The Pro-Self Pain Control Program Improves Patients and Family Caregivers (FCs) Knowledge About Pain Management

2.50
Hdl Handle:
http://hdl.handle.net/10755/165619
Category:
Abstract
Type:
Presentation
Title:
The Pro-Self Pain Control Program Improves Patients and Family Caregivers (FCs) Knowledge About Pain Management
Author(s):
Miaskowski, Christine
Author Details:
Christine Miaskowski, Christine, PhD, Professor, University of California-San Francisco, School of Nursing, San Francisco, California, USA, email: chris.miaskowski@nursing.ucsf.
Abstract:
Several studies have documented that patients and FCs have inadequate knowledge about cancer pain management. The purpose of this study was to determine if a psycho-educational intervention that emphasized education, skills training, and nurse coaching (i.e., the PRO-SELF Pain Control Program) compared to standard care could improve patients and FCs knowledge regarding cancer pain management. Self-care theory and the principles of academic detailing served as the conceptual framework for this study. Patients and FCs were recruited from seven outpatient oncology practices. Patients who were over 18 years of age and were experiencing pain from bone metastasis were randomized into the PRO-SELF or standard care group. The FC was an individual identified by the patient as the person most involved in their care. At the time of enrollment into the study and again six weeks later, the participants completed the Pain Experience Scale (PES) developed by Ferrell and colleagues. The PES contains nine items that participants rated using a visual analogue scale. The scores on the individual items are totaled and the total score is converted to range between 0 and 100. Data were analyzed using t-tests and analysis of variance. Patients in the PRO-SELF group had significant increases in their knowledge scores (from 61 to 73, p < 0.0000). In addition, FCs in the PRO-SELF group reported significant increases in knowledge scores (from 59.4 to 77.4; p < 0.0000). The most significant improvements in knowledge in both groups were in more effective approaches to improve adherence with the analgesic regimen. For example, patients and FCs reported higher levels of disagreement with the statement "Pain medicines should be given only when the pain is severe." The results of this study suggest that a psychoeducational intervention that is aimed at enhancing knowledge and improving self-care abilities is effective in increasing patient and FC knowledge of cancer pain management.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
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.titleThe Pro-Self Pain Control Program Improves Patients and Family Caregivers (FCs) Knowledge About Pain Managementen_GB
dc.contributor.authorMiaskowski, Christineen_US
dc.author.detailsChristine Miaskowski, Christine, PhD, Professor, University of California-San Francisco, School of Nursing, San Francisco, California, USA, email: chris.miaskowski@nursing.ucsf.en_US
dc.identifier.urihttp://hdl.handle.net/10755/165619-
dc.description.abstractSeveral studies have documented that patients and FCs have inadequate knowledge about cancer pain management. The purpose of this study was to determine if a psycho-educational intervention that emphasized education, skills training, and nurse coaching (i.e., the PRO-SELF Pain Control Program) compared to standard care could improve patients and FCs knowledge regarding cancer pain management. Self-care theory and the principles of academic detailing served as the conceptual framework for this study. Patients and FCs were recruited from seven outpatient oncology practices. Patients who were over 18 years of age and were experiencing pain from bone metastasis were randomized into the PRO-SELF or standard care group. The FC was an individual identified by the patient as the person most involved in their care. At the time of enrollment into the study and again six weeks later, the participants completed the Pain Experience Scale (PES) developed by Ferrell and colleagues. The PES contains nine items that participants rated using a visual analogue scale. The scores on the individual items are totaled and the total score is converted to range between 0 and 100. Data were analyzed using t-tests and analysis of variance. Patients in the PRO-SELF group had significant increases in their knowledge scores (from 61 to 73, p &lt; 0.0000). In addition, FCs in the PRO-SELF group reported significant increases in knowledge scores (from 59.4 to 77.4; p &lt; 0.0000). The most significant improvements in knowledge in both groups were in more effective approaches to improve adherence with the analgesic regimen. For example, patients and FCs reported higher levels of disagreement with the statement &quot;Pain medicines should be given only when the pain is severe.&quot; The results of this study suggest that a psychoeducational intervention that is aimed at enhancing knowledge and improving self-care abilities is effective in increasing patient and FC knowledge of cancer pain management.en_GB
dc.date.available2011-10-27T12:21:57Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:57Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
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.-
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