Automated pain intervention for underserved minority women with breast cancer
Automated pain intervention for underserved minority women with breast cancer
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DOI：
10.1002/cncr.29204
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发表时间：
2015-06-01
期刊：
影响因子：
6.2
通讯作者：
Payne, Richard
中科院分区：
文献类型：
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作者：
Anderson, Karen O.;Palos, Guadalupe R.;Payne, Richard
少数乳腺癌患者存在癌症相关疼痛治疗不足的风险。作者评估的可行性和有效性的自动疼痛干预，改善疼痛和症状管理的服务不足的非洲裔美国人和拉丁裔妇女乳腺癌。METHODSSexty低收入的非洲裔美国人和拉丁裔妇女乳腺癌和癌症相关的疼痛参加了一项试点研究的自动化，基于电话，交互式语音应答（IVR）干预。干预组的妇女每周两次被IVR系统呼叫，并被要求对疼痛和其他症状的强度进行评级。如果报告的症状为中度至重度，患者的肿瘤学家会收到电子邮件警报。患者还报告了疼痛管理的障碍，并接受了关于任何报告的障碍的教育。研究期间，两组中报告中度至重度疼痛的女性比例均有所下降，但干预组的下降幅度明显更大。IVR干预也与其他癌症相关症状的改善有关，包括睡眠障碍和嗜睡。虽然患者坚持IVR呼叫时间表是好的，肿瘤学家谁治疗的患者评价干预措施，只有一些有用的改善症状management. CONCLUSIONSSIVR干预减少疼痛和症状的严重程度不足的少数民族妇女乳腺癌。需要对症状管理的技术方法进行更多的研究。癌症2015;121：1882-1890。(c)2015年美国癌症协会。我们评估了自动疼痛干预的可行性和有效性，以改善服务不足的非洲裔美国人和拉丁美洲乳腺癌妇女的疼痛和症状管理。干预措施减少了女性的疼痛和症状严重程度，表明有必要进一步研究症状管理的技术方法。
BACKGROUNDMinority patients with breast cancer are at risk for undertreatment of cancer-related pain. The authors evaluated the feasibility and efficacy of an automated pain intervention for improving pain and symptom management of underserved African American and Latina women with breast cancer.METHODSSixty low-income African American and Latina women with breast cancer and cancer-related pain were enrolled in a pilot study of an automated, telephone-based, interactive voice response (IVR) intervention. Women in the intervention group were called twice weekly by the IVR system and asked to rate the intensity of their pain and other symptoms. The patients' oncologists received e-mail alerts if the reported symptoms were moderate to severe. The patients also reported barriers to pain management and received education regarding any reported obstacles.RESULTSThe proportion of women in both groups reporting moderate to severe pain decreased during the study, but the decrease was significantly greater for the intervention group. The IVR intervention also was associated with improvements in other cancer-related symptoms, including sleep disturbance and drowsiness. Although patient adherence to the IVR call schedule was good, the oncologists who were treating the patients rated the intervention as only somewhat useful for improving symptom management.CONCLUSIONSThe IVR intervention reduced pain and symptom severity for underserved minority women with breast cancer. Additional research on technological approaches to symptom management is needed. Cancer 2015;121:1882-1890. (c) 2015 American Cancer Society.We evaluated the feasibility and efficacy of an automated pain intervention for improving pain and symptom management in underserved African American and Latina women with breast cancer. The intervention reduced pain and symptom severity for the women, indicating that further research on technological approaches to symptom management is warranted.