The impact of the self-management program based of 5A program on the non-specific chronic low back pain of elderly patients

Chronic back pain is one of the most common types of musculoskeletal pain in the elderly. The self-management based of the 5A training program for problem control has positive consequences for the elderly. This study aimed to evaluate the impact of the self-management-based of 5A program on the non-specific chronic low back pain of elderly patients.

This clinical trial study was performed on 66 elderly patients with non-specific chronic low back pain refereed in the specialized and super-specialized clinics of Abadan University of Medical Sciences, 2022. The block randomization method assigned the patients to the experimental and control groups. The experimental group was trained in self-management programs based 5A model for 6 weeks and followed up for 8 weeks.  The scale was measured in two groups before intervention,4 weeks, and 8 weeks after intervention.  Data analysis using SPSS 22 software.

There was no significant difference in the average pain between the experimental and control groups before the intervention, while there was a significant difference between the two groups (P <0.001). In addition, the results showed that there was a significant difference in mean pain score between the two groups after four and eight weeks (P < 0.001).

The implementation of the self-management program based on the 5A model in the elderly with non-specific chronic back pain is effective and can reduce the pain intensity, so nurses can use this self-management method as a supportive and non-pharmacological method in the control of non-specific chronic low back pain.