Caregiver-Guided Pain Management Training in Palliative Care
姑息治疗中护理人员指导的疼痛管理培训
基本信息
- 批准号:8932804
- 负责人:
- 金额:$ 53.3万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2014
- 资助国家:美国
- 起止时间:2014-09-26 至 2018-06-30
- 项目状态:已结题
- 来源:
- 关键词:AftercareBackBehavioralBereavementCancer PatientCaregiversCaringCessation of lifeCoping SkillsDistressEducational InterventionEducational MaterialsEducational process of instructingEnsureFamilyFamily CaregiverFamily memberGoalsGuided imageryHealthHealthcareHourImageryInterventionLeadMalignant NeoplasmsMethodsOutcomePainPain managementPain qualityPalliative CarePatientsPilot ProjectsProtocols documentationQuality of lifeRandomizedRelaxationReportingResearchResearch DesignResearch PriorityResourcesSample SizeSamplingSelf EfficacySeveritiesSiteTechniquesTestingTrainingTraining ProgramsVideoconferencesVideoconferencingcancer paincaregivingcopingefficacy testingend of lifeexperiencefollow-uphospice environmentimprovedloved onesmeetingsmembernovelpsychologicpsychological distresspsychosocialsatisfactionsymptom managementtherapy designtreatment as usualtrend
项目摘要
DESCRIPTION (provided by applicant): Pain at the end of life is a major concern of cancer patients and their family caregivers. The focus of pain management efforts for cancer pain traditionally has been on the patient. Studies of family members, however, have documented that the psychosocial impact of end of life care is profound, particularly when the patient is experiencing pain. For family caregivers, this impact endures--often resulting in increased psychological distress and poorer health long after their loved one dies. The ultimate goal of this
research is to develop more effective ways to help patients and their family caregivers cope with cancer pain and thereby reduce the psychological distress associated with pain for the patient and the short-term and enduring negative effects of the caregiving experience for their family members. We recently completed a small pilot study to test a novel Caregiver-Guided Pain Management Training protocol that trained hospice-eligible patients with cancer pain and their family caregivers in behavioral pain coping skills (e.g., relaxation, guided imagery, activity pacing) and taught them how to apply coping skills to manage negative pain-related sequelae and enhance their quality of life. Results indicated that the intervention led to significant improvements in caregiver self-efficacy for helping patients manage pain, and trends for improvements in caregiver strain and patient pain. The proposed study builds on and extends these findings by (a) utilizing the resources and support of the PCRC to access a larger and more diverse sample of patients and their informal caregivers; (b) delivering the intervention via videoconference to increase access and potential for dissemination; and (c) assessing the impact of the intervention on caregiver adjustment after the patient's death. To our knowledge, this will be the first RCT to rigorously examine whether a pain coping skills intervention designed to improve the caregiver's ability to help the patient manage pain at end of life can lead to caregiver benefits during the bereavement period. In this multi-site study, 236 dyads (patients and their family caregivers) will be randomized to either the Caregiver-Guided Pain Management Training protocol or to an Enhanced Treatment-as-Usual control condition. Dyads in the Caregiver-Guided Pain Management condition will receive three one-hour sessions conducted via videoconference. Dyads in the Enhanced Treatment-as-Usual condition will receive educational material about cancer pain and its management but will not receive any study-related treatment sessions. Assessments will be conducted with patients and caregivers before and after treatment, and with caregivers 3 months and 6 months following the patient's death. The primary hypothesis to be tested is that caregivers who receive the intervention will report significantly higher levels of self-efficacy for helping the patient manage pain than caregivers in the control condition. Secondary aims will focus on (a) improvements in short-term caregiver adjustment as well as caregiver adjustment following the patient's death, and (b) patient pain severity, self-efficacy for pain management, and psychological distress.
描述(由申请人提供):临终时的疼痛是癌症患者及其家属关心的主要问题。传统上,癌症疼痛管理工作的重点一直放在患者身上。然而,对家庭成员的研究表明,临终关怀的心理社会影响是深远的,特别是当病人正在经历痛苦时。对于家庭照顾者来说,这种影响会持续下去,往往会在亲人去世后很长一段时间内导致心理困扰增加,健康状况恶化。这是最终的目标
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Francis J. Keefe其他文献
318 - Older Adults with Lower Chronic Pain Self-Efficacy Have Worse Function and Quality of Life
318 - 慢性疼痛自我效能较低的老年人功能和生活质量更差
- DOI:
10.1016/j.jpain.2025.105116 - 发表时间:
2025-04-01 - 期刊:
- 影响因子:4.000
- 作者:
Miranda R. Adelmann;Lisa R. LaRowe;Christine Miaskowski;Christine S. Ritchie;Francis J. Keefe - 通讯作者:
Francis J. Keefe
Psychological approaches to understanding and treating arthritis pain
理解和治疗关节炎疼痛的心理学方法
- DOI:
10.1038/nrrheum.2010.22 - 发表时间:
2010-04-01 - 期刊:
- 影响因子:32.700
- 作者:
Francis J. Keefe;Tamara J. Somers - 通讯作者:
Tamara J. Somers
The measurement of human penile tumescence.
人体阴茎勃起度的测量。
- DOI:
10.1111/j.1469-8986.1978.tb01393.x - 发表时间:
1978 - 期刊:
- 影响因子:3.7
- 作者:
Raymond C. Rosen;Francis J. Keefe - 通讯作者:
Francis J. Keefe
The Role Of Psychological Factors As Predictors Of Mammography Pain Experienced By Breast Cancer Survivors During Their First Surveillance Screening After Breast-Conserving Surgery
心理因素作为乳腺癌幸存者在保乳手术后首次监测筛查期间经历的乳腺 X 线摄影疼痛的预测因子的作用
- DOI:
10.1016/j.jpain.2023.02.285 - 发表时间:
2023-04-01 - 期刊:
- 影响因子:4.000
- 作者:
Shernice Martin;Sarah S. Arthur;Dana H. Bovbjerg;Michelle Huang;Francis J. Keefe;Jessica Manculich;Mary Scott C. Soo;Margarita L. Zuley;Rebecca A. Shelby - 通讯作者:
Rebecca A. Shelby
Impact of loving-kindness meditation intervention vs. music intervention during biopsy on adherence to recommended breast cancer screening
- DOI:
10.1007/s10549-025-07721-7 - 发表时间:
2025-05-16 - 期刊:
- 影响因子:3.000
- 作者:
Nicole A. Arrato;Mary Scott Soo;Anava A. Wren;Juliann M. Stalls;Dana H. Bovbjerg;Francis J. Keefe;Rebecca A. Shelby - 通讯作者:
Rebecca A. Shelby
Francis J. Keefe的其他文献
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10526631 - 财政年份:2022
- 资助金额:
$ 53.3万 - 项目类别:
Administrative Supplement to Support Strategies to Increase Participant Diversity, Inclusion and Engagement in EPPIC NET
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10400476 - 财政年份:2021
- 资助金额:
$ 53.3万 - 项目类别:
Caregiver-Guided Pain Management Training in Palliative Care
姑息治疗中护理人员指导的疼痛管理培训
- 批准号:
9300729 - 财政年份:2014
- 资助金额:
$ 53.3万 - 项目类别:
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