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Home > "I" Clinical Trials Conditions > Improving Cancer Pain Management Using AHCPR Cancer Pain Guidelines  Improving Cancer Pain Management Using AHCPR Cancer Pain Guidelines
Improving Cancer Pain Management Using AHCPR Cancer Pain Guidelines
For Condition: Pain,Cancer
Status: Recruiting
Sponsor(s): Department of Veterans Affairs ,
Synopsis: Cancer pain is a pervasive problem for the person with cancer. Despite advances in knowledge, effective cancer management is infrequently achieved. While this problem is multi-factorial, the patient may have attitudinal barriers to effective pain management that can be ameliorated with novel interventions. The primary objective of this study is to determine the effects of two nursing interventions on the improvement of pain management (PM), functional status (FS) and quality of life (QOL) in veterans receiving cancer care in VA ambulatory care clinics. The two interventions will utilize selected cancer pain management strategies developed as Clinical Practice Guidelines by the Agency for Health Care Policy and Research (AHCPR). This study will test the hypothesis that those veterans in the intervention arms will have lower pain intensity scores, greater pain relief and satisfaction with PM, and will have higher QOL and FS scores specifically in the areas of physical and social functioning. A secondary aim is to measure the extent that cancer PM is affected by the intervening variables of age, affect, attitudinal barriers, veteran culture, type/stage of disease, and type of cancer treatment. The design of this randomized trial has one between-subjects factor, GROUP, with three levels (usual care, structured education, individualized coaching), and one within-subjects factor, TIME, with two measures, pre-test and post-test. Patients with cancer pain (n=320) are randomly assigned to one of three groups after stratifications to control for the confounding variables of pain intensity and effects of cancer treatment. Those in the structured education arm view a video on cancer pain management and receive the AHCPR patient pamphlet on cancer pain management. Those subjects in the individualized coaching arm receive the same structured education as above, but also partake in four telephone coaching sessions focusing on the individual's specific pain management problems. The primary outcome variables measured after 12 weeks are: satisfaction with pain management, quality of life and functional status.
Details:
Eligibility:
Study Type: Interventional, Educational/Counseling/Training, Randomized, Single Blind, Placebo Control, Factorial Assignment
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: Patients must have a medical diagnosis of cancer, be experiencing pain as a result of their cancer or cancer treatment, be receiving treatment on an out-patient basis whereas they are taking their own medications, have a life expectancy of at least 6 months, have access to a telephone, are able to read and speak English, and do not have a drug abuse history.
Total Enrollment: 320
Location and Contact Information:
VA Palo Alto Health Care System *Recruiting*
Palo Alto, California, 94304-1207
United States
Recruiting Marilyn Douglas 650-849-0559
Additional Information:
Study ID Numbers: NRI 97-026;
Study Start Date: March 2002
Record last reviewed: October 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00012896
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Improving Cancer Pain Management Using AHCPR Cancer Pain Guidelines
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