Older people with chronic pain in nursing homes: application of a psychological intervention

Objective: The purpose of this study was the implementation and evaluation of a group psychological treatment for older people with chronic pain living in nursing homes. Patients and methods: The intervention group had 53 participants and the control group, with minimal therapist contact format, had 48 participants. The intervention consisted of nine sessions. Treatment techniques were typical of Acceptance and Commitment Therapy and selection, compensation and optimization strategy training. Results: Assuming a confidence level of 95%, significant changes in the quality and frequency of pain, range of activities, acceptance of pain and depression was found. Data showed significant changes in the capacity of mobility and pain interference. All indicators of satisfaction and quality of implementation were high. Conclusion: A group program that combines psychological treatment under acceptance and commitment therapy to training in screening strategies, optimization and compensation can be useful to improve the functionality and emotional wellbeing of older people with pain associated with osteoarthritis.