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AuthorStewart, Derek
AuthorRushworth, Gordon
AuthorBailey, Nicola
AuthorPfleger, Sharon
AuthorJebara, Tesnime
AuthorMunro, Kim
AuthorYoungson, Elaine
AuthorWilson, Martin
AuthorMacLeod, John
AuthorCunningham, Scott
Available date2020-05-03T06:14:02Z
Publication Date2020-04-01
Publication NameAge and Ageingen_US
Identifierhttp://dx.doi.org/10.1093/ageing/afz181
CitationDerek Stewart, Gordon Rushworth, Nicola Bailey, Sharon Pfleger, Tesnime Jebara, Kim Munro, Elaine Youngson, Martin Wilson, John MacLeod, Scott Cunningham, A cross-sectional survey of the perspectives of older people in the Scottish Highlands on the management of their chronic pain, Age and Ageing, Volume 49, Issue 3, May 2020, Pages 432–438, https://doi.org/10.1093/ageing/afz181
ISSN0002-0729
URIhttp://hdl.handle.net/10576/14765
AbstractAlthough there is evidence of suboptimal outcomes in older people with chronic pain, little emphasis has been placed on those in remote and rural settings. To describe the perspectives of older people in the Scottish Highlands on their chronic pain management. Cross-sectional survey. NHS Highland, the most remote and rural geographical health board in Scotland. Home-dwelling members of the public aged ≥70 years. Anonymised questionnaires were mailed to a random sample of 1800 older people. Questionnaire items were demographics, nature of any chronic pain, management regimens and perceived effectiveness. Validated scales were the Pain Disability Questionnaire and the Tampa Scale for Kinesiophobia. Adjusted response rate was 39.3% (709/1755). One-quarter (25.0%, n = 177) were experiencing chronic pain, being more likely to live in deprived areas (P < 0.05). Median pain intensity was 6 (IQR 4-7, 10 high), causing distress (median 5, IQR 3-7). Respondents largely consulted GPs (66.1%, n = 117) with a minority (16.4%, n = 29) referred to a specialist pain clinic and few consulting other health professionals. Over three quarters (78.0%, n = 138) were receiving prescribed medicines, most commonly paracetamol, alone (35.6%, n = 63) or in combination with opioids (16.4%, n = 29). One-third (31.6%, n = 56) expressed a desire for more effective medicines; few reported using any non-pharmacological therapies. The median scores for the Pain Disability Questionnaire and Tampa Scale for Kinesiophobia were 74 (IQR 34-104.5, 150 high) and 40 (IQR 35-45, 68 high). Evidence of provision of appropriate integrated and person-centred chronic pain care is lacking.
Languageen
PublisherOxford University Press
SubjectOlder people
SubjectScotland
Subjectaged
Subjectchronic pain
Subjectquestionnaire
Subjectremote and rural
TitleA cross-sectional survey of the perspectives of older people in the Scottish Highlands on the management of their chronic pain.
TypeArticle
Pagination432-438
Issue Number3
Volume Number49
ESSN1468-2834


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