Brenda W Dyal1, Miriam O Ezenwa2, Yingwei Yao3, Robert E Molokie4, Zaijie J Wang5, Samir K Ballas6, Marie L Suarez7, Diana J Wilkie8. 1. University of Florida, Department of Biobehavioral Nursing Science, Gainesville, FL, United States. 2. University of Florida, Department of Biobehavioral Nursing Science, Gainesville, FL, United States; University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science, Chicago, IL, United States; University of Illinois at Chicago Comprehensive Sickle Cell Center, Chicago, IL, United States. 3. University of Florida, Department of Biobehavioral Nursing Science, Gainesville, FL, United States; University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science, Chicago, IL, United States. 4. University of Illinois at Chicago Comprehensive Sickle Cell Center, Chicago, IL, United States; University of Illinois at Chicago College of Medicine, Division of Hematology/Oncology, Chicago, IL, United States; Jesse Brown Veteran's Administration Medical Center, Chicago, IL, United States; University of Illinois at Chicago College of Pharmacy, Department of Biopharmaceutical Sciences and Comprehensive Sickle Cell Center Chicago, IL, United States. 5. University of Illinois at Chicago College of Pharmacy, Department of Biopharmaceutical Sciences and Comprehensive Sickle Cell Center Chicago, IL, United States. 6. Thomas Jefferson University, Philadelphia, PA, United States. 7. University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science, Chicago, IL, United States. 8. University of Florida, Department of Biobehavioral Nursing Science, Gainesville, FL, United States; University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science, Chicago, IL, United States; University of Illinois at Chicago Comprehensive Sickle Cell Center, Chicago, IL, United States. Electronic address: diwilkie@ufl.edu.
Abstract
OBJECTIVE: To compare effects of a tailored multimedia education program versus usual-care on barriers to pain management of adult patients with SCD. METHODS: Pretest/posttest randomized controlled trial (RCT) of 228 outpatients with SCD randomized to thetablet-based PAINUCope intervention focused on barriers to pain management, pain, and analgesic adherence or selection of games (control). Outcomes were barriers to pain management, pain, and analgesic adherence. RESULTS: The barriers to pain management and pain scores did not change significantly from pretest to posttest for either condition. Changes in analgesic adherence rates from pretest to posttest were statistically significant for the intervention group (p = .046) but not for the usual care group (p = .419). The group difference was not statistically significant. CONCLUSIONS: This first RCT of a tailored multimedia education intervention with adult patients with SCD did not significantly reduce the outcomes of interest compared to the control group. Findings provide insights for improving intervention delivery and reinforcement of patient behaviors. PRACTICE IMPLICATIONS: Study redesign is warranted with modifications that include theoretical and methodological approaches and patient-centered delivery of the intervention that take advantage of recent technology developments.
RCT Entities:
OBJECTIVE: To compare effects of a tailored multimedia education program versus usual-care on barriers to pain management of adult patients with SCD. METHODS: Pretest/posttest randomized controlled trial (RCT) of 228 outpatients with SCD randomized to the tablet-based PAINUCope intervention focused on barriers to pain management, pain, and analgesic adherence or selection of games (control). Outcomes were barriers to pain management, pain, and analgesic adherence. RESULTS: The barriers to pain management and pain scores did not change significantly from pretest to posttest for either condition. Changes in analgesic adherence rates from pretest to posttest were statistically significant for the intervention group (p = .046) but not for the usual care group (p = .419). The group difference was not statistically significant. CONCLUSIONS: This first RCT of a tailored multimedia education intervention with adult patients with SCD did not significantly reduce the outcomes of interest compared to the control group. Findings provide insights for improving intervention delivery and reinforcement of patient behaviors. PRACTICE IMPLICATIONS: Study redesign is warranted with modifications that include theoretical and methodological approaches and patient-centered delivery of the intervention that take advantage of recent technology developments.
Authors: Miriam O Ezenwa; Robert E Molokie; Zaijie Jim Wang; Yingwei Yao; Marie L Suarez; Veronica Angulo; Diana J Wilkie Journal: J Pain Symptom Manage Date: 2014-03-15 Impact factor: 3.612
Authors: Kelly E Dunn; Claudia Yepez-Laubach; Paul A Nuzzo; Michael Fingerhood; Anne Kelly; Suzan Berman; George E Bigelow Journal: Drug Alcohol Depend Date: 2017-04-01 Impact factor: 4.492
Authors: Stephen J Stapleton; Brenda W Dyal; Andrew D Boyd; Marie L Suarez; Miriam O Ezenwa; Yingwei Yao; Diana J Wilkie Journal: Cancer Nurs Date: 2022-02-16 Impact factor: 2.760
Authors: Miriam O Ezenwa; Yingwei Yao; Molly W Mandernach; David A Fedele; Robert J Lucero; Inge Corless; Brenda W Dyal; Mary H Belkin; Abhinav Rohatgi; Diana J Wilkie Journal: JMIR Res Protoc Date: 2022-07-29