OBJECTIVES: To determine whether clusters based on analgesic treatment beliefs among patients with cancer predict objective analgesic adherence. SAMPLE & SETTING: 207 patients with cancer in the outpatient setting who were aged 18 years or older, self-identified as White or African American, were diagnosed with solid tumor or multiple myeloma, and were prescribed at least one around-the-clock analgesic prescription for reported cancer pain. METHODS & VARIABLES: This study is a secondary analysis of an existing dataset. General linear modeling with a backward elimination approach was applied to determine whether previously identified analgesic treatment belief clusters, as well as sociodemographic, clinical, and pain variables, were associated with adherence behaviors. RESULTS: Significant explanatory factors were experiential in nature and included sociodemographic, clinical, and pain-related variables, explaining 21% of the variance in analgesic adherence. Analgesic belief clusters were not predictive of adherence. IMPLICATIONS FOR NURSING: Future research should examine sociodemographic and other clinical factors, as well as the influence of analgesic treatment beliefs, to better understand adherence behaviors among patients with cancer.
OBJECTIVES: To determine whether clusters based on analgesic treatment beliefs among patients with cancer predict objective analgesic adherence. SAMPLE & SETTING: 207 patients with cancer in the outpatient setting who were aged 18 years or older, self-identified as White or African American, were diagnosed with solid tumor or multiple myeloma, and were prescribed at least one around-the-clock analgesic prescription for reported cancer pain. METHODS & VARIABLES: This study is a secondary analysis of an existing dataset. General linear modeling with a backward elimination approach was applied to determine whether previously identified analgesic treatment belief clusters, as well as sociodemographic, clinical, and pain variables, were associated with adherence behaviors. RESULTS: Significant explanatory factors were experiential in nature and included sociodemographic, clinical, and pain-related variables, explaining 21% of the variance in analgesic adherence. Analgesic belief clusters were not predictive of adherence. IMPLICATIONS FOR NURSING: Future research should examine sociodemographic and other clinical factors, as well as the influence of analgesic treatment beliefs, to better understand adherence behaviors among patients with cancer.
Entities:
Keywords:
adherence; analgesics; belief clusters; cancer pain; opioids
Authors: Karen L Schumacher; Vicki L Plano Clark; Claudia M West; Marylin J Dodd; Michael W Rabow; Christine Miaskowski Journal: J Pain Symptom Manage Date: 2014-04-04 Impact factor: 3.612
Authors: Wendy H Oldenmenger; Jenske I Geerling; Irina Mostovaya; Kris C P Vissers; Alexander de Graeff; Anna K L Reyners; Yvette M van der Linden Journal: Cancer Treat Rev Date: 2017-12-13 Impact factor: 12.111
Authors: Judith A Paice; Russell Portenoy; Christina Lacchetti; Toby Campbell; Andrea Cheville; Marc Citron; Louis S Constine; Andrea Cooper; Paul Glare; Frank Keefe; Lakshmi Koyyalagunta; Michael Levy; Christine Miaskowski; Shirley Otis-Green; Paul Sloan; Eduardo Bruera Journal: J Clin Oncol Date: 2016-07-25 Impact factor: 44.544
Authors: Karen L Schumacher; Vicki L Plano Clark; Claudia M West; Marylin J Dodd; Michael W Rabow; Christine Miaskowski Journal: J Pain Symptom Manage Date: 2014-04-05 Impact factor: 3.612