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

• 批准号: 7661399
• 负责人: Salimah H. Meghani
• 金额: $ 2.9万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-21 至 2009-09-24
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7661399
• 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; 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; Opioid; Outcome; Pain; Pain management; Patient Preferences; Patient Self-Report; Patients; Perception; Pharmacotherapy; Physicians; Policies; Principal Investigator; Process; Prospective Studies; Provider; Psyche structure; Public Health; Qualifying; Race; Relative (related person); Relaxation; Reporting; Research; Research Personnel; Resources; Risk; Role; Severities; Shapes; Societies; Source; Staging; Structure; Symptoms; System; Techniques; Time; Training; Translating; Uncertainty; alternative treatment; base; cancer pain; cancer therapy; career; caucasian American; chronic pain; consumer behavior; cost; experience; member; multidisciplinary; novel; patient oriented; preference; racial and ethnic disparities; racial difference; success; systematic review; theories; trend

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博士是一名初级教职员工，其长期职业目标是作为一名专门理解和消除癌症疼痛成果中种族/种族差异的独立研究人员的成功。文献中越来越多地报道了疼痛治疗的种族差异。尽管这些差异的证据正在增长，但它们的基础在很大程度上仍然未知。尽管提供商和系统级别的因素导致了这些差异，但同样重要的是了解与患者偏爱和使用镇痛用于癌症疼痛有关的因素。通过这项为期3年的K01奖，梅格尼博士试图通过在消费者行为，患者决策和陈述的挑战技术的理论和方法中进行广泛的培训，以扩大她的科学方法来了解癌症疼痛结果的差异。该培训计划利用了候选人著名的学术中心提供的庞大资源和学术机会，其中包括结构化指导，教学课程，非正式研讨会，学院和科qu词。高素质的指导团队为培训计划和代表医学，护理和营销领域的多学科观点提供了免费的专业知识。拟议的研究利用基于选择的联合（CBC）分析，一种良好的营销技术来引起消费者的偏好，1）如果非洲裔美国人和白人具有与镇痛治疗癌症疼痛相关的不同偏好结构，如果是这样，则他们在做出癌症疼痛治疗决策中采用哪些权衡； 2）患者的社会人口统计学，疾病和与疼痛相关的特征对他们的镇痛偏好有什么相对影响？ 3）患者所陈述的偏好及其报告遵守处方镇痛治疗以治疗癌症疼痛的关系是什么。从研究中得出的数据将为候选人的长期目标奠定基础，即将患者偏好纳入复杂的医疗决策。相关性：医疗保健通常涉及在风险和不确定性下做出竞争选择。该研究使用一种新颖的技术来了解非裔美国人和白人癌症疼痛患者是否在做出疼痛治疗决策时使用不同的心理折衷。对癌症疼痛治疗有不同的偏好；以及这与他们遵守止痛药的癌症疼痛有关。

项目成果

Spiritual expressions of African Americans and Whites in cancer pain.

• DOI: 10.1177/0898010111423420
• 发表时间: 2012-06
• 期刊: Journal of holistic nursing : official journal of the American Holistic Nurses' Association
• 作者: Buck HG;Meghani SH
• 通讯作者: Meghani SH

A pilot study to identify correlates of intentional versus unintentional nonadherence to analgesic treatment for cancer pain.

一项初步研究，旨在确定有意与无意不坚持癌症疼痛镇痛治疗的相关性。

• DOI: 10.1016/j.pmn.2011.03.003
• 发表时间: 2013
• 期刊: Pain management nursing : official journal of the American Society of Pain Management Nurses
• 作者: Meghani,SalimahH;Bruner,DeborahWatkins
• 通讯作者: Bruner,DeborahWatkins