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Pain coping, multidisciplinary care, and mHealth: Patients' views on managing advanced cancer pain.

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Title: Pain coping, multidisciplinary care, and mHealth: Patients' views on managing advanced cancer pain.
Authors: DeForge, Sara M. (AUTHOR), Smith, Kyla (AUTHOR), Anderson, Kris‐Ann (AUTHOR), Baltazar, Ashton R. (AUTHOR), Beck, Meghan (AUTHOR), Enzinger, Andrea C. (AUTHOR), Tulsky, James A. (AUTHOR), Allsop, Matthew (AUTHOR), Edwards, Robert R. (AUTHOR), Schreiber, Kristin L. (AUTHOR), Azizoddin, Desiree R. (AUTHOR)
Source: Psycho-Oncology. Feb2024, Vol. 33 Issue 2, p1-10. 10p.
Subjects: Cancer pain, Patients' attitudes, Mobile health, Patient experience, Cancer patients, Pain management, Cancer patient care, Pain clinics
Abstract: Objective: Pain is common among people with advanced cancer. While opioids provide significant relief, incorporating psycho‐behavioral treatments may improve pain outcomes. We examined patients' experiences with pain self‐management and how their self‐management of chronic, cancer‐related pain may be complemented by behavioral mobile health (mHealth) interventions. Methods: We conducted semi‐structured qualitative interviews with patients with advanced cancer and pain. Each participant reviewed content from our behavioral mHealth application for cancer pain management and early images of its interface. Participants reflected on their experiences self‐managing cancer pain and on app content. Interviews were transcribed verbatim and analyzed using a combination of inductive and deductive thematic analysis. Results: Patients (n = 28; 54% female; mean age = 53) across two geographic regions reported using psychological strategies (e.g., reframing negative thoughts, distraction, pain acceptance, social support) to manage chronic cancer‐related pain. Patients shared their perspectives on the integration of psycho‐behavioral pain treatments into their existing medical care and their experiences with opioid hesitancy. Patient recommendations for how mHealth interventions could best support them coalesced around two topics: 1.) convenience in accessing integrated pharmacological and psycho‐behavioral pain education and communication tools and 2.) relevance of the specific content to their clinical situation. Conclusions: Integrated pharmacological and psycho‐behavioral pain treatments were important to participants. This underscores a need to coordinate complimentary approaches when developing cancer pain management interventions. Participant feedback suggests that an mHealth intervention that integrates pain treatments may have the capacity to increase advanced cancer patients' access to destigmatizing, accessible care while improving pain self‐management. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell 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: Psychology and Behavioral Sciences Collection
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  Data: Pain coping, multidisciplinary care, and mHealth: Patients' views on managing advanced cancer pain.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+pain%22">Cancer pain</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Mobile+health%22">Mobile health</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+experience%22">Patient experience</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+care%22">Cancer patient care</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+clinics%22">Pain clinics</searchLink>
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  Data: Objective: Pain is common among people with advanced cancer. While opioids provide significant relief, incorporating psycho‐behavioral treatments may improve pain outcomes. We examined patients' experiences with pain self‐management and how their self‐management of chronic, cancer‐related pain may be complemented by behavioral mobile health (mHealth) interventions. Methods: We conducted semi‐structured qualitative interviews with patients with advanced cancer and pain. Each participant reviewed content from our behavioral mHealth application for cancer pain management and early images of its interface. Participants reflected on their experiences self‐managing cancer pain and on app content. Interviews were transcribed verbatim and analyzed using a combination of inductive and deductive thematic analysis. Results: Patients (n = 28; 54% female; mean age = 53) across two geographic regions reported using psychological strategies (e.g., reframing negative thoughts, distraction, pain acceptance, social support) to manage chronic cancer‐related pain. Patients shared their perspectives on the integration of psycho‐behavioral pain treatments into their existing medical care and their experiences with opioid hesitancy. Patient recommendations for how mHealth interventions could best support them coalesced around two topics: 1.) convenience in accessing integrated pharmacological and psycho‐behavioral pain education and communication tools and 2.) relevance of the specific content to their clinical situation. Conclusions: Integrated pharmacological and psycho‐behavioral pain treatments were important to participants. This underscores a need to coordinate complimentary approaches when developing cancer pain management interventions. Participant feedback suggests that an mHealth intervention that integrates pain treatments may have the capacity to increase advanced cancer patients' access to destigmatizing, accessible care while improving pain self‐management. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell 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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        Text: English
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