talk about their musculoskeletal complaints in rural Botswana: a focused ethnography.Global health action · 2015Article
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 3 institutions in 1 country.
Funding
Abstract
introductionOlder adults with chronic pain who seek treatment often are in a health care environment that emphasizes patient-directed care, a change from the patriarchal model of care to which many older adults are accustomed.
objectiveTo explore the experiences of older adults seeking treatment for chronic pain, with respect to patient-directed care and the patient-provider relationship.
designIn-depth interviews with 15 Caucasian older adults with chronic pain who had been evaluated at a university-based pain clinic. All interviews were audiotaped and the transcripts were analyzed using a grounded theory based approach.
resultsOlder adults with chronic pain vary in their willingness to be involved in their treatment decisions. Many frequently participate in decisions about their pain treatment by asking for or refusing specific treatments, demanding quality care, or operating outside of the patient-provider relationship to manage pain on their own. However, others prefer to let their provider make the decisions. In either case, having a mutually respectful patient-provider relationship is important to this population. Specifically, participants described the importance of "being heard" and "being understood" by providers.
conclusionsAs some providers switch from a patriarchal model of care toward a model of care that emphasizes patient activation and patient-centeredness, the development and cultivation of valued patient-provider relationships may change. While it is important to encourage patient involvement in treatment decisions, high-quality, patient-centered care for older adults with chronic pain should include efforts to strengthen the patient-provider relationship by attending to differences in patients' willingness to engage in patient-directed care and emphasizing shared decision-making.
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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.