Individualized Patient Education and Coaching to Improve Pain Control Among Cancer Outpatients

Oliver, Jennifer; Kravitz, Richard L.; Kaplan, Sherrie H.; Meyers, Frederick J.

doi:10.1200/jco.2001.19.8.2206

Cited by 169 publications

(149 citation statements)

References 28 publications

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“…Data suggest that patients with advanced disease undergoing chemotherapy are able to successfully implement problem-solving strategies that reduce the severity of symptoms. The results of this study extend the work of other investigators who have reported on the effectiveness of CBIs in decreasing the severity of specific symptoms (Oliver et al, 2001) and for patients with a single cancer site (Antoni et al, 2001;Cruess et al, 2000). The results of this study extend support for using CBIs to affect multiple symptoms in patients with advanced disease across tumor types.…”

Section: Discussionsupporting

confidence: 79%

“…However, most studies have been limited to testing the effectiveness of CBIs in reducing the severity of a particular symptom, such as fatigue or pain (Oliver, Kravitz, Kaplan, & Meyers, 2001;Quesnel et al), or in patients who present with a particular site of cancer, such as breast cancer, regardless of the stage of disease Cruess et al, 2000). The goal of this study was to evaluate the effectiveness of a CBI in decreasing overall symptom severity in patients with advanced cancer undergoing chemotherapy.…”

Section: Resultsmentioning

confidence: 99%

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A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

Sherwood¹,

Given²,

Given³

et al. 2005

Oncology Nursing Forum

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Purpose/Objectives: To evaluate the effectiveness of a cognitive behavioral intervention in decreasing symptom severity in patients with advanced cancer undergoing chemotherapy.Design: Prospective, randomized clinical trial based on cognitive behavioral theory. Setting: Six urban cancer centers in the midwestern United States.Sample: 124 patients 21 years of age or older were recruited and randomized to receive conventional care or conventional care and an intervention. Participants were newly diagnosed with stage III, stage IV, or recurrent cancer (solid tumor or non-Hodgkin lymphoma), undergoing chemotherapy, cognitively intact, and able to read and speak English.Methods: Data were gathered via telephone interviews at baseline and 10 and 20 weeks after randomization. Nurses with experience in oncology delivered a five-contact, eight-week intervention aimed at teaching patients problem-solving techniques to affect symptom severity.

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Section: Discussionsupporting

confidence: 79%

Section: Resultsmentioning

confidence: 99%

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

Sherwood¹,

Given²,

Given³

et al. 2005

Oncology Nursing Forum

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“…In a randomized trial, she compared this program to care-as-usual and found that the program significantly reduced pain intensity. Oliver and colleagues conducted a randomized trial with 78 patients with cancer (Oliver, Kravitz, Kaplan, & Meyers, 2001). Subjects in the intervention group received individualized information about misconceptions (based on scores on baseline measures of knowledge), supplemental information in a booklet, and coaching regarding communication with physicians about pain.…”

Section: Tests Of Educational Interventionsmentioning

confidence: 99%

A randomized trial of a representational intervention to decrease cancer pain (RIDCancerPain).

Ward¹,

Donovan²,

Gunnarsdóttir³

et al. 2008

Health Psychology

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Objective-Based on theories regarding cognitive representations of illness and processes of conceptual change, a Representational Intervention to Decrease Cancer Pain (RIDcancerPain) was developed and its efficacy tested.Design-A two-group RCT (RIDcancerPain versus control) with outcome and mediating variables assessed at baseline (T1) and one and two months later (T2 and T3). Subjects were 176 adults with pain related to metastatic cancer.Main Outcome Measures-Outcome variables were two pain severity measures (BPI and TPQM), pain interference with life, and overall quality of life. Mediating variables were attitudinal barriers to pain management and coping (medication use).Results-150 subjects completed the study. Subjects in RIDcancerPain (T1-T2 and T1-T3) showed greater decreases in Barrier scores than those in control. Subjects in RIDcancerPain (T1-T3) showed greater decreases in pain severity than those in control. Change in Barriers scores mediated the effect of RIDcancerPain on pain severity.

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“…Educating patients about their disease, its treatment, potential side effects, and qol can reduce anxiety 8 , enhance coping mechanisms 9 , reduce decisional conflicts, promote patient autonomy, and improve the patient experience 10 . Patients who understand their disease and its treatment also comply better with therapy 11 , which translates into better outcomes.…”

Section: Introductionmentioning

confidence: 99%

Relationships between Patient Knowledge and the Severity of Side Effects, Daily Nutrient Intake, Psychological Status, and Performance Status in Lung Cancer Patients

2015

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Aim We aimed to assess the relationships of patient education with the severity of treatment-induced side effects, daily calorie and protein intake, psychological status, and performance status in patients with lung cancer. MethodsThe study patients were divided into an intervention (n = 62) and a control group (n = 110). The patients in the intervention group were provided with information about treatment, diet, and rehabilitation during chemotherapy. The patients in the control group were not specially provided with that information. ResultsWe observed significant differences between the intervention and control groups with respect to low daily protein intake (54.84% vs. 70.00%, p = 0.046), prevalence of depression (51.61% vs. 70.91%, p = 0.011), prevalence of severe side effects of treatment (14.52% vs. 37.27%, p = 0.002), and good performance status (75.81% vs. 55.45%, p = 0.008).Conclusions Our results suggest that educating patients about cancer treatment and rehabilitation can lead to increased protein intake, a lower prevalence of depression, lesser side effects from cancer treatments, and improved performance status.

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Individualized Patient Education and Coaching to Improve Pain Control Among Cancer Outpatients

Cited by 169 publications

References 28 publications

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

A randomized trial of a representational intervention to decrease cancer pain (RIDCancerPain).

Relationships between Patient Knowledge and the Severity of Side Effects, Daily Nutrient Intake, Psychological Status, and Performance Status in Lung Cancer Patients

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