A cognitive-behavioral plus exercise intervention for older adults with chronic back pain: race/ethnicity effect? Academic Article uri icon

Overview

MeSH

  • Adult
  • African Americans
  • Aged
  • Aged, 80 and over
  • Chronic Disease
  • European Continental Ancestry Group
  • Female
  • Hispanic Americans
  • Humans
  • Male
  • Pilot Projects
  • Program Evaluation
  • Surveys and Questionnaires
  • Treatment Outcome

MeSH Major

  • Back Pain
  • Cognitive Therapy
  • Exercise Therapy

abstract

  • This pilot study examined the feasibility and potential efficacy of a self-management program for seniors with chronic back pain and assessed for possible race/ethnicity differences in program impact. Sixty-nine seniors (24 African Americans, 25 Hispanics, and 20 non-Hispanic Whites) enrolled in the 8-wk community-based program. Efficacy outcomes included pain-related disability as measured by the Roland Morris Disability Questionnaire (RMDQ), pain intensity, pain self-efficacy, depressive symptoms, social activity, and functional status. Eighty percent of enrollees completed the program. Clinically important decreases in RMDQ scores were found for non-Hispanic White (adjusted change score = -3.53), African American (-3.89), and Hispanic (-8.45) participants. Improvements in all other outcomes were observed, but only for Hispanic participants. Results confirm that implementation of the protocol in urban senior centers is feasible, and the program shows potential efficacy. The race/ethnicity differences observed in the current study merit further investigation.

publication date

  • April 2012

has subject area

  • Adult
  • African Americans
  • Aged
  • Aged, 80 and over
  • Back Pain
  • Chronic Disease
  • Cognitive Therapy
  • European Continental Ancestry Group
  • Exercise Therapy
  • Female
  • Hispanic Americans
  • Humans
  • Male
  • Pilot Projects
  • Program Evaluation
  • Surveys and Questionnaires
  • Treatment Outcome

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC3478899

PubMed ID

  • 22015623

Additional Document Info

start page

  • 246

end page

  • 265

volume

  • 20

number

  • 2