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A qualitative exploration of chronic pain management of older adults in remote and rural settings.

Jebara, Tesnime; Youngson, Elaine; Drummond, Natalie; Rushworth, Gordon; Pfleger, Sharon; Rudd, Ian; MacLeod, John; Wilson, Martin; Bailey, Nicola; Cunningham, Scott


Tesnime Jebara

Elaine Youngson

Natalie Drummond

Gordon Rushworth

Sharon Pfleger

Ian Rudd

John MacLeod

Martin Wilson

Nicola Bailey


The World Health Organization predicts that the number of older adults will nearly double between 2015 and 2050. Older adults are at a higher risk of developing medical conditions such as chronic pain. However, there is little information about chronic pain and its management in older adults especially those residing in remote and rural areas. To explore views, experiences, and behavioural determinants of older adults regarding chronic pain management in remote and rural settings in Scottish Highlands. Qualitative one-to-one telephone interviews were conducted with older adults with chronic pain residing in remote and rural areas in the Scottish Highlands. The interview schedule was developed by the researchers, validated, and piloted prior to use. All interviews were audio-recorded, transcribed, and independently thematically-analysed by two researchers. Interviews continued until data saturation. Fourteen interviews were conducted with three key themes emerging: views and experiences with chronic pain, need to enhance pain management, and perceived barriers to pain management. Overall, pain was reported as severe and negatively impacted lives. Majority of interviewees used medicines for pain relief but noted that their pain was still poorly controlled. Interviewees had limited expectation for improvement since they considered their condition a normal consequence of ageing. Residing in remote and rural areas was perceived to complicate access to services with many having to travel long distances to see a health professional. Chronic pain management in remote and rural areas remains a significant issue among older adults interviewed. Thus, there is a need to develop approaches to improve access to related information and services. [Abstract copyright: © 2023. The Author(s).]


JEBARA, T., YOUNGSON, E., DRUMMOND, N., RUSHWORTH, G., PFLEGER, S., RUDD, I., MACLEOD, J., WILSON, M., BAILEY, N. and CUNNINGHAM, S. 2023. A qualitative exploration of chronic pain management of older adults in remote and rural settings. International journal of clinical pharmacy [online], 45(6), pages 1405-1414. Available from:

Journal Article Type Article
Acceptance Date May 13, 2023
Online Publication Date Jul 1, 2023
Publication Date Dec 31, 2023
Deposit Date Jul 17, 2023
Publicly Available Date Jul 17, 2023
Journal International journal of clinical pharmacy
Print ISSN 2210-7703
Electronic ISSN 2210-7711
Publisher Springer
Peer Reviewed Peer Reviewed
Volume 45
Issue 6
Pages 1405-1414
Keywords Ageing; Aged; Chronic pain; Population health management
Public URL


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