Trial Outcomes & Findings for Improving Cancer Pain Management Through Self-Care (NCT NCT00708019)

NCT ID: NCT00708019

Last Updated: 2016-05-05

Results Overview

Average pain was measured using a 0 (no pain) to 10 (worst pain imaginable) numeric rating scale on a daily basis. Change in average pain intensity between the two intervention groups was evaluated from enrollment to the end of the study (i.e., 10 weeks).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

185 participants

Primary outcome timeframe

10 weeks

Results posted on

2016-05-05

Participant Flow

We recruited patients from October 2007 to December 2012 from oncology clinics in the San Francisco Bay area.

Participant milestones

Participant milestones
Measure
Low Dose
Low dose of the psychoeducational intervention (i.e., 8.0 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
High Dose
High dose of the psychoeducational intervention (i.e., 12.3 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
Overall Study
STARTED
92
93
Overall Study
COMPLETED
77
78
Overall Study
NOT COMPLETED
15
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Cancer Pain Management Through Self-Care

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low Dose
n=92 Participants
Low dose of the psychoeducational intervention (i.e., 8.0 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
High Dose
n=93 Participants
High dose of the psychoeducational intervention (i.e., 12.3 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
Total
n=185 Participants
Total of all reporting groups
Age, Continuous
59.01 years
STANDARD_DEVIATION 1.19 • n=5 Participants
59.29 years
STANDARD_DEVIATION 1.29 • n=7 Participants
59.15 years
STANDARD_DEVIATION 11.90 • n=5 Participants
Sex: Female, Male
Female
53 Participants
n=5 Participants
51 Participants
n=7 Participants
104 Participants
n=5 Participants
Sex: Female, Male
Male
39 Participants
n=5 Participants
42 Participants
n=7 Participants
81 Participants
n=5 Participants
Region of Enrollment
United States
92 participants
n=5 Participants
93 participants
n=7 Participants
185 participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 weeks

Average pain was measured using a 0 (no pain) to 10 (worst pain imaginable) numeric rating scale on a daily basis. Change in average pain intensity between the two intervention groups was evaluated from enrollment to the end of the study (i.e., 10 weeks).

Outcome measures

Outcome measures
Measure
Low Dose
n=92 Participants
Low dose of the psychoeducational intervention (i.e., 8.0 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
High Dose
n=93 Participants
High dose of the psychoeducational intervention (i.e., 12.3 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
Average Pain Intensity Score
1.192 units on a scale
Interval 0.452 to 1.932
1.304 units on a scale
Interval 0.54 to 2.069

SECONDARY outcome

Timeframe: 10 weeks

Worst pain was measured using a 0 (no pain) to 10 (worst pain imaginable) numeric rating scale on a daily basis. Change in worst pain intensity between the two intervention groups was evaluated from enrollment to the end of the study (i.e., 10 weeks).

Outcome measures

Outcome measures
Measure
Low Dose
n=92 Participants
Low dose of the psychoeducational intervention (i.e., 8.0 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
High Dose
n=93 Participants
High dose of the psychoeducational intervention (i.e., 12.3 hours with the intervention nurse over 10 weeks) PRO-SELF PLUS Pain Management Program: The psychoeducational intervention will be conducted by specially trained oncology nurses and will include the components of knowledge, skills training, and coaching to improve cancer pain management. Patients in both groups will be seen in their homes over the course of 10 weeks with phone calls conducted in between the home visits. Patients in the HIGH-DOSE group will receive 6 visits and 10 phone calls \[total time 12.3 hours\]. Patients in the LOW-DOSE group will receive 4 visits and 6 phone calls \[8.0 hours\]. Follow-up visits to assess the sustainability of the intervention will be done at 2 weeks, 1 month and 3 months after the intervention. Both quantitative and qualitative analyses will be conducted to evaluate patient outcomes.
Worst Pain Intensity Score
1.575 units on a scale
Interval 0.744 to 2.375
1.522 units on a scale
Interval 0.695 to 2.349

Adverse Events

Low Dose

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

High Dose

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Christine Miaskowski

University of California, San Francisco

Phone: 415-476-9407

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place