ArticleInternational journal of community based nursing and midwifery2026
The Effect of a Peer-Led Non-Pharmacological Pain-Management Program on Chronic Pain Intensity and Pain-Related Self-Efficacy in Older Adults with Osteoarthritis: A Quasi-Experimental Study.
Article in International journal of community based nursing and midwifery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Osteoarthritis is a leading cause of disability among the elderly, characterized by chronic pain and functional limitations. This study aimed to evaluate the impact of a peer-led, non-pharmacological pain management program on pain-related self-efficacy and chronic pain severity in older adults with osteoarthritis. Methods: A quasi-experimental study was conducted in 2020 in two healthcare centers in Mashhad, Iran. Sixty elderly individuals with chronic osteoarthritis were assigned to intervention (n=30) and control (n=30) groups. The intervention group received four 90-minute peer-led training sessions over two weeks, facilitated by trained elderly peers under the researcher's supervision. Pain intensity and pain-related self-efficacy were measured using the McGill Pain Questionnaire and the Pain Self-Efficacy Questionnaire at baseline and at 8-week follow-up after completion of the intervention. Data analysis was performed using paired and independent t-test in SPSS version 21. A P value of less than 0.05 was considered statistically significant. Results: Two months after the intervention, between-group comparison showed that there is a statistically significant difference in terms of pain-related self-efficacy (P<0.001). Two months after the intervention, between-group comparison in terms of total pain score (P<0.001) and the scores of its dimensions including sensory-discriminative (P=0.009) and affective (P<0.001) showed a statistically significant difference. Conclusion: The peer-led pain management program effectively reduces pain and enhances self-efficacy in elderly individuals with osteoarthritis in the intervention group. Implementing such programs, which promote mental control and social engagement, is recommended for improved outcomes.
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