Measuring the Effects of Therapeutic Education Program "Caratif" Patient Under Strong Opioids Versus Standard Taking Charge of Patient Pain Receiving Opioid Therapy in Medical Oncology.
- Conditions
- Pain Management
- Interventions
- Other: therapeutic education of type "caratifOther: Standard care
- Registration Number
- NCT02862002
- Lead Sponsor
- Assistance Publique Hopitaux De Marseille
- Brief Summary
A first empirical evidence on the difficulties of observance of morphine in cancer patients invited a multidisciplinary team to initiate an innovative quality approach. It shows the lack of transcript of a comprehensive care causing a problem for monitoring actions undertaken for the relief of pain. In addition, two exploratory studies targeting the expectations and needs of the Patient Therapeutic Education (E.T.P) receiving strong opioids.
The E.T.P, public health priority, provides a framework for action and improving care. In oncology, the involvement of the patient in pain relief and management of opioids represents an axis of intervention more appropriate. Yet, it is not found in literature. In our department, we conduct an experimental therapeutic education program type "caratif" and a nurse consultation FTE receiving opioids on the model of nursing "care" of J. Watson (humanist emphasis promoting interpersonal teaching-learning mobilizing the patient experience). The ETP folder and its tools have been continuously validated with patients. The heart of the educational process is in the patient's complex path neat oncology and relies on interaction and creativity between patient and caregivers.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 200
- Adult
- Cancer patients receiving opioids
- Suffering from pain caused by their disease or treatment with chemotherapy and / or radiotherapy and / or surgery
- Supported within the oncology or palliative care
- Receiving at least 3 courses of chemotherapy
- Having read, understood and signed the informed consent
- Subject beneficiary of a social security scheme or an equivalent -
- adults subject to a legal protection measure or unable to consent
- Non-beneficiaries of a social security scheme,
- persons deprived of liberty by a judicial or administrative decision,
- patients with neurological or psychiatric disorders
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description standard care Standard care patients receiving standard care of cancer pain. Therapeutic Patient Education (E.T.P)of type "caratif Standard care Patients in arm E.T.P benefit of the nursing consultation E.T.P, Therapeutic Patient Education (E.T.P)of type "caratif therapeutic education of type "caratif Patients in arm E.T.P benefit of the nursing consultation E.T.P, standard care therapeutic education of type "caratif patients receiving standard care of cancer pain.
- Primary Outcome Measures
Name Time Method Pain assessment 21 days Using a digital scale
- Secondary Outcome Measures
Name Time Method Treatment adherence morphine 21 days Digital Scale / self-administered questionnaire of adherence of Girerd et al \[78\]
Anxiety 21 days Scale HADS (Hospital anxiety and depression seale, French version: Sigmund and Snaith) \[83\]
Strategies Adjustment disease 21 days Scale MAC (Mental Adjustment to Cancer Scale) French Version: Cayrou et al, 2001 \[82\]
Depression 21 days Scale HADS (Hospital anxiety and depression seale, French version: Sigmund and Snaith) \[83\]
Trial Locations
- Locations (1)
Assistance Publique Hôpitaux de Marseille Hôpital de la Timone
🇫🇷Marseille, France