Efficacy of pain education in cancer patients

Jho, Hyun Jung; Myung, Seung‐Kwon; Chang, Yoonjung; Kim, Dae-Hyun; Ko, Doo Heun

doi:10.1007/s00520-013-1756-0

Cited by 29 publications

(12 citation statements)

References 35 publications

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“…On the other hand, a lot of effort has been made to educate the patients preoperatively about the operation and the associated sequellae in order to effectively control the pain. Even in cancer patients, this approach seems to be effective as this was shown in a recent meta-analysis of randomized controlled trials (RCT) [ 10 ]. Similar results were presented previously by others [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Educational Status on the Postoperative Perception of Pain

et al. 2015

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BackgroundPostoperative (PO) pain interferes with the recovery and mobilization of the surgical patients. The impact of the educational status has not been studied adequately up to now.MethodsThis prospective study involved 400 consecutive general surgery patients. Various factors known to be associated with the perception of pain including the educational status were recorded as was the preoperative and postoperative pain and the analgesia requirements for the 1st PO week. Based on the educational status, we classified the patients in 3 groups and we compared these groups for the main outcomes: i.e. PO pain and PO analgesia.ResultsThere were 145 patients of lower education (junior school), 150 patients of high education (high school) and 101 of higher education (university). Patients of lower education were found to experience more pain than patients of higher education in all postoperative days (from the 2nd to the 6th). No difference was identified in the type and quantity of the analgesia used. The subgroup analysis showed that patients with depression and young patients (< 40 years) had the maximum effect.ConclusionsThe educational status may be a significant predictor of postoperative pain due to various reasons, including the poor understanding of the preoperative information, the level of anxiety and depression caused by that and the suboptimal request and use of analgesia. Younger patients (< 40), and patients with subclinical depression are mostly affected while there is no impact on patients over 60 years old.

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Section: Introductionmentioning

confidence: 99%

The Impact of Educational Status on the Postoperative Perception of Pain

et al. 2015

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“…Further research is warranted to better evaluate PEP effectiveness, this could be done by optimizing appropriate intervention content and by selecting relevant and realistic assessment tools. If pain intensity still remains an inescapable tool to evaluate education program effectiveness, 69,70 recent studies advance support for the importance of assessing newly developed outcome criteria, such as participation in pain management. By forming effective partnerships with clinicians, patients learn advanced decisionmaking skills to help them optimally manage pain.…”

Section: Implications For Nursing and Conclusionmentioning

confidence: 99%

Therapeutic Education in Improving Cancer Pain Management

Prévost

Delorme

Grach

et al. 2015

Am J Hosp Palliat Care

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This literature review aims to synthesize available studies and to update findings in order to obtain a current, comprehensive estimate of the benefits of pain education. Forty-four original articles obtained from the PubMed database were analyzed to investigate which protocols could be most effective in improving pain management. Recent studies indicate a growing interest in evaluating patients' skills and attitudes; these include satisfaction with cancer pain treatment, patient-reported improvement, and patient participation-all of which could be dependable benchmarks for evaluating the effectiveness of educational programs. Besides pain measurement, recent studies advance support for the importance of assessing newly developed outcome criteria. In this sense, patients' active participation and decision making in their pain management are probably the most relevant goals of pain education.

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“…In particular, Oldenmenger’s systematic review [10] recently performed on 26 Randomised Controlled Trials (RCT) totalling 4735 patients, shows that PEP may result in improvements of relevant patient-reported outcomes. Adam et al [11] analysed 34 RCT and 8 systematic reviews (including 3 meta-analyses [12–14]) in the field of cancer pain covering nearly 40 years. Reviews showed a slight but statistically significant effect of PEP on knowledge about pain and attitudes towards it, as well as a decrease in pain intensity as reported by patients.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a therapeutic patient education program in improving cancer pain management: EFFADOL, a stepped-wedge randomised controlled trial

et al. 2019

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Background Despite numerous guidelines, nearly one of two patients with cancer pain remains undertreated, thereby affecting their quality of life. Active patient involvement through Therapeutic Patient Education (TPE) is considered as a relevant strategy to overcoming hurdles in pain management. The aim of the EFFADOL study is to assess the effectiveness of a TPE program in improving cancer pain management. Methods/design The EFFADOL study is a stepped-wedge randomised controlled trial. A total of 260 cancer patients with unbalanced background pain will be randomised over the institutional level, i.e. stepped-wedge cluster design. Six clusters will be formed, one at the regional level of “Basse-Normandie” for patients receiving the educational approach by health providers already trained to TPE. Then, five additional centers will be gradually included at the national level, making it possible to compare the “conventional” management of pain (before medical staff training to TPE) with the educational approach (after being trained). The main study parameter is pain interference on daily life assessed with the self-administrated and validated Brief Pain Inventory questionnaire. Secondary objectives comprised the evaluation of patients’ adherence to pain education program, the description of pain intensity, pain relief, analgesic adherence and pain emotional impact. Educational dimension of the program will be evaluated through the patients’ acquisition of knowledge and skills about their pain and treatment as well as their self-efficacy to participate actively in pain management. The patient’s feeling of pain changes will be measured. Finally, the satisfaction of participants and educators will be reported. We hypothetise active involvement of patients in TPE will lead to an improved pain management compared to standard care. Discussion Analyzing the impact of a TPE program in cancer pain patients will improve their pain management and quality of life. We expect that the dissemination of our project educational approach through the French territory will be accompanied by long term change in clinical practices with mutual benefit to patients and caregiver-educators. Trial registration NCT03297723 , registered: 09/28/2017. Protocol version: Version n°1.1 dated from 2016/09/08.

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Efficacy of pain education in cancer patients

Abstract: Further large, high-quality RCTs using a placebo control such as attention control are required to investigate whether pain education has a true efficacy on pain control or is a placebo effect.

Cited by 29 publications

References 35 publications

The Impact of Educational Status on the Postoperative Perception of Pain

The Impact of Educational Status on the Postoperative Perception of Pain

Therapeutic Education in Improving Cancer Pain Management

Effectiveness of a therapeutic patient education program in improving cancer pain management: EFFADOL, a stepped-wedge randomised controlled trial

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