Educational interventions for cancer pain. A systematic review of systematic reviews with nested narrative review of randomized controlled trials.
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| Title: | Educational interventions for cancer pain. A systematic review of systematic reviews with nested narrative review of randomized controlled trials. |
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| Authors: | Adam, Rosalind1 rosalinda@doctors.org.uk, Bond, Christine1, Murchie, Peter1 |
| Source: | Patient Education & Counseling. Mar2015, Vol. 98 Issue 3, p269-282. 14p. |
| Subject Terms: | *Medical education, *Patient education, Cancer pain, Systematic reviews, Randomized controlled trials, Health outcome assessment |
| Abstract: | Objectives Educational interventions are one approach to improving cancer pain management. This review aims to determine whether educational interventions can improve cancer pain management and to characterize components of cancer pain educational interventions. Methods Medline, EMBASE, CINAHL, and Cochrane databases were searched. Systematic reviews that assessed educational interventions to improve cancer pain management were included. Randomized controlled trials (RCTs) were identified from each review. A narrative approach was taken to summarizing the nature and components of interventions. Results Eight systematic reviews and 34 randomized controlled trials (RCTs) were reviewed. Interventions targeting patients can achieve small to moderate reductions in pain intensity. Interventions targeting professionals can improve their knowledge but most trials have not assessed for resultant patient benefits. All interventions included at least one of seven core components: improving knowledge about the nature of cancer pain; aiding communication about cancer pain; enhancing pain assessment; improving analgesic prescribing; tackling barriers to analgesic non-adherence; teaching non-pharmacological pain management strategies; and promoting re-assessment. Conclusions Cancer pain educational interventions can improve pain outcomes. They are complex heterogeneous interventions which often contain a combination of active components. Practice implications Suggestions are made to aid the development of future interventions. [ABSTRACT FROM AUTHOR] |
| Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 100681556 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Educational interventions for cancer pain. A systematic review of systematic reviews with nested narrative review of randomized controlled trials. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Adam%2C+Rosalind%22">Adam, Rosalind</searchLink><relatesTo>1</relatesTo><i> rosalinda@doctors.org.uk</i><br /><searchLink fieldCode="AR" term="%22Bond%2C+Christine%22">Bond, Christine</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Murchie%2C+Peter%22">Murchie, Peter</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Mar2015, Vol. 98 Issue 3, p269-282. 14p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink><br />*<searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+pain%22">Cancer pain</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives Educational interventions are one approach to improving cancer pain management. This review aims to determine whether educational interventions can improve cancer pain management and to characterize components of cancer pain educational interventions. Methods Medline, EMBASE, CINAHL, and Cochrane databases were searched. Systematic reviews that assessed educational interventions to improve cancer pain management were included. Randomized controlled trials (RCTs) were identified from each review. A narrative approach was taken to summarizing the nature and components of interventions. Results Eight systematic reviews and 34 randomized controlled trials (RCTs) were reviewed. Interventions targeting patients can achieve small to moderate reductions in pain intensity. Interventions targeting professionals can improve their knowledge but most trials have not assessed for resultant patient benefits. All interventions included at least one of seven core components: improving knowledge about the nature of cancer pain; aiding communication about cancer pain; enhancing pain assessment; improving analgesic prescribing; tackling barriers to analgesic non-adherence; teaching non-pharmacological pain management strategies; and promoting re-assessment. Conclusions Cancer pain educational interventions can improve pain outcomes. They are complex heterogeneous interventions which often contain a combination of active components. Practice implications Suggestions are made to aid the development of future interventions. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.pec.2014.11.003 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 269 Subjects: – SubjectFull: Medical education Type: general – SubjectFull: Patient education Type: general – SubjectFull: Cancer pain Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Health outcome assessment Type: general Titles: – TitleFull: Educational interventions for cancer pain. A systematic review of systematic reviews with nested narrative review of randomized controlled trials. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Adam, Rosalind – PersonEntity: Name: NameFull: Bond, Christine – PersonEntity: Name: NameFull: Murchie, Peter IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar2015 Type: published Y: 2015 Identifiers: – Type: issn-print Value: 07383991 Numbering: – Type: volume Value: 98 – Type: issue Value: 3 Titles: – TitleFull: Patient Education & Counseling Type: main |
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