Improving Cancer Pain Management Through Teach-Back Educational Approach for Patients and Primary Caregivers: A Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Cancer pain management
研究概览
简要总结
This randomized prospective quantitative pilot study compared teach-back method to standardized educational method in patient and caregiver to improve cancer pain management
详细描述
Even though there are comprehensive guidelines for cancer pain management, pain control among cancer patients and survivors is often suboptimal due to undertreatment. According to recent studies, the addition of educational interventions could improve pain relief in cancer patients. Both patients and family caregivers play an important role in delivering cancer pain self-management, especially at home. Providing knowledge for cancer pain management with optimal intervention could improve patient and caregiver outcomes.
The Teach-back method, where patients and family caregivers are asked to repeat the instruction they've received from their health care professionals, can assess patients' understanding, repeat or modify the educational material if comprehension is not demonstrated. This pilot study compared the addition of the Teach-back method for cancer patients and their caregivers and its relation to cancer pain management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Moderate to severe pain (pain scale 4 and above)
- •≥18 years old
- •Signed the informed consent
- •Willing to cooperate until the end of studies
- •The patient is fully conscious and able to communicate well
- •Cared by a family caregiver
- •Family caregiver able to fully function as a caregiver
排除标准
- •Near-death (dying) stage
- •Not willing to cooperate until the end of studies
- •Altered mental status and communication difficulties
研究组 & 干预措施
Teach-Back
The intervention group were educated using the standard educational method with the addition of Teach-back enhancement. It consists of 5 steps: Triage, Tools, Take Responsibility, Tell Me, and Try Again. The Triage, Tools, and Try Again focus on effective information delivery, while the Take Responsibility and Tell Me evaluate the patient's ability to receive the information
干预措施: Teach Back (Other)
Non-Teach-Back
No educational intervention, just standard educational methods
干预措施: Placebo (Other)
结局指标
主要结局
Cancer pain management
时间窗: one month
Quality of cancer pain management. Patient Global Impression Change (PGIC) scale is used to measure the overall quality of life and satisfaction as a conclusion toward the intervention
次要结局
- Belief(one month)
- Health Literacy(one month)
- Pain Level(weekly up to one month)
- Distress(weekly up to one month)
研究者
Ricky Dosan
Principal Investigator
Tarumanagara University