GENDER DIFFERENCES IN THE PSYCHOLOGICAL EFFECT OF A PSYCHOEDUCATIONAL INTERVENTION DESIGNED TO IMPROVE CANCER PAIN MANAGEMENT

2.50
Hdl Handle:
http://hdl.handle.net/10755/165262
Category:
Abstract
Type:
Presentation
Title:
GENDER DIFFERENCES IN THE PSYCHOLOGICAL EFFECT OF A PSYCHOEDUCATIONAL INTERVENTION DESIGNED TO IMPROVE CANCER PAIN MANAGEMENT
Author(s):
Edrington, Janet; Miaskowski, Christine; West, Claudia; Dodd, Marylin; Paul, Steven
Author Details:
Janet Edrington, RN, MS, University of California - San Francisco, San Francisco, California, USA; Christine Miaskowski, RN, PhD; Claudia West, RN, MS; Marylin Dodd, RN, PhD; Steven Paul, PhD
Abstract:
Intervention studies with patients to improve cancer pain management are extremely limited. Even less is known about the effects of psychoeducational interventions on secondary outcomes such as mood and quality of life. Therefore, as part of a larger study that evaluated the effectiveness of a psychoeducational intervention called the PRO-SELFÓ Pain Control Program, the purposes of this study in a sample of oncology outpatients with pain from bone metastasis (n=174) was to determine if there were changes in the mood states of patients who participated in the intervention compared to those who received standard care and to determine whether or not these changes in mood states were different in men and women. Orem’s theory of self-care, as well as the concepts of academic detailing and nurse coaching were the theoretical foundations for the study. A total of 174 patients participated in the 6-week intervention study that provided patients with education, skills training, and nurse coaching to improve cancer pain management. Following randomization into either the PRO-SELFÓ (n=93) or standard care (n=81) groups, patients completed the Profile of Mood States (POMS) at the beginning and at the end of the study. A total mood disturbance (TMD) score was calculated for each patient at each time point. Patients in the PRO-SELFÓ group reported significant improvements in knowledge about pain management and significant decreases in average and worst pain intensity scores at the end of the study. In addition, significant improvements in mood (as measured by a decrease in TMD score) were found in the PRO-SELFÓ group compared to the standard care group. However, a surprising finding from this study was that while female patients in the PRO-SELFÓ group reported significant improvements in mood, male patients in the PRO-SELFÓ group reported significant decrements in mood (i.e., an increase in TMD score) following the completion of the intervention. No changes in TMD scores were found in either males or females in the standard care group. These findings suggest that men may be at higher risk for mood disturbance following a psychoeducational intervention. Additional research is needed to determine the mechanism underlying this gender difference.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: National Cancer Institute
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleGENDER DIFFERENCES IN THE PSYCHOLOGICAL EFFECT OF A PSYCHOEDUCATIONAL INTERVENTION DESIGNED TO IMPROVE CANCER PAIN MANAGEMENTen_GB
dc.contributor.authorEdrington, Janeten_US
dc.contributor.authorMiaskowski, Christineen_US
dc.contributor.authorWest, Claudiaen_US
dc.contributor.authorDodd, Marylinen_US
dc.contributor.authorPaul, Stevenen_US
dc.author.detailsJanet Edrington, RN, MS, University of California - San Francisco, San Francisco, California, USA; Christine Miaskowski, RN, PhD; Claudia West, RN, MS; Marylin Dodd, RN, PhD; Steven Paul, PhDen_US
dc.identifier.urihttp://hdl.handle.net/10755/165262-
dc.description.abstractIntervention studies with patients to improve cancer pain management are extremely limited. Even less is known about the effects of psychoeducational interventions on secondary outcomes such as mood and quality of life. Therefore, as part of a larger study that evaluated the effectiveness of a psychoeducational intervention called the PRO-SELFÓ Pain Control Program, the purposes of this study in a sample of oncology outpatients with pain from bone metastasis (n=174) was to determine if there were changes in the mood states of patients who participated in the intervention compared to those who received standard care and to determine whether or not these changes in mood states were different in men and women. Orem’s theory of self-care, as well as the concepts of academic detailing and nurse coaching were the theoretical foundations for the study. A total of 174 patients participated in the 6-week intervention study that provided patients with education, skills training, and nurse coaching to improve cancer pain management. Following randomization into either the PRO-SELFÓ (n=93) or standard care (n=81) groups, patients completed the Profile of Mood States (POMS) at the beginning and at the end of the study. A total mood disturbance (TMD) score was calculated for each patient at each time point. Patients in the PRO-SELFÓ group reported significant improvements in knowledge about pain management and significant decreases in average and worst pain intensity scores at the end of the study. In addition, significant improvements in mood (as measured by a decrease in TMD score) were found in the PRO-SELFÓ group compared to the standard care group. However, a surprising finding from this study was that while female patients in the PRO-SELFÓ group reported significant improvements in mood, male patients in the PRO-SELFÓ group reported significant decrements in mood (i.e., an increase in TMD score) following the completion of the intervention. No changes in TMD scores were found in either males or females in the standard care group. These findings suggest that men may be at higher risk for mood disturbance following a psychoeducational intervention. Additional research is needed to determine the mechanism underlying this gender difference.en_GB
dc.date.available2011-10-27T12:15:24Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:24Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: National Cancer Institute-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.