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Salehian, Maryam, Mohajer, Samira, Shoghi, Marjan, Reza Mazloum, Seyed, Namazinia, Mohammad. (1405). 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. سامانه مدیریت نشریات علمی, 14(3), 245-256. doi: 10.30476/ijcbnm.2026.102702.2506
Maryam Salehian; Samira Mohajer; Marjan Shoghi; Seyed Reza Mazloum; Mohammad Namazinia. "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". سامانه مدیریت نشریات علمی, 14, 3, 1405, 245-256. doi: 10.30476/ijcbnm.2026.102702.2506
Salehian, Maryam, Mohajer, Samira, Shoghi, Marjan, Reza Mazloum, Seyed, Namazinia, Mohammad. (1405). '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', سامانه مدیریت نشریات علمی, 14(3), pp. 245-256. doi: 10.30476/ijcbnm.2026.102702.2506
Salehian, Maryam, Mohajer, Samira, Shoghi, Marjan, Reza Mazloum, Seyed, Namazinia, Mohammad. 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. سامانه مدیریت نشریات علمی, 1405; 14(3): 245-256. doi: 10.30476/ijcbnm.2026.102702.2506

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

International Journal of Community Based Nursing & Midwifery
مقاله 6، دوره 14، شماره 3 - شماره پیاپی 55، مهر 2026، صفحه 245-256    اصل مقاله (472.53 K)
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2026.102702.2506
نویسندگان
Maryam Salehian* 1؛ Samira Mohajer2؛ Marjan Shoghi3؛ Seyed Reza Mazloum2؛ Mohammad Namazinia4
1Department of Nursing, School of Nursing and Midwifer, Mashhad University of Medical Sciences, Mashhad, Iran;
2Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;
3Geriatrics Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;
4Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
چکیده
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, nonpharmacological
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.

تازه های تحقیق

Maryam Salehian (Google Scholar) (PubMed)

کلیدواژه‌ها
Elderly؛ Osteoarthritis؛ Pain management؛ Peer group؛ Self efficacy
سایر فایل های مرتبط با مقاله
مراجع
1.    Farinelli L, Riccio M, Gigante A, et al. Pain management strategies in osteoarthritis. Biomedicines. 2024;12:805.
2.    World Health Organization. Osteoarthritis. Geneva: World Health Organization; 2023.
3.    Jamshidi A, Kianifard T, Ghorpade R, et al. THU0708 Disparity in osteoarthritis knee prevalence-a tale of two cities in iran (TEHRAN) and india (PUNE): findings from who ilar copcord population survey (STAGE I). Annals of the Rheumatic Diseases. 2018;77:546.
4.    Magni A, Agostoni P, Bonezzi C, et al. Management of osteoarthritis: expert opinion on NSAIDs. Pain and Therapy. 2021;10:783-808.
5.    Sharma L. Osteoarthritis of the Knee. New England Journal of Medicine. 2021;384:51-9.
6.    Fertelli TK, Mollaoglu M, Sahin O. Aquatic exercise program for individuals with osteoarthritis: pain, stiffness, physical function, self-efficacy. Rehabilitation Nursing. 2019;44:290-9. 
7.    Bandura A. On the functional properties of perceived self-efficacy revisited. Journal of Management. 2012;38:9-44.
8.    Yarns BC, Lumley MA, Cassidy JT, et al. Emotional awareness and expression therapy achieves greater pain reduction than cognitive behavioral therapy in older adults with chronic musculoskeletal pain: a preliminary randomized comparison trial. Pain Medicine. 2020;21:2811-22.
9.    Tomlinson RM, Cousins LA, McMurtry CM, et al. The power of pain self-efficacy: applying a positive psychology framework to pediatric pain. Pediatric Pain Letter. 2017;19:2-13.
10.    Shtroblia V, Petakh P, Kamyshna I, et al. Recent advances in the management of knee osteoarthritis: a narrative review. Frontiers in Medicine. 2025;12:1523027.
11.    Allen KD, Ambrose KR, Booker SQ, et al. Non-pharmacological pain management for osteoarthritis: review update. Current Rheumatology Reports. 2025;27:19.
12.    Ferreira RM, Martins PN, Gonçalves RS. Non-pharmacological and non-surgical interventions to manage patients with knee osteoarthritis: An umbrella review 5-year update. Osteoarthritis and Cartilage Open. 2024;6:100497.
13.    Woods B, Manca A, Weatherly H, et al. Cost-effectiveness of adjunct non-pharmacological interventions for osteoarthritis of the knee. PLoS One. 2017;12:e0172749.
14.    Wu Z, Zhou R, Zhu Y, et al. Self‐Management for Knee Osteoarthritis: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials. Pain Research and Management. 2022;2022:2681240.
15.    Omidi A, Zanganeh MJ, Khodaveisi M, et al. The effect of self-management training on pain intensity in patients with knee osteoarthritis referring to orthopedic clinic of Imam Hossein Hospital in Malayer. National Journal of Physiology, Pharmacy and Pharmacology. 2018;8:1035-40.
16.    Mirzaei N, Mohammadi Shahbolaghi F, Nourozi K, et al. The effect of self-management training on self-efficacy of elderly patients with knee osteoarthritis. Iranian Journal of Rehabilitation Research in Nursing. 2017;3:29-34. [In Persian]
17.    Uritani D, Koda H, Sugita S. Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials. BMC Musculoskeletal Disorders. 2021;22:515.
18.    Pullyblank K, Brunner W, Scribani M, et al. Evaluation of a peer led chronic pain self-management program in a rural population. Journal of Primary Care & Community Health. 2022;13:21501319221121464.
19.    Tse MM, Ng SS, Lee PH, et al. Effectiveness of a peer-led pain management program in relieving chronic pain and enhancing pain self-efficacy among older adults: a clustered randomized controlled trial. Frontiers in Medicine. 2021;8:709141.
20.    Tse M, Li Y, Tang SK, et al. An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents with chronic pain and an evaluation of their experiences: a pilot randomized controlled trial. International Journal of Environmental Research and Public Health. 2020;17:4090.
21.    Matthias MS, Bair MJ, Ofner S, et al. Peer support for self-management of chronic pain: the evaluation of a peer coach-led intervention to improve pain symptoms (ECLIPSE) trial. Journal of General Internal Medicine. 2020;35:3525-33.
22.    Doull M, O’Connor AM, Welch V, et al. Peer support strategies for improving the health and well‐being of individuals with chronic diseases. The Cochrane Database of Systematic Reviews. 2017;2017:CD005352.
23.    Nicholas MK. The pain self-efficacy questionnaire: taking pain into account. European Journal of Pain. 2007;11:153-63.
24.    Asghari A, Nicholas MK. Pain self-efficacy beliefs and pain behaviour. A prospective study. Pain. 2001;94:85-100.
25.    Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975;1:277-99.
26.    Khosravi M, Sadighi S, Moradi S, et al. Translation, adaptation and reliability of Persian-McGill Pain Questionnaire (P-MPQ) in Iranian cancer patients. Basic & Clinical Cancer Research. 2014;6:12-7.
27.    Mansbach WE, MacDougall EE. Development and validation of the short form of the Brief Cognitive Assessment Tool (BCAT-SF). Aging & Mental Health. 2012;16:1065-71.
28.    Sharifi F, Nazari N, Shoaee S, et al. Brief Cognitive Assessment Tool (BCAT): a new developed instrument for screening of the cognitive dysfunction in older adults. Iranian Journal of Diabetes and Metabolism. 2017;16:231-40. [In Persian]
29.    Mortazavi H, Pakniyat A, Ganji R, et al. The Effect of self-management education program on disability of elderly patients with knee osteoarthritis referring to elderly care clinic of Imam Reza (AS) Treatment Center in Shiraz 2015-2016. Journal of North Khorasan University of Medical sciences. 2016;8:461-70. [In Persian]
30.    Leung DKY, Fong APC, Wong FHC, et al. Non-Pharmacological Interventions for Chronic Pain in Older Adults: A Systematic Review and Meta-Analysis. The Gerontologist. 2024;64:gnae010.
31.    Hatefi M, Parvizi R, Borji M, et al. Effect of self-management program on pain and disability index in elderly men with osteoarthritis. Anesthesiology and Pain Medicine. 2019;9:e92672.
32.    Maghdoori Z, Mohammadi Shahbalaghi F, Novorzi Tabrizi K, et al. The effect of using a pain self-management program on self-efficacy and acceptance of pain in the elderlies with chronic back pain: a clinical trial study. Iranian Journal of Rehabilitation Research in Nursing. 2022;9:41-52. [In Persian] 
33.    DiRenzo D, Finan P. Self-efficacy and the role of non-pharmacologic treatment strategies to improve pain and affect in arthritis. Current Treatment Options in Rheumatology. 2019;5:168-78.
34.    Martinez-Calderon J, Zamora-Campos C, Navarro-Ledesma S, et al. The role of self-efficacy on the prognosis of chronic musculoskeletal pain: a systematic review. The Journal of Pain. 2018;19:10-34.
35.    Antunes TPC, Jardim FG, de Oliveira Abreu CIP, et al. Chronic Pain Self-Management Strategies for Older Adults: An Integrative Review. Life. 2024;14:707.
36.    Elbers S, Wittink H, Pool J, et al. The effectiveness of generic self‐management interventions for patients with chronic musculoskeletal pain on physical function, self‐efficacy, pain intensity and physical activity: A systematic review and meta‐analysis. European Journal of Pain. 2018;22:1577-96.

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