Tailored Barriers Intervention for CIS Callers in Pain

为 CIS 疼痛呼叫者量身定制的障碍干预

• 批准号: 6670160
• 负责人: SANDRA E WARD
• 金额: $ 28.81万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6670160
• 关键词: behavioral /social science research tag; cancer information system; cancer pain; clinical research; cost effectiveness; education evaluation /planning; functional ability; human subject; neoplasm /cancer education; outcomes research; patient oriented research; psychological aspect of cancer; telemedicine

DESCRIPTION (provided by applicant): Many persons with cancer hold beliefs that are barriers to optimal pain management, such as exaggerated fears of addiction and concerns about medication tolerance (Ferrell, et al., 1993; Ward, et al., 1993). Although educational interventions have been shown to overcome these patient-related barriers and improve pain management, they have not been widely disseminated and relatively few persons with cancer have had the benefit of systematic education about pain management. The proposed study will establish a foundation for addressing this problem. The specific aims are to test the efficacy and the cost-effectiveness of a Tailored Barriers Intervention (TBI), an intervention consisting of tailored proactive educational messages. After receiving usual service, patients calling the Cancer Information Service (CIS) will be invited to join a study. Those agreeing to join and who have moderate to severe pain will be randomized to one of three groups. Group 1 is a no-assessment no-intervention control group. Group 2 receives baseline assessment but no intervention (to control for possibility that assessment serves as an intervention). Group 3 receives baseline assessment plus TBI. Subjects in all three groups will be telephoned by the UW Survey Research Shared Service (SRSS) and asked to complete measures of barriers, pain duration, pain severity and pain interference with life activities 28 days after entering the study. This design assures that study findings will be optimally useful in planning the next steps in dissemination. If the trial reveals that TBI is efficacious and cost-effective, then a next study will be planned to investigate the feasibility of instituting TBI as part of the usual care provided by CIS staff to callers. If, on the other hand, the baseline assessment alone is just as effective as the TBI, or if it is more cost-effective, then the next study would focus on the feasibility of instituting barriers assessment as part of usual care provided to CIS callers.

描述（由申请人提供）：许多患有癌症信念的人是最佳疼痛管理的障碍，例如对成瘾的恐惧和对药物耐受的担忧（Ferrell等，1993; Ward等，1993）。尽管已证明教育干预措施可以克服​​这些与患者有关的障碍并改善疼痛管理，但他们并未被广泛传播，癌症患者相对较少的人对疼痛管理的系统教育受益。拟议的研究将为解决此问题的基础建立基础。具体目的是测试量身定制的障碍干预（TBI）的功效和成本效益，该干预措施由量身定制的主动教育信息组成。在接受常规服务后，将邀请称为癌症信息服务（CIS）的患者参加一项研究。那些同意加入并患有中度至重度疼痛的人将被随机分为三组之一。第1组是一个无干预对照组。第2组接受基线评估，但没有干预（控制评估作为干预的可能性）。第3组收到基线评估以及TBI。 UW调查研究共享服务（SRSS）将打电话给所有这三个组中的受试者，并要求完成障碍，疼痛持续时间，疼痛严重程度和疼痛干扰生活活动后28天的生活。该设计确保研究结果将在规划传播的下一步方面非常有用。如果试验表明TBI有效且具有成本效益，那么将计划进行下一项研究，以调查建立TBI作为CIS工作人员提供给呼叫者通常护理的一部分的可行性。另一方面，如果仅基线评估与TBI一样有效，或者如果它更具成本效益，那么下一项研究将集中在对CIS呼叫者提供的通常护理的一部分进行障碍评估的可行性上。