A pathway linking patient participation in cancer consultations to pain control

Autor:	Donna Kalauokalani, Richard L. Kravitz, Dionne Evans Dean, Christina Slee, Peter Franks, Daniel J. Tancredi, Richard L. Street
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry Cancer Experimental and Cognitive Psychology medicine.disease law.invention Psychiatry and Mental health Regimen Oncology Randomized controlled trial Pain control law Intervention (counseling) Physical therapy Medicine Pain catastrophizing Patient participation business Cancer pain
Zdroj:	Psycho-Oncology. 23:1111-1117
ISSN:	1057-9249
Popis:	Objective To test a pathway through which a tailored, pain management education–coaching intervention could contribute to better cancer pain control through the effects of patients' communication about pain on physician prescribing of pain medication. Methods Secondary analysis of data from a randomized controlled trial that tested the effects of a tailored education–coaching intervention on pain control for patients with advanced cancer. The current analysis focused on a subset of the patients (n = 135) who agreed to have their consultations audio-recorded. Patients' active communication about pain (e.g., expressing questions, concerns, and preferences about pain-related issues) was coded from audio-recordings. Change in pain medication was measured by patient self-report. Improvement in pain control was scored as the difference between baseline pain score and pain reported at 6 weeks. Results Patients' pain-related communication was a significant predictor of patient-reported changes in physician prescribing of pain medication (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::914f1a0d0967a9c96be2445533bc4906 https://doi.org/10.1002/pon.3518 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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