None listed
Conditions
Brief summary
The purpose of this study is to evaluate the impact of an evidence-based, cancer pain assessment mobile health clinician education program, on patient reported pain outcomes. Who is it for? You may be eligible for this study if you are a medical/nursing staff member routinely caring for cancer or palliative care patients Study details Participants in this study will be randomly assigned (by chance) to one of two groups. One group will receive the intervention, which is a pain assessment performance feedback program delivered using the Qstream platform on their mobile phone or via email. The other group will receive their standard in-service and be offered the intervention after 16 weeks. Participants will complete an online survey at two points in the study. It is hoped this research will prove this mobile-health education program will be found efficacious and cost-effective.
Interventions
Clinician-focused, spaced learning pain assessment performance feedback intervention delivered via the Qstream™ platform This mHealth intervention (‘intervention’) combines: - an online spaced learning module that delivers authentic case-based cancer pain assessment scenarios directly to a clinician’s mobile device; - real-time site-specific pain assessment audit and feedback, providing de-identified peer to peer comparisons; and - online links to evidence-based pain assessment decision supports. The intervention will be delivered via the online QStream™ platform directly to clinicians’ mobile devices (via a free app) or email. Participants will receive two cases every second day delivered via mobile app or email. Each case will take approximately 5 minutes to answer. Upon answering a case, participants will receive: immediate de-identified feedback on how they have performed compared to their peers; succinct audit and feedback data regarding site performance in the area of pain assessment; and links to additional evidence-based resources. Correctly answered cases will be re-sent after eight days, incorrectly answered cases will be re-sent every five days. Cases will no longer be sent once they have been correctly answered twice. We estimate the spaced learning module will be completed within 28 days. Adherence to the intervention will be monitored weekly via report analytics built into the Qstream™ platform.
Sponsors
Study design
Eligibility
Inclusion criteria
Clinicians All medical and nursing personnel routinely caring for cancer and/or palliative care patients at a participating site are eligible to participate in the study. Participants must be willing to give written informed consent, and willing to participate to and comply with the study. Patients Medical records of all patients on the participating units, over 30 consecutive calendar days, will be screened for audit at each study time period (T1-T3). To be eligible, patients must: 1) have a primary diagnosis of cancer; 2) present for cancer treatment at a participating centre and/or have been referred to a specialist cancer/palliative care service; and 3) have pain at the time of first visit/appointment/admission or develop pain during the audit period.
Exclusion criteria
Agency staff; casual staff who have worked less than one shift in the month before the intervention commences; Unregistered health professional who are unlikely to be undertaking and documenting patients’ pain assessment, e.g., Aged Care Workers (ACW), Personal Care Assistants (PCA), Care Support Employees (CSE) and Health Services Assistants (HSA). Patients who: 1) are under 18 years; 2) do not have a cancer diagnosis on admission; do not have/develop cancer related pain during the audit period