The PRO-SELF©: Pain Control Program—An Effective Approach for Cancer Pain Management

West, Claudia; Dodd, Marylin; Paul, Steven M.; Schumacher, Karen; Tripathy, Debasish; Koo, Peter; Miaskowski, Christine

doi:10.1188/03.onf.65-73

Cited by 62 publications

(55 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A key finding from studies in this field is that education for self-management of cancer pain should be integrated into routine practice [29,19,30]. Despite optimism that this can be achieved 'without undue extra resources or time' [14, p393] there are numerous factors, often presented as barriers, which influence the implementation of patient education for selfmanagement -including health professionals' knowledge, attitudes and beliefs [26,30].…”

Section: Discussionmentioning

confidence: 99%

“…For example, research has shown that 'self-action strategies' to manage the effects of advanced cancer on appetite and eating can lead to changes in patients' thinking and behaviour which enhance well-being [17]; the importance of recognizing and supporting patients' selfmanagement strategies in regard to medicines taking when their life expectancy is reduced by advanced cancer has been demonstrated; and, importantly, self-management has been shown to fluctuate during the trajectory of an illness, with advancing metastatic disease and/or feeling more ill prompting changes in how actively individuals self-manage [19]. Supporting self-management has become a standard approach for health care professionals working with people who experience chronic non-cancer pain [21,22] and many studies and reviews have reported that patient-focused educational interventions, including self-management, can also improve pain control in patients with advanced cancer [23][24][25][26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Supporting self-management of pain by patients with advanced cancer: views of palliative care professionals

Hughes

Closs

Flemming

et al. 2016

Support Care Cancer

View full text Add to dashboard Cite

Methods: Qualitative research using focus group interviews.Results: Participants viewed self-management of cancer pain as desirable and achievable but also as something that could be problematic. Challenges to selfmanagement were perceived in: patient attitudes and behaviours, professionals' own beliefs and actions, the wider social system. Practitioners showed awareness of potential tension between their espoused views (the desirability that patients manage pain autonomously) and their tacit views (the undesirability of patients managing pain in ways which conflict with professionals' knowledge and identity).Conclusions Practitioners espoused patient-centred professional practice which inclined them towards supporting self-management. They showed awareness of factors which might inhibit them from effectively incorporating education and support for selfmanagement into routine practice.3

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supporting self-management of pain by patients with advanced cancer: views of palliative care professionals

Hughes

Closs

Flemming

et al. 2016

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…This descriptive correlational study is part of a large randomized clinical trial (RCT) that evaluated the effectiveness of the PRO-SELF© Pain Control Program compared to standard care in improving cancer pain management (12)(13)(14). Two hundred and twelve oncology outpatients were recruited from seven outpatient settings in Northern California including a university-based cancer center, two community-based oncology practices, one outpatient radiation therapy center, one health maintenance organization, one Veterans Administration facility, and one military hospital.…”

Section: Sample and Settingsmentioning

confidence: 99%

“…Side effects of analgesic medications were evaluated on a weekly basis using the checklist shown in Figure 1. Intensity of side effects was rated using a 0 to 4 scale (i.e., 0 = did not have, 1 = slight, 2 = moderate, 3 = severe, and 4 = very severe) (14). Side effect data from the end of the first week of the RCT are reported in this paper.…”

Section: Instrumentsmentioning

confidence: 99%

Differences in the Prevalence and Severity of Side Effects Based on Type of Analgesic Prescription in Patients with Chronic Cancer Pain

Villars

Dodd

West

et al. 2007

Journal of Pain and Symptom Management

Self Cite

View full text Add to dashboard Cite

An understanding of the relationship between the type of analgesic prescription and the prevalence and severity of side effects is crucial in making appropriate treatment decisions. The purposes of this study were: to determine if there were differences in the prevalence of side effects among four different types of analgesic prescriptions (i.e., no opioid, only an as needed (PRN) opioid, only an around-the-clock (ATC) opioid, or an ATC + PRN opioid); to determine if there were differences in the severity of side effects among the four prescriptions groups; and to determine the relationships between the total dose of opioid analgesic medication prescribed and taken and the severity of side effects. As part of a larger study, 174 cancer patients with bone metastasis reported their analgesic use and the prevalence and severity of eleven side effects. Significant differences (P < 0.05) were found in prevalence rates for seven of the side effects among the four prescription groups. The highest prevalence rates were found in the only ATC and ATC + PRN groups. Significant differences were found in the severity scores for five of the side effects, with the highest severity scores reported by patients in the only ATC and ATC + PRN groups. Significant positive correlations were found between the severity of six of the side effects and the total dose of opioid prescribed and taken. Risk factors for analgesic-induced side effects are ATC and ATC + PRN prescription types and higher doses of opioid analgesics.

show abstract

“…Family caregivers participated when available. A detailed description of the PRO-SELF ß intervention has been published previously (West et al, 2003). Briefly, the intervention lasted for 6 weeks and consisted of three home visits (weeks 1, 3, and 6) and three telephone calls (weeks 2, 4, and 5).…”

Section: Evolution Of the Qualitative Component Of The Pro-self ß Paimentioning

confidence: 99%

Qualitative research contribution to a randomized clinical trial

Schumacher

Koresawa

West

et al. 2005

Research in Nursing & Health

Self Cite

View full text Add to dashboard Cite

Qualitative research may be combined fruitfully with intervention studies, but few examples provide detailed methodological strategies for doing so. In this article, we describe the qualitative component of a randomized clinical trial (RCT) of the PRO-SELF ß Pain Control Program, an intervention that provides individualized education, coaching, and support for cancer pain management. We conducted three qualitative analyses of verbatim transcripts of ''real-time'' audiotaped intervention sessions. As a result, we were better able to ascertain the nature of the individualized coaching component of the intervention, patient and family caregiver use of selected intervention tools, and reasons the intervention did not work for some patients. Study results were used to increase the specificity with which the coaching portion of the intervention is described in the intervention protocol.

show abstract

The PRO-SELF©: Pain Control Program—An Effective Approach for Cancer Pain Management

Abstract: Adequate pain relief is vital to decreasing cancer morbidity and improving patients' quality of life. The PRO-SELF: Pain Control Program should be implemented in all settings where cancer care takes place.

Cited by 62 publications

References 21 publications

Supporting self-management of pain by patients with advanced cancer: views of palliative care professionals

Supporting self-management of pain by patients with advanced cancer: views of palliative care professionals

Differences in the Prevalence and Severity of Side Effects Based on Type of Analgesic Prescription in Patients with Chronic Cancer Pain

Qualitative research contribution to a randomized clinical trial

Contact Info

Product

Resources

About