Evidence map›Paper›PMID 41390293›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2026

The Use of Nonpharmacologic Approaches to Pain Management Among Nursing Home Residents.

Barbara Resnick, Rachel McPherson, Nayeon Kim, Elizabeth Galik, Shijun Zhu

Abstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Barbara ResnickUniversity of Maryland School of Nursing, Baltimore, MD. Electronic address: resnick@umaryland.edu.
Rachel McPhersonUniversity of Maryland School of Nursing, Baltimore, MD.
Nayeon KimUniversity of Maryland School of Nursing, Baltimore, MD.
Elizabeth GalikUniversity of Maryland School of Nursing, Baltimore, MD.
Shijun ZhuUniversity of Maryland School of Nursing, Baltimore, MD.

Funding

Testing the Pain-CPG-EITRF1AG082676 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2025 to 2025
$1.3M
Testing the Pain-CPG-EITR01AG082676 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2023 to 2024
$852k
NIA NIH HHS R01 AG082676NIA NIH HHS RF1 AG082676NIH HHS 1R01AG082676-01
6 · The paper itself

Abstract

purposeChronic pain is common for older adults living with dementia in nursing homes. The purpose of this study was to describe the current nonpharmacologic approaches used to treat pain among nursing home residents living with dementia and test the factors associated with the use of nonpharmacologic approaches. DESIGN AND

methodsThis was a secondary data analysis using baseline data from the first six communities participating in the study, "Testing the Implementation of the Pain Management Clinical Practice Guideline Using the Evidence Integration Triangle." A total of 136 residents were included. Data was obtained from the electronic health record and observations using the Pain in Advanced Dementia Scale.

resultsThe mean age of the participants was 80.3 years (standard deviation = 9.8), the majority were female (68%), and approximately half were white (52%), with 4 (3%) being Hispanic. Overall, 28 residents (21%) had pain, and the majority received at least one nonpharmacological intervention (n = 103, 76%). There was a significant association between oral pain medications given (Beta = .24, t = 2.9, p < .001), having diabetes (Beta = 2.1, t = 2.5, p = .01), and cognitive status (Beta = -.17, t = -2.0, p = .05) with the total number of nonpharmacologic interventions received. Age, sex, race, ethnicity, or musculoskeletal or neurologic diagnoses were not associated with the use of nonpharmacologic approaches.

conclusionsNonpharmacologic interventions are commonly used in this population, and there was no evidence of disparities in use based on age, sex, race, or ethnicity. As per pain guidelines, nonpharmacologic interventions should be the first treatment approach, particularly for those with cognitive impairment.

Indexed as

Chronic PainPain ManagementAgedAged, 80 and overDementiaFemaleHumansMaleNursing HomesDementiaNonpharmacologicOlder AdultsPainPharmacologic

Identifiers

PMID41390293
PMCPMC13445603

What OpenQuestion holds

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Registered trials

None linked

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.