oncology patients with cancer-related pain and associated symptoms R52.9
Conditions
Interventions
Group 1: Intervention group: Patients in the intervention group will be offered pain self-management support by the APNpain who follows a detailed intervention protocol. For patients in the interventi
Sponsors
Universitätsklinikum Freiburg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: In-patients of a palliative care consultation service; Patients will be included if they have cancer-related pain >3/10 (NRS 0 = no pain to 10 = worst pain imaginable); will be discharged from hospital with need for pain self-management, have an expected life expectancy of =3 months, understand, read and write German, and have access to a telephone.
Exclusion criteria
Exclusion criteria: Patients will be excluded if they have severe cognitive deficits. If patients are hospitalized for more than 2 week during the 6 weeks study period, they will be excluded. Data that were collected before hospitalization will be included in the analysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be average and worst pain intensity, measured on the widely used numeric rating scale from 0 (no pain) to 10 (worst imaginable pain) measured at T0, T1 und T2 (T0 before, T1 one week and T2 six weeks after discharge). | — |
Secondary
| Measure | Time frame |
|---|---|
| The number of patients with pain as chief symptom, side-effects (MSAS), patient satisfaction with pain management and information about pain management (numeric rating scale), pain interference with function (BPI), adherence with analgesic medication (numeric rating scale) and the APNpain’s recommendations, quality of life (SF-12), knowledge and attitudes towards pain management (BQII), as well as pain-related self-efficacy (FESS) will be assessed as secondary outcomes. To assess feasibility, semi structured field notes and qualitative interviews will be analyzed. The field notes will be kept at each contact including time and content of the intervention as well as information about any experiences with the intervention procedures and content. The participants’ experiences with pain self-management support and their view of burden and benefit from study participation will be explored in a qualitative substudy. The qualitative interviews will be made with patients in the intervention and the control group. The field notes as well as the qualitative interviews will be analyzed according to the feasibility criteria: Acceptability, demand, implementation, practicality, adaptation, integration, expansion, and limited efficacy (Bowen, et al. [2009]). | — |
Countries
Germany
Contacts
Public ContactAntje Koller
Universitätsklinikum Freiburg
Outcome results
None listed