PURPOSE/ OBJECTIVES: To evaluate the effectiveness of a psychoeducational program (i.e., PRO-SELF Pain Control Program) compared to standard care in increasing patients' knowledge regarding cancer pain management. DESIGN: Randomized clinical trial. SETTING:Seven outpatient settings in northern California. SAMPLE: 174 outpatients with cancer and pain from bone metastasis. METHODS: Following randomization into either the PRO-SELF or standard care group, patients completed the Pain Experience Scale (PES) prior to and at the completion of the intervention. MAIN RESEARCH VARIABLES: Total and individual item scores on the PES. FINDINGS:Total PES knowledge scores increased significantly in the PRO-SELF group (21%) compared to the standard care group (0.5%). Significant improvements in knowledge scores for patients in the PRO-SELF group were found on five of the nine PES items when compared to baseline scores. CONCLUSIONS: The PRO-SELF Pain Control Program was an effective approach to increase patients' knowledge of cancer pain management. IMPLICATIONS FOR NURSING: The use of a structured paper-and-pencil questionnaire, such as the PES, as part of a psychoeducational intervention provides an effective foundation for patient education in cancer pain management. Oncology nurses can use patients' responses to this type of questionnaire to individualize the teaching and to spend more time on the identified knowledge deficits. This individualized approach to education about pain management may save staff time and improve patient outcomes.
RCT Entities:
PURPOSE/ OBJECTIVES: To evaluate the effectiveness of a psychoeducational program (i.e., PRO-SELF Pain Control Program) compared to standard care in increasing patients' knowledge regarding cancer pain management. DESIGN: Randomized clinical trial. SETTING: Seven outpatient settings in northern California. SAMPLE: 174 outpatients with cancer and pain from bone metastasis. METHODS: Following randomization into either the PRO-SELF or standard care group, patients completed the Pain Experience Scale (PES) prior to and at the completion of the intervention. MAIN RESEARCH VARIABLES: Total and individual item scores on the PES. FINDINGS: Total PES knowledge scores increased significantly in the PRO-SELF group (21%) compared to the standard care group (0.5%). Significant improvements in knowledge scores for patients in the PRO-SELF group were found on five of the nine PES items when compared to baseline scores. CONCLUSIONS: The PRO-SELF Pain Control Program was an effective approach to increase patients' knowledge of cancer pain management. IMPLICATIONS FOR NURSING: The use of a structured paper-and-pencil questionnaire, such as the PES, as part of a psychoeducational intervention provides an effective foundation for patient education in cancer pain management. Oncology nurses can use patients' responses to this type of questionnaire to individualize the teaching and to spend more time on the identified knowledge deficits. This individualized approach to education about pain management may save staff time and improve patient outcomes.
Authors: Sandra E Ward; Ronald C Serlin; Heidi S Donovan; Suzanne W Ameringer; Susan Hughes; Klaren Pe-Romashko; Ko-Kung Wang Journal: Health Psychol Date: 2009-09 Impact factor: 4.267
Authors: Jung Hye Kwon; Sung Yong Oh; Gary Chisholm; Jung-Ae Lee; Jae Jin Lee; Keon Woo Park; Seung-Hyun Nam; Hun Ho Song; Keehyun Lee; Dae Young Zang; Ho Young Kim; Dae Ro Choi; Hyo Jung Kim; Jung Han Kim; Joo Young Jung; Geundoo Jang; Hyeong Su Kim; Ji Yun Won; Eduardo Bruera Journal: Support Care Cancer Date: 2012-11-15 Impact factor: 3.603