Improving Appropriate Access and Availability of Opioids for Cancer-related Pain Control in India (IMPOP): bridging the gap between policy and practice
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Key findings from our analysis of the interview data within four areas relevant to Good Practice (procurement, storage, prescribing and dispensing) will be organized into a Handbook, highlighting important steps necessary for ensuring safe availability of opioids within services, including necessary regulatory processes for opioid licensing, through to appropriate prescribing and dispensed.
研究概览
简要总结
Most people with advanced-stage cancerexperience moderate/severe pain which is treatable with opioid pain-killers. However,most people in India, with cancer live with, and die from it, without receivingthese effective pain-killers.
We aim to interview key clinicians atthree successful clinical teams in India, to find out how they have overcomeproblems to ensure safe and appropriate pain control for patients. We will synthesisegood practice regarding procuring, storing, prescribing and dispensing ofopioids for cancer-related pain within current regulations to produce a‘Best Practice Handbook’, to discuss with other cancer services.
Underprivileged sections of Indiansociety are disproportionately affected by cancer and lack of access to paintreatment. Our project contributes to the National Health Protection Mission,2018, to reduce inequalities in in outcomes for underprivileged members ofIndian society and safely implement the NarcoticDrugs and Psychotropic Substances Act, 2014, to make opioids available formedical use.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Doctors nurses pharmacists service managers or other worker pertinent to opioid use for cancer related pain.
- •Part of an Indian palliative care team where opioids are routinely used for cancer related pain Able and willing to give informed verbal recorded consent to interview Palliative care service self-reporting routine use of Morphine or other opioid annually for cancer related pain.
排除标准
- •Failure to meet inclusion criteria.
结局指标
主要结局
Key findings from our analysis of the interview data within four areas relevant to Good Practice (procurement, storage, prescribing and dispensing) will be organized into a Handbook, highlighting important steps necessary for ensuring safe availability of opioids within services, including necessary regulatory processes for opioid licensing, through to appropriate prescribing and dispensed.
时间窗: 6 months following study data collection completion ( 31st July 2021)
次要结局
- A provisional Handbook will be presented to all co-investigators and appropriate amendments made. Once the study team have agreed the content of this Handbook first draft, we will invite key stakeholders in cancer care across India and regionally known to the study team and participants, to an expert consensus workshop to refine the Handbook for wider circulation(Once the Handbook has been finalised, we will hold a dissemination Workshop, to which key stakeholders will be invited.)