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• W2890715219 abstract "To explore whether psychosocial or demographic factors are associated with early dropout from pain self-management in a rural, low-socioeconomic status population.Secondary analysis of retrospective data.Multidisciplinary pain clinic located in an outer regional area of Australia.One hundred eighty-six people attending a public community health center with chronic noncancer pain (mean age 54.9 years; 58.1% women; 81.7% in receipt of government benefit as their primary source of income).Bivariate analysis and logistic regression, with early dropout as the dependent variable and a range of demographic and psychological independent variables.Following bivariate analysis, early dropout was significantly associated (P < 0.05) with male gender, younger age, history of substance use, being a past victim of assault/abuse, receiving unemployment or disability benefit, having literacy difficulties, higher pain catastrophizing score, higher daily opioid dose, and not holding a multifactorial belief about the cause of pain. Logistic regression analysis resulted in three significant predictors of dropout: substance use history (P = 0.002), past victim of assault or abuse (P = 0.029), high pain catastrophising score (P = 0.048); and one of engagement: holding a multifactorial belief about pain cause (P = 0.005).In a rural, low-socioeconomic status population, addressing social stressors related to lifetime adversity may be important to increasing engagement in pain self-management. Lack of attention to these factors may increase health inequity among those most disabled by chronic pain. Further research into dropout and engagement, especially among disadvantaged populations, is recommended." @default.
• W2890715219 created "2018-09-27" @default.
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• W2890715219 date "2018-09-06" @default.
• W2890715219 modified "2023-10-16" @default.
• W2890715219 title "Pain Self-Management: Easier Said than Done? Factors Associated with Early Dropout from Pain Self-Management in a Rural Primary Care Population" @default.
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• W2890715219 doi "https://doi.org/10.1093/pm/pny167" @default.
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