Pilot Study 3: Quality of Life and Chronic Pain in People with Chronic Arthritis


The quality of life and chronic pain in people with chronic arthritis study will utilize the behavioral and psychosocial techniques to investigate pain threshold changes in older adults experiencing chronic pain related to arthritis. Pharmacological treatments exist for the known autoimmune aspects of the disease, but regardless of the treatment, most people with arthritis continue to experience chronic pain. The known contribution of lifestyle factors to the relief of pain suggests that lifestyle modifications may have benefit. Furthermore, while it is known that as urbanization decreases, the population of rural elderly increases, the combination of residing in a very rural or very urban community as an older adult often results in substantial health care risk, sometimes referred to as double jeopardy. The consequences of double jeopardy may manifest as health disparity as evidenced by higher rates of arthritis among women, older persons, rural populations and those with lower education or income. Therefore, it is important to understand how older adults in very rural or very urban populations with arthritis might utilize self-management strategies to cope with chronic pain resulting from their conditions. It is hypothesized that knowledge and modification of lifestyle factors such as diet and physical activity will contribute to useful non-pharmacological treatments that reduce the chronic pain caused by arthritis. This study seeks to better understand the effects of two common lifestyle behaviors (exercise and diet behavior from self reports) on differences in perception of chronic pain among community dwelling adults with arthritis, with particular attention paid to differences reported by demographic, behavioral and environmental factors. Furthermore, the pilot project will serve as a feasibility study for determining the extent to which biomedical and behavioral science research can help inform each other. (Karen Peters DrPH, Principal Investigator)