Effects of coaching patients with lung cancer to report cancer pain.
The authors have examined the effects of coaching sensory self-monitoring and reporting on pain-related variables in patients with lung cancer. Randomly assigned to coached or not-coached groups, 215 patients have their interactions with their providers audiotaped and complete study measures pre- and postintervention. Of the 151 patients who complete the 4-week study, those coached are more likely than those not coached to give their providers unsolicited sensory pain information and to mention it before their providers ask for it. The mean number of pain parameters discussed during the audiotaped clinic visit is statistically larger at study end for the coached group. Scores for analgesic adequacy, all pain indices except one, anxiety, depression, and catastrophizing coping are not significantly different. Although coaching increases the amount of pain data communicated to providers by patients with lung cancer, the magnitude is small and does not lead to improved adequacy of analgesics prescribed for each patient's pain level.
Wilkie
Diana
D
University of Illinois at Chicago, USA dwilkie@uic.edu
Berry
Donna
D
Cain
Kevin
K
Huang
Hsiu-Ying
HY
Mekwa
Julia
J
Lewis
Frances
F
Gallucci
Betty
B
Lin
Yu-Chuan
YC
Chen
Angela Chia-Chen
AC
Ko
Nai-Ying
NY
D000223:Adaptation, Psychological; D000698:Analgesia / Q000523:psychology / Q000706:statistics & numerical data; D000704:Analysis of Variance; D001007:Anxiety / Q000150:complications; D016009:Chi-Square Distribution; D003142:Communication; D003863:Depression / Q000150:complications; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D010146:Pain / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D010147:Pain Measurement / Q000379:methods / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D016037:Single-Blind Method; D014861:Washington