Cancer Pain
Conditions
Keywords
Cancer Pain, Education
Brief summary
This randomized prospective quantitative pilot study compared teach-back method to standardized educational method in patient and caregiver to improve cancer pain management
Detailed description
Even though there are comprehensive guidelines for cancer pain management, pain control among cancer patients and survivors is often suboptimal due to undertreatment. According to recent studies, the addition of educational interventions could improve pain relief in cancer patients. Both patients and family caregivers play an important role in delivering cancer pain self-management, especially at home. Providing knowledge for cancer pain management with optimal intervention could improve patient and caregiver outcomes. The Teach-back method, where patients and family caregivers are asked to repeat the instruction they've received from their health care professionals, can assess patients' understanding, repeat or modify the educational material if comprehension is not demonstrated. This pilot study compared the addition of the Teach-back method for cancer patients and their caregivers and its relation to cancer pain management.
Interventions
Standard cancer pain educational intervention enhanced with teach-back method
Standard cancer pain educational intervention without enhancement
Sponsors
Study design
Intervention model description
Group 1: Placebo Group 2: Teach-Back
Eligibility
Inclusion criteria
* Moderate to severe pain (pain scale 4 and above) * ≥18 years old * Signed the informed consent * Willing to cooperate until the end of studies * The patient is fully conscious and able to communicate well * Cared by a family caregiver * Family caregiver able to fully function as a caregiver
Exclusion criteria
* Near-death (dying) stage * Not willing to cooperate until the end of studies * Altered mental status and communication difficulties
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cancer pain management | one month | Quality of cancer pain management. Patient Global Impression Change (PGIC) scale is used to measure the overall quality of life and satisfaction as a conclusion toward the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health Literacy | one month | using Health Literacy Short Form Survey Questionnaire (HLS-EU-SQ10-IDN) to measure the change in health literacy |
| Pain Level | weekly up to one month | using Brief Pain Inventory (BPI) to measure the change in pain level |
| Distress | weekly up to one month | using distress thermometer to measure change in distress |
| Belief | one month | using Barriers Questionnaire (BQ-13) to measure change in belief |
Countries
Indonesia