265055 Taking Community Action Against Pain Disparities: Setting a Community-Informed Research Agenda

Tuesday, October 30, 2012

Elaine Wethington, PhD , Human Development, Cornell University, Ithaca, NY
Cary Reid, MD , Division of Geriatrics and Gerontology, Weill Cornell Medical College, New York, NY
Pain and pain treatment disparities among older people are significant public health issues; older minority (i.e., Hispanic/Latino, African American) populations report higher pain severity scores and pain-associated physical and psychological disability, while they are less likely to receive any analgesic medications and opioids, have longer wait times for medications, and participate less in evidence-based non-pharmacological programs to manage pain. We describe an ongoing community-academic research partnership to develop a research, intervention, and policy agenda for improving the management of chronic pain among older minority New York City residents. Applying the CITRA Research-to-Practice Consensus Conference model (Sabir et al., 2006, The Gerontologist) we engaged both practitioners and researchers in a series of workshops and other activities to identify research priorities for developing evidence-based community programs that take into account existing research on pain disparities. Participants in this process included community leaders, front-line staff in agencies serving older people, researchers, policy makers, private funders and other stakeholder groups. Activities included translation of research on pain disparities into a nontechnical report, a face-to-face conference to engage practitioners and researchers in revising this report and craft research recommendations, and follow-up meetings between practitioners and researchers to refine the report for community distribution and to involve practitioners in the process of designing and implementing research in community settings. Insights that emerged from these activities included the importance of focusing on gender disparities in pain among minority groups, cultural representations of pain, and health literacy among older people to design effective interventions to reduce pain disparities.

Learning Areas:
Assessment of individual and community needs for health education

Learning Objectives:
Describe the Research-to-Practice Consensus Conference method Demonstrate the effectiveness of the consensus conference method for creating an engaged community-researcher partnership to develop, implement, and disseminate research findings Analyze the impact of the consensus conference method on practitioner and researcher capacity to conduct research in community settings

Keywords: Community Collaboration, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-Director of an NIA-funded Roybal Research Center for Translational Research on Aging and a Professor of Human Development and Sociology at Cornell University. I have been co-director of the Roybal Center since 2003.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.