Disparities in Analgesic Preference for Cancer Pain: A Conjoint Analysis Study

癌症疼痛镇痛偏好的差异：联合分析研究

基本信息

批准号：
7509954
负责人：
Salimah H. Meghani
金额：
$ 9.11万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-07-21 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7509954
关键词：
Absence of pain sensation Accounting Acupuncture procedure Adherence Advanced Malignant Neoplasm Adverse effects African American American Cancer Society Analgesics Attitude Cancer Center Characteristics Clinical Complex Condition Congresses Consumer Preferences Data Decision Making Dependency Diagnosis Discipline of Nursing Disease Eastern Cooperative Oncology Group Employment Faculty Foundations General Population Goals Guidelines Health Healthcare Healthcare Systems Hypnosis Imagery Institute of Medicine (U.S.)Institutes Intervention Literature Litigation Malignant Neoplasms Marketing Medical Medicine Mentored Research Scientist Development Award Mentorship Methodology Minority Neuraxis Numbers Opioid Outcome Pain Pain management Patient Preferences Patient Self-Report Patients Perception Pharmaceutical Preparations Pharmacotherapy Physicians Policies Principal Investigator Process Prospective Studies Provider Psyche structure Public Health Qualifying Race Range Rate Relative (related person)Relaxation Reporting Research Research Personnel Resources Review, Systematic (PT)Risk Role Severities Shapes Societies Source Staging Structure Symptoms System Techniques Time Title Training Translating Uncertainty World Health Organization base cancer pain cancer therapy career caucasian American chronic pain consumer behavior cost experience member multidisciplinary novel patient oriented preference prescription document prescription procedure racial and ethnic disparities racial difference success theories trend

项目摘要

DESCRIPTION (provided by applicant): Dr. Meghani is a junior faculty member whose long-term career goal is to attain success as an independent investigator devoted to understanding and eliminating racial/ethnic disparities in cancer pain outcomes. Racial differences in the treatment of pain are increasingly reported in the literature. While the evidence of these differences is growing, the basis for them remains largely unknown. While provider and system-level factors contribute to these disparities, equally important is to understand factors that relate to patients' preference and use of analgesia for cancer pain. Through this 3-year K01 award, Dr. Meghani seeks to broaden her scientific approach to understanding disparities in cancer pain outcomes by engaging in extensive training in the theory and methodology of consumer behavior, patients' decision-making, and stated-preference techniques. The training plan takes advantage of the vast resources and scholarly opportunities available at the candidate's renowned academic center inclusive of the structured mentorship, didactic courses, informal seminars, institutes, and colloquia. The highly qualified mentorship team contributes complimentary expertise to the training plan and a multidisciplinary perspective representing the fields of medicine, nursing, and marketing. Utilizing Choice-based Conjoint (CBC) Analysis, a well established marketing technique to elicit consumer preference, the proposed research investigates 1) if African Americans and Whites have different preference structures related to analgesic treatment for cancer pain, and if so, what trade-offs they employ in making cancer pain treatment decisions; 2) what is the relative impact of patients' socio-demographic, illness, and pain-related characteristics on their analgesic preference; and 3) what is the relationship between patients' stated preferences and their reported adherence to prescription analgesic treatment for cancer pain. Data derived from the study will lay the foundation for candidate's long-term goal of developing patient-centered interventions incorporating patient preferences into complex medical decision-making. Relevance: Healthcare often involves making competing choices under risks and uncertainties. This research uses a novel technique to understand if African American and White patients with cancer pain use different mental trade-offs in arriving at pain treatment decisions; have differential preferences for cancer pain treatment; and how this may relate to their adherence to pain medications for cancer pain.

描述（由申请人提供）：Meghani 博士是一名初级教员，其长期职业目标是作为一名致力于理解和消除癌症疼痛结果中的种族/民族差异的独立研究者取得成功。文献中越来越多地报道了疼痛治疗中的种族差异。尽管这些差异的证据越来越多，但其基础仍然很大程度上未知。虽然提供者和系统层面的因素导致了这些差异，但同样重要的是了解与患者对癌症疼痛镇痛的偏好和使用相关的因素。通过这个为期 3 年的 K01 奖，Meghani 博士寻求通过参与消费者行为理论和方法、患者决策和陈述偏好技术方面的广泛培训，拓宽她理解癌症疼痛结果差异的科学方法。培训计划利用候选人著名学术中心提供的大量资源和学术机会，包括结构化指导、教学课程、非正式研讨会、研究所和座谈会。高素质的导师团队为培训计划提供补充专业知识，并提供代表医学、护理和营销领域的多学科视角。利用基于选择的联合 (CBC) 分析（一种行之有效的营销技术来激发消费者偏好），拟议的研究调查了 1) 非裔美国人和白人在癌症疼痛的镇痛治疗方面是否有不同的偏好结构，如果是，那么进行哪些交易-他们在做出癌症疼痛治疗决定时所使用的人员； 2) 患者的社会人口、疾病和疼痛相关特征对其镇痛偏好的相对影响是什么； 3) 患者陈述的偏好与他们报告的对癌性疼痛处方镇痛治疗的依从性之间有何关系。该研究得出的数据将为候选人的长期目标奠定基础，即开发以患者为中心的干预措施，将患者偏好纳入复杂的医疗决策中。相关性：医疗保健通常涉及在风险和不确定性的情况下做出竞争性选择。这项研究使用了一种新技术来了解患有癌症疼痛的非裔美国人和白人患者在做出疼痛治疗决定时是否会使用不同的心理权衡；对癌痛治疗有不同的偏好；以及这与他们坚持使用治疗癌症疼痛的止痛药物有何关系。