Sandra Ward1, Heidi Donovan2, Sigridur Gunnarsdottir3, Ronald C Serlin4, Gary R Shapiro5, Susan Hughes1. 1. School of Nursing, University of Wisconsin-Madison. 2. College of Nursing, University of Pittsburgh. 3. Faculty of Nursing, University of Iceland. 4. Department of Educational Psychology, University of Wisconsin-Madison. 5. Bayview Medical Center, Johns Hopkins University.
Abstract
OBJECTIVE: Based on theories regarding cognitive representations of illness and processes of conceptual change, a representational intervention to decrease cancer pain (RIDcancerPain) was developed and its efficacy tested. DESIGN: A two-group RCT (RIDcancerPain versus control) with outcome and mediating variables assessed at baseline (T1) and 1 and 2 months later (T2 and T3). Subjects were 176 adults with pain related to metastatic cancer. MAIN OUTCOME MEASURES: Outcome variables were two pain severity measures (BPI and TPQM), pain interference with life, and overall quality of life. Mediating variables were attitudinal barriers to pain management and coping (medication use). RESULTS:One hundred and fifty subjects completed the study. Subjects in RIDcancerPain (T1-T2 and T1-T3) showed greater decreases in Barrier scores than those in control. Subjects in RIDcancerPain (T1-T3) showed greater decreases in pain severity than those in control. Change in Barriers scores mediated the effect of RIDcancerPain on pain severity. CONCLUSION:RIDcancerPain was efficacious with respect to some outcomes. Further work is needed to strengthen it.
RCT Entities:
OBJECTIVE: Based on theories regarding cognitive representations of illness and processes of conceptual change, a representational intervention to decrease cancer pain (RIDcancerPain) was developed and its efficacy tested. DESIGN: A two-group RCT (RIDcancerPain versus control) with outcome and mediating variables assessed at baseline (T1) and 1 and 2 months later (T2 and T3). Subjects were 176 adults with pain related to metastatic cancer. MAIN OUTCOME MEASURES: Outcome variables were two pain severity measures (BPI and TPQM), pain interference with life, and overall quality of life. Mediating variables were attitudinal barriers to pain management and coping (medication use). RESULTS: One hundred and fifty subjects completed the study. Subjects in RIDcancerPain (T1-T2 and T1-T3) showed greater decreases in Barrier scores than those in control. Subjects in RIDcancerPain (T1-T3) showed greater decreases in pain severity than those in control. Change in Barriers scores mediated the effect of RIDcancerPain on pain severity. CONCLUSION: RIDcancerPain was efficacious with respect to some outcomes. Further work is needed to strengthen it.
Authors: Nancy Wells; Joseph T Hepworth; Barbara A Murphy; Debra Wujcik; Rolanda Johnson Journal: J Pain Symptom Manage Date: 2003-04 Impact factor: 3.612
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: Anne Moyer; Matthew Goldenberg; Matthew A Hall; Sarah K Knapp-Oliver; Stephanie J Sohl; Elizabeth A Sarma; Stefan Schneider Journal: Behav Med Date: 2012 Impact factor: 3.104
Authors: Heidi S Donovan; Sandra E Ward; Susan M Sereika; Judith E Knapp; Paula R Sherwood; Catherine M Bender; Robert P Edwards; Margaret Fields; Renee Ingel Journal: J Pain Symptom Manage Date: 2013-09-07 Impact factor: 3.612
Authors: Debra Boyd-Seale; Diana J Wilkie; Young Ok Kim; Marie L Suarez; Hilary Lee; Robert Molokie; Zhongsheng Zhao; Shiping Zong Journal: Nurs Res Date: 2010 Mar-Apr Impact factor: 2.381
Authors: N Fridriksdottir; S Gunnarsdottir; S Zoëga; B Ingadottir; E J G Hafsteinsdottir Journal: Support Care Cancer Date: 2017-09-18 Impact factor: 3.603