Nonpharmacological Pain Management by Ethnically Diverse Older Adults With Chronic Pain: Barriers and Facilitators

As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face...

Full description

Saved in:
Bibliographic Details
Published inJournal of gerontological social work Vol. 56; no. 6; pp. 487 - 508
Main Authors Park, Juyoung, Hirz, Christina E., Manotas, Karen, Hooyman, Nancy
Format Journal Article
LanguageEnglish
Published United States Routledge 01.08.2013
Taylor & Francis LLC
Subjects
Online AccessGet full text

Cover

Loading…
Abstract As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face interviews with 44 ethnically diverse community-dwelling older adults. Constant comparative analysis identified barriers not recognized in prior studies: (a) embarrassment/self-consciousness, (b) unavailability of certain treatments, and (c) lack of faith in effectiveness of nonpharmacological treatments. Most frequently reported facilitators were (a) social support, (b) positive attitude, and (c) available resources. Social workers can provide counseling to motivate older adults to exercise to manage chronic pain and refer them to exercise programs tailored for older adults. To resolve the most frequently reported barrier-transportation-social workers can link older adults with transportation services offered by senior centers or other nonprofit agencies.
AbstractList As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face interviews with 44 ethnically diverse community-dwelling older adults. Constant comparative analysis identified barriers not recognized in prior studies: (a) embarrassment/self-consciousness, (b) unavailability of certain treatments, and (c) lack of faith in effectiveness of nonpharmacological treatments. Most frequently reported facilitators were (a) social support, (b) positive attitude, and (c) available resources. Social workers can provide counseling to motivate older adults to exercise to manage chronic pain and refer them to exercise programs tailored for older adults. To resolve the most frequently reported barrier-transportation-social workers can link older adults with transportation services offered by senior centers or other nonprofit agencies. Adapted from the source document.
As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face interviews with 44 ethnically diverse community-dwelling older adults. Constant comparative analysis identified barriers not recognized in prior studies: (a) embarrassment/self-consciousness, (b) unavailability of certain treatments, and (c) lack of faith in effectiveness of nonpharmacological treatments. Most frequently reported facilitators were (a) social support, (b) positive attitude, and (c) available resources. Social workers can provide counseling to motivate older adults to exercise to manage chronic pain and refer them to exercise programs tailored for older adults. To resolve the most frequently reported barrier -- transportation -- social workers can link older adults with transportation services offered by senior centers or other nonprofit agencies. [PUBLICATION ABSTRACT]
As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face interviews with 44 ethnically diverse community-dwelling older adults. Constant comparative analysis identified barriers not recognized in prior studies: (a) embarrassment/self-consciousness, (b) unavailability of certain treatments, and (c) lack of faith in effectiveness of nonpharmacological treatments. Most frequently reported facilitators were (a) social support, (b) positive attitude, and (c) available resources. Social workers can provide counseling to motivate older adults to exercise to manage chronic pain and refer them to exercise programs tailored for older adults. To resolve the most frequently reported barrier-transportation-social workers can link older adults with transportation services offered by senior centers or other nonprofit agencies.
Author Hirz, Christina E.
Manotas, Karen
Park, Juyoung
Hooyman, Nancy
Author_xml – sequence: 1
  givenname: Juyoung
  surname: Park
  fullname: Park, Juyoung
  email: jpark14@fau.edu
  organization: School of Social Work , Florida Atlantic University
– sequence: 2
  givenname: Christina E.
  surname: Hirz
  fullname: Hirz, Christina E.
  organization: School of Social Work , Florida Atlantic University
– sequence: 3
  givenname: Karen
  surname: Manotas
  fullname: Manotas, Karen
  organization: School of Medicine , University of Utah
– sequence: 4
  givenname: Nancy
  surname: Hooyman
  fullname: Hooyman, Nancy
  organization: School of Social Work , University of Washington
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23822640$$D View this record in MEDLINE/PubMed
BookMark eNqN0c1u1DAUBWALFdHpwBsgZIkNmwzXv7HZoDJtAalQFiCWkSdxOq4ce2onoHn7OkzLggWw8sLfufbVOUFHIQaL0HMCKwIKXgORjLOarigQtlKgaioeoQURHCoOXB2hxUyq2Ryjk5xvAIATSZ-gY8oUpZLDAqXPMey2Jg2mjT5eu9Z4_MW4gD-ZYK7tYMOIN3t8Pm7DfOf3-Mz9sClbfOU7m_BpN_kx4-9u3OL1NsWifuXf4HcmJVckNqHDF6Z13o1mjCk_RY9747N9dn8u0beL86_rD9Xl1fuP69PLquWiHiu9YaCkJi2xmtaCMW6BUCg_t7WinaS61rLX1IDQklhltWG1VswoqkRZlC3Rq8PcXYq3k81jM7jcWu9NsHHKDRGEEi0Eq_9NueYMgP0XJVJqLsvcJXr5B72JUwpl51lproQAWhQ_qDbFnJPtm11yg0n7hkAzN908NN3MTTeHpkvsxf3waTPY7nfoodoC3h6AC30s_f6MyXfNaPY-pj6Z0LrcsL8-cQcTxrV_
CODEN JGSWDU
CitedBy_id crossref_primary_10_1016_j_pmn_2015_04_002
crossref_primary_10_1016_j_pmn_2019_06_016
crossref_primary_10_1001_jamanetworkopen_2021_38453
crossref_primary_10_1016_j_colegn_2015_05_002
crossref_primary_10_1093_geront_gnx154
crossref_primary_10_1155_2021_7374915
crossref_primary_10_1093_pm_pny260
crossref_primary_10_3233_WOR_203180
crossref_primary_10_1016_j_ijnurstu_2019_103510
crossref_primary_10_1080_00981389_2021_1878318
crossref_primary_10_1080_01634372_2018_1427169
crossref_primary_10_2217_pmt_14_43
crossref_primary_10_1080_01634372_2016_1239234
crossref_primary_10_1097_MLR_0000000000001299
crossref_primary_10_17225_jhp00163
crossref_primary_10_1097_CNJ_0000000000000152
crossref_primary_10_1080_01634372_2013_826563
crossref_primary_10_2147_JPR_S439682
crossref_primary_10_1007_s10900_014_9898_7
crossref_primary_10_1016_j_jopan_2015_01_011
crossref_primary_10_3389_fpain_2022_941476
crossref_primary_10_1002_acr_23777
crossref_primary_10_1097_j_pain_0000000000002260
crossref_primary_10_1097_NHH_0000000000000402
crossref_primary_10_1007_s11606_018_4324_y
crossref_primary_10_3389_fpsyg_2023_1099419
crossref_primary_10_4103_JNMS_JNMS_2_17
crossref_primary_10_1093_pm_pny192
crossref_primary_10_1002_msc_1837
crossref_primary_10_1186_s12909_024_05308_2
crossref_primary_10_1002_ejp_1980
crossref_primary_10_1002_pmrj_12701
crossref_primary_10_2217_pmt_2016_0027
crossref_primary_10_1016_j_physio_2019_08_002
crossref_primary_10_1089_acm_2017_0132
crossref_primary_10_1016_j_jpain_2021_10_004
crossref_primary_10_37689_acta_ape_2020AR0022
crossref_primary_10_1111_1475_6773_13561
Cites_doi 10.1001/jama.290.18.2443
10.2147/CIA.S1939
10.1300/J187v05n03_05
10.1177/089801019801600307
10.1093/hsw/21.2.122
10.1089/jpm.2006.9.1454
10.1093/ageing/afg081
10.1177/1049732309350683
10.1007/978-1-4419-1651-8_35
10.5664/jcsm.27547
10.1177/1073191105275412
10.1249/00149619-200306000-00010
10.1097/00002820-200006000-00012
10.1111/j.1526-4637.2006.00105.x
10.1046/j.0309-2402.2003.02835.x
10.3727/036012902816026040
10.1016/j.jen.2006.01.010
10.1080/096382800297079-1
10.1007/s10865-008-9156-5
10.1097/00012272-199209000-00010
10.5055/jom.2007.0013
10.1111/j.1532-5415.2005.53268.x
10.3928/0098-9134-20020201-08
10.1111/j.1532-5415.2011.03846.x
10.1046/j.1532-5415.2001.49149.x
10.1089/jpm.2004.7.510
10.1111/j.1532-5415.2009.02376.x
10.1016/0022-3956(75)90026-6
10.1111/j.1526-4637.2011.01211.x
10.1093/acprof:oso/9780199753697.001.0001
10.1002/art.22098
10.1111/j.1526-4637.2009.00707.x
10.3928/19404921-20120906-06
10.1177/0733464809335597
10.1097/NNR.0b013e3181ef37d5
10.1016/S1353-6117(98)80059-0
10.1177/1049731508329394
ContentType Journal Article
Copyright Copyright Taylor & Francis Group, LLC 2013
Copyright Taylor & Francis Group 2013
Copyright_xml – notice: Copyright Taylor & Francis Group, LLC 2013
– notice: Copyright Taylor & Francis Group 2013
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7QJ
7U3
BHHNA
7X8
DOI 10.1080/01634372.2013.808725
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
Applied Social Sciences Index & Abstracts (ASSIA)
Social Services Abstracts
Sociological Abstracts
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
Applied Social Sciences Index and Abstracts (ASSIA)
Social Services Abstracts
Sociological Abstracts
MEDLINE - Academic
DatabaseTitleList Social Services Abstracts
Applied Social Sciences Index and Abstracts (ASSIA)
MEDLINE - Academic
MEDLINE

Applied Social Sciences Index and Abstracts (ASSIA)
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
Social Welfare & Social Work
EISSN 1540-4048
EndPage 508
ExternalDocumentID 3042467581
10_1080_01634372_2013_808725
23822640
808725
Genre Articles
Research Support, Non-U.S. Gov't
Journal Article
Feature
GroupedDBID ---
-~X
.7I
.QK
0BK
0R~
2DF
2FS
36B
3YN
4.4
53G
5GY
5VS
85S
AAAVI
AAGZJ
AAIKC
AAMFJ
AAMIU
AAMNW
AAPUL
AATTQ
AAWTL
AAZMC
ABCCY
ABFIM
ABIVO
ABJNI
ABJVF
ABLIJ
ABMYL
ABPEM
ABPTX
ABQHQ
ABSSG
ABTAI
ABXUL
ABXYU
ACGFO
ACGFS
ACLSK
ACNCT
ACTIO
ACTOA
ADAHI
ADCVX
AECIN
AEGYZ
AEISY
AEKEX
AEOZL
AEPSL
AEYOC
AEZRU
AFDAS
AFOLD
AFWLO
AGDLA
AGMYJ
AGRBW
AHDZW
AHTCN
AIJEM
AKBVH
ALMA_UNASSIGNED_HOLDINGS
ALQZU
AVBZW
AWYRJ
BEJHT
BKOMP
BLEHA
BMOTO
BOHLJ
CCCUG
CQ1
CS3
DGFLZ
DKSSO
EBS
EJD
E~B
E~C
F5P
FUNRP
G-F
GHGCM
GTTXZ
HF~
HZ~
J.O
KDLKA
KRBQP
KSSTO
KWAYT
KYCEM
M4Z
NA5
NW-
O9-
P2P
PQQKQ
RNANH
ROSJB
RSYQP
RXW
S-F
STATR
TAE
TEH
TFH
TFL
TFW
TNJ
TNTFI
TRJHH
TWZ
UT5
UT9
V1K
VAE
WH7
YR2
ZCA
~01
~S~
07M
186
41~
9M8
AAIFK
AAYJJ
AAYMM
ABGQD
ABITY
ABLUQ
ABYAV
ACVBB
ADDRM
ADKVQ
ADLEJ
ADUKH
AEBKF
AFLWG
AFUSO
BTBAK
C5A
CAG
CGR
CKOZC
COF
CUY
CVF
C~T
DAOCQ
DEWOD
DTEEQ
DYOWO
ECM
EIF
EIHBH
H13
H~9
IPNFZ
JEUJS
L7Y
LJTGL
LPU
MVM
NPM
OHT
PNGSA
PPYGK
RIG
TBH
TBQAZ
TDBHL
THLUP
TUROJ
UA1
WHG
YYQ
AAYXX
CITATION
7QJ
7U3
BHHNA
7X8
ID FETCH-LOGICAL-c457t-9b308691c1e9275334e0120382e782d629796f92a05961e8e9a37983a82850413
ISSN 0163-4372
IngestDate Sat Oct 26 01:43:25 EDT 2024
Fri Oct 25 07:42:51 EDT 2024
Thu Oct 24 22:35:23 EDT 2024
Thu Oct 10 18:37:55 EDT 2024
Thu Sep 12 19:08:08 EDT 2024
Tue Oct 15 23:52:22 EDT 2024
Wed Mar 20 01:33:47 EDT 2024
IsPeerReviewed true
IsScholarly true
Issue 6
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c457t-9b308691c1e9275334e0120382e782d629796f92a05961e8e9a37983a82850413
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 23822640
PQID 1419485502
PQPubID 11387
PageCount 22
ParticipantIDs crossref_primary_10_1080_01634372_2013_808725
proquest_miscellaneous_1512195537
informaworld_taylorfrancis_310_1080_01634372_2013_808725
pubmed_primary_23822640
proquest_miscellaneous_1494300337
proquest_journals_1419485502
proquest_miscellaneous_1416694655
PublicationCentury 2000
PublicationDate 2013-08-00
PublicationDateYYYYMMDD 2013-08-01
PublicationDate_xml – month: 08
  year: 2013
  text: 2013-08-00
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: London
PublicationTitle Journal of gerontological social work
PublicationTitleAlternate J Gerontol Soc Work
PublicationYear 2013
Publisher Routledge
Taylor & Francis LLC
Publisher_xml – name: Routledge
– name: Taylor & Francis LLC
References CIT0030
Bernard H. R. (CIT0006) 2000
Padgett D. K. (CIT0035) 2008
CIT0034
Alexander L. L. (CIT0001) 2009; 134
Xu B. (CIT0052) 2012; 8
Glaser B. G. (CIT0021) 1967
CIT0036
CIT0038
CIT0037
McCleane G. (CIT0031) 2007; 2
Davis G. C. (CIT0015) 1992; 15
CIT0041
Stephenson N. L. (CIT0046) 2007; 34
CIT0040
CIT0042
Cavalieri T. A. (CIT0008) 2005; 105
Tsui P. (CIT0049) 2002; 27
CIT0003
CIT0047
CIT0002
CIT0005
Vitiello M. V. (CIT0050) 2009; 5
CIT0004
CIT0007
CIT0051
CIT0010
Charmaz K. (CIT0009) 2006
CIT0012
Dillard J. N. (CIT0017) 2011; 59
CIT0011
Herr K. (CIT0025) 2002; 28
Cole B. E. (CIT0013) 2002; 38
CIT0014
CIT0016
Strauss A. C. (CIT0048) 1998
CIT0019
Sieppert J. D. (CIT0044) 1996; 21
CIT0020
CIT0023
CIT0022
Smith M. C. (CIT0045) 1999; 5
CIT0024
Dowling L. S. (CIT0018) 2007; 3
CIT0027
Scales R. (CIT0043) 2003; 2
CIT0026
CIT0029
CIT0028
References_xml – ident: CIT0047
  doi: 10.1001/jama.290.18.2443
– volume: 134
  start-page: 61
  issue: 11
  year: 2009
  ident: CIT0001
  publication-title: CME Resource
  contributor:
    fullname: Alexander L. L.
– volume: 2
  start-page: 637
  year: 2007
  ident: CIT0031
  publication-title: Clinical Interventions in Aging
  doi: 10.2147/CIA.S1939
  contributor:
    fullname: McCleane G.
– ident: CIT0005
  doi: 10.1300/J187v05n03_05
– ident: CIT0020
  doi: 10.1177/089801019801600307
– volume: 21
  start-page: 122
  issue: 2
  year: 1996
  ident: CIT0044
  publication-title: Health & Social Work
  doi: 10.1093/hsw/21.2.122
  contributor:
    fullname: Sieppert J. D.
– volume: 34
  start-page: 127
  issue: 1
  year: 2007
  ident: CIT0046
  publication-title: Oncology Nursing Society
  contributor:
    fullname: Stephenson N. L.
– volume: 105
  start-page: S12
  year: 2005
  ident: CIT0008
  publication-title: Journal of the American Osteopathic Association
  contributor:
    fullname: Cavalieri T. A.
– volume: 8
  start-page: 1
  issue: 15
  year: 2012
  ident: CIT0052
  publication-title: Molecular Pain
  contributor:
    fullname: Xu B.
– ident: CIT0012
  doi: 10.1089/jpm.2006.9.1454
– ident: CIT0026
  doi: 10.1093/ageing/afg081
– volume-title: Qualitative methods in social work research
  year: 2008
  ident: CIT0035
  contributor:
    fullname: Padgett D. K.
– ident: CIT0022
  doi: 10.1177/1049732309350683
– ident: CIT0027
  doi: 10.1007/978-1-4419-1651-8_35
– volume: 5
  start-page: 355
  year: 2009
  ident: CIT0050
  publication-title: Journal of Clinical Sleep Medicine
  doi: 10.5664/jcsm.27547
  contributor:
    fullname: Vitiello M. V.
– volume: 5
  start-page: 64
  issue: 4
  year: 1999
  ident: CIT0045
  publication-title: Alternative Therapies in Health & Medicine
  contributor:
    fullname: Smith M. C.
– ident: CIT0029
  doi: 10.1177/1073191105275412
– volume: 2
  start-page: 166
  year: 2003
  ident: CIT0043
  publication-title: Current Sports Medicine Reports
  doi: 10.1249/00149619-200306000-00010
  contributor:
    fullname: Scales R.
– ident: CIT0023
  doi: 10.1097/00002820-200006000-00012
– ident: CIT0007
  doi: 10.1111/j.1526-4637.2006.00105.x
– ident: CIT0030
  doi: 10.1046/j.0309-2402.2003.02835.x
– volume: 27
  start-page: 107
  issue: 2
  year: 2002
  ident: CIT0049
  publication-title: Acupuncture and Electro-Therapeutics Research
  doi: 10.3727/036012902816026040
  contributor:
    fullname: Tsui P.
– volume-title: The discovery of grounded theory: Strategies for qualitative research
  year: 1967
  ident: CIT0021
  contributor:
    fullname: Glaser B. G.
– ident: CIT0024
  doi: 10.1016/j.jen.2006.01.010
– ident: CIT0028
  doi: 10.1080/096382800297079-1
– ident: CIT0014
  doi: 10.1007/s10865-008-9156-5
– volume: 15
  start-page: 77
  year: 1992
  ident: CIT0015
  publication-title: Advances in Nursing Science
  doi: 10.1097/00012272-199209000-00010
  contributor:
    fullname: Davis G. C.
– volume: 3
  start-page: 257
  year: 2007
  ident: CIT0018
  publication-title: Journal of Opioid Management
  doi: 10.5055/jom.2007.0013
  contributor:
    fullname: Dowling L. S.
– ident: CIT0003
  doi: 10.1111/j.1532-5415.2005.53268.x
– volume: 28
  start-page: 28
  issue: 2
  year: 2002
  ident: CIT0025
  publication-title: Journal of Gerontological Nursing
  doi: 10.3928/0098-9134-20020201-08
  contributor:
    fullname: Herr K.
– ident: CIT0037
  doi: 10.1111/j.1532-5415.2011.03846.x
– volume: 59
  start-page: S43
  issue: 9
  year: 2011
  ident: CIT0017
  publication-title: Chronic Pain Perspective
  contributor:
    fullname: Dillard J. N.
– ident: CIT0042
  doi: 10.1046/j.1532-5415.2001.49149.x
– ident: CIT0016
  doi: 10.1089/jpm.2004.7.510
– ident: CIT0002
  doi: 10.1111/j.1532-5415.2009.02376.x
– ident: CIT0019
  doi: 10.1016/0022-3956(75)90026-6
– volume-title: Constructing grounded theory: A practical guide through qualitative analysis
  year: 2006
  ident: CIT0009
  contributor:
    fullname: Charmaz K.
– ident: CIT0041
  doi: 10.1111/j.1526-4637.2011.01211.x
– ident: CIT0034
  doi: 10.1093/acprof:oso/9780199753697.001.0001
– ident: CIT0051
  doi: 10.1002/art.22098
– ident: CIT0004
  doi: 10.1111/j.1526-4637.2009.00707.x
– ident: CIT0011
  doi: 10.3928/19404921-20120906-06
– ident: CIT0038
  doi: 10.1177/0733464809335597
– ident: CIT0010
  doi: 10.1097/NNR.0b013e3181ef37d5
– volume: 38
  start-page: 23
  issue: 6
  year: 2002
  ident: CIT0013
  publication-title: Hospital Physician
  contributor:
    fullname: Cole B. E.
– ident: CIT0040
  doi: 10.1016/S1353-6117(98)80059-0
– ident: CIT0036
  doi: 10.1177/1049731508329394
– volume-title: Social research methods: Qualitative and quantitative approaches
  year: 2000
  ident: CIT0006
  contributor:
    fullname: Bernard H. R.
– volume-title: Basics of qualitative research: Grounded theory procedures and techniques
  year: 1998
  ident: CIT0048
  contributor:
    fullname: Strauss A. C.
SSID ssj0004162
Score 2.1771045
Snippet As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with...
SourceID proquest
crossref
pubmed
informaworld
SourceType Aggregation Database
Index Database
Publisher
StartPage 487
SubjectTerms Aged
Aged, 80 and over
Attitudes
barriers
Chronic pain
Chronic Pain - therapy
Communication
Constraints
Counseling
Cultural Pluralism
Elderly
Elderly people
Ethnic Groups - statistics & numerical data
Exercise
Facilitators
Female
Health Care Services
Health Services Accessibility
Humans
Interviews as Topic
Male
Management
Middle Aged
nonpharmacological therapies
Older people
Pain management
Pain Management - utilization
Positive thought
qualitative method
Selfconsciousness
Social Support
Social Work
Social Workers
Studies
Transportation
Treatment Methods
Title Nonpharmacological Pain Management by Ethnically Diverse Older Adults With Chronic Pain: Barriers and Facilitators
URI https://www.tandfonline.com/doi/abs/10.1080/01634372.2013.808725
https://www.ncbi.nlm.nih.gov/pubmed/23822640
https://www.proquest.com/docview/1419485502
https://search.proquest.com/docview/1416694655
https://search.proquest.com/docview/1494300337
https://search.proquest.com/docview/1512195537
Volume 56
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3da9swEBdZCmMvY-u-0mVDg7GX4mJL_pD2FraEUNp0DwkNezG2I7eDYpfMeUif-qfvTpJjh3Sh24sJjuQP3c-n0-nud4R8TkIRLNwwdVI_CBw_k56TwvftAHZynoggV5qs-nwSjmf-6TyYdzr3railVZWeZHcP5pX8j1ThHMgVs2T_QbKbi8IJ-A3yhSNIGI6PkvGkLG4b6mk93D9gpd-KaUHrclhd6-THmzUoOIzCUMcXWJv7eIDcGxgAi3lI17YWDnoK-AD3IbCWnWFwHiWZIfMu7d7PrjV7pTQTQv0Y1hWPUV_NJpWJyj5drVHDND7v5V3DcvCrSJrcCHiNsjIJZ1s5a-OyXFvHrZ4c2p4LrCIhas-FdWaG3MF9w7Y2NjTjFnVt1erbidnM0oFmg9idAGzEJFwZL4yhe_xEuCIy2dXbfNuTi3g0OzuLp8P59Ak5YKCqRJccDMbff142ubWeLkq7edY6_RL52R-4y5Z5s0V--_cljDZlpi_Icys1OjCAekk6qjgkT89tlMUh6ZucbXqpbnIYd_qF1idAnK_Ichd2FGFDG9jRdE0b2FELO6phRw3sKMKOWtjp_l9pDToKoKNt0L0ms9Fw-m3s2NIdTuYHUeXIlMNaWXqZpySLMN1bYZY2F0yBSboImYxkmEuWYPUnTwklEx5JAdqBiQDGnL8h3aIs1DtCGcuUWPhJnuSZH8lcKh6mXpQwnkrcxO4Rpx7x-NYwtMReTXxrJRSjhGIjoR4RbbHElfaM5aaMTcz3d-3XIoytGvgNa2dPMyy5rEc-bf4GJY07b0mhypVuE4YSqQr3tcFKCC7n0Z42YJ57MgiwzVsDoc07g-2NSfHu0SN6vyfPmg-yT7rVcqU-gHFdpR8t_v8ATYXMWQ
link.rule.ids 315,783,787,27938,27939,59985,60774
linkProvider Library Specific Holdings
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9QwDLfgJgEvG4yvYwcECfHWW5s0bbK3DXYqY3cgdNN4q5Jeqk2b2qntPWx_PXHa7hjS7gFeW7uSEzuxa_tngI8qEnzhR9rTIedemMnA09a-Pas7OVOC58aBVU9nUXISHv3ifTVh3ZVVYgydt0AR7qxG48af0X1J3K51Uxjmm7Ayi42FL2LKH8IGt6EDH8DG_OdRkqyaIwM3VRR5PGTq--fu-c6d--kOeun9Pqi7iyZboHsp2hKUi_Gy0ePs5i-Ax_8S8ylsdp4q2W9V6xk8MMU2PJp2ufhtGLWdveTUXOaqMuQT6R-U1cVzqGZlcbXCxUZdID_UeUFWBTdEX5PD5sx1Zl5eky-uRMSQ7zg4nOwjMEhNTs-bM9Ih-Dr-PXKgKhyzVxMrGZmorMUZL6v6BZxMDuefE68b8OBlIY8bT2pmIyoZZIGRNMamYIO9vExQYx2XRURlLKNcUoUzggIjjFQslsLqEBXcbix7CYOiLMxrIJRmRixClas8C2OZS8MiHcSKMi0x1TkEr9_W9KrF8UiDHh61W-cU1zlt13kI4s-9Txv3_yRvh52kbD3rqNeTtDsQahthBQ6Hx6dD-HD72poy5mdUYcqlo4kiiYB262gQL99nLF5DY524QHKONK9aPb2V2Xpo2Drtv_l3-d7D42Q-PU6Pv86-7cAT6uaDYEXkCAZNtTRvrZfW6HedHf4GGdstYQ
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3dT9swED9tRUJ7GRv76lY2T5r25i6x48TeG19Vx0aHJhC8RU5qCwRKqjR9gL9-PiehgEQfttfEF-nsO_ucu9_vAL7oWIppEGc0i4SgUa5Cmjn_ps52LNdSWOPJqg8n8fgkOjgTZ3dQ_FhWiXdo2xBF-L0anXs2tV1F3DcXpXBMN2FhFh_KQCZMPIW1OHChTA_Wjv8cjMdLbGTom4qiDEWhDj73yHfuHU_3yEsfD0H9UTTaAN0p0VSgXA4XdTbMbx7wO_6Pli_geRunku3GsF7CE1Nswvphm4nfhEGD6yWn5srqypCvpHtQVpevoJqUxWzJio2WQI70RUGW5TYkuyb79bnHZV5dkz1fIGLIb2wbTraRFmROTi_qc9Ly93r572RHV9hkb06cYmSk84ZlvKzmr-FktH-8O6ZteweaRyKpqcq4u0-pMA-NYglCgg0ieblkxoUt05ipRMVWMY0dgkIjjdI8UdJZEJPCrSt_A72iLMw7IIzlRk4jbbXNo0RZZXichYlmPFOY6OwD7VY1nTUsHmnYkaO285ziPKfNPPdB3l36tPZ_T2zT6iTlq0UHnZmk7XYwd_er0LPwBKwPn29fO0fG7IwuTLnwY-JYIZ3dqjHIlh9wnqwY40K4UAmBY942Znqrs4vPEDgdvP93_T7B-tHeKP31Y_LzAzxjvjkIlkMOoFdXC7PlQrQ6-9h64V8wuiwF
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Nonpharmacological+Pain+Management+by+Ethnically+Diverse+Older+Adults+With+Chronic+Pain%3A+Barriers+and+Facilitators&rft.jtitle=Journal+of+gerontological+social+work&rft.au=Park%2C+Juyoung&rft.au=Hirz%2C+Christina+E&rft.au=Manotas%2C+Karen&rft.au=Hooyman%2C+Nancy&rft.date=2013-08-01&rft.issn=0163-4372&rft.volume=56&rft.issue=6&rft.spage=487&rft.epage=508&rft_id=info:doi/10.1080%2F01634372.2013.808725&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0163-4372&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0163-4372&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0163-4372&client=summon