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This randomized prospective quantitative pilot study compared teach-back method to standardized educational method in patient and caregiver to improve cancer pain management
Even though there are comprehensive guidelines for cancer pain management, pain control among cancer patients and survivors is often suboptimal due to undertreatment. According to recent studies, the addition of educational interventions could improve pain relief in cancer patients. Both patients and family caregivers play an important role in delivering cancer pain self-management, especially at home. Providing knowledge for cancer pain management with optimal intervention could improve patient and caregiver outcomes.
The Teach-back method, where patients and family caregivers are asked to repeat the instruction they've received from their health care professionals, can assess patients' understanding, repeat or modify the educational material if comprehension is not demonstrated. This pilot study compared the addition of the Teach-back method for cancer patients and their caregivers and its relation to cancer pain management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Teach-Back | Experimental | The intervention group were educated using the standard educational method with the addition of Teach-back enhancement. It consists of 5 steps: Triage, Tools, Take Responsibility, Tell Me, and Try Again. The Triage, Tools, and Try Again focus on effective information delivery, while the Take Responsibility and Tell Me evaluate the patient's ability to receive the information |
|
| Non-Teach-Back | Placebo Comparator | No educational intervention, just standard educational methods |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Teach Back | Other | Standard cancer pain educational intervention enhanced with teach-back method |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cancer pain management | Quality of cancer pain management. Patient Global Impression Change (PGIC) scale is used to measure the overall quality of life and satisfaction as a conclusion toward the intervention | one month |
| Measure | Description | Time Frame |
|---|---|---|
| Health Literacy | using Health Literacy Short Form Survey Questionnaire (HLS-EU-SQ10-IDN) to measure the change in health literacy | one month |
| Pain Level | using Brief Pain Inventory (BPI) to measure the change in pain level |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dharmais National Cancer Centre | Jakarta | 11420 | Indonesia |
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| ID | Term |
|---|---|
| D000072716 | Cancer Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Group 1: Placebo Group 2: Teach-Back
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| Placebo | Other | Standard cancer pain educational intervention without enhancement |
|
| weekly up to one month |
| Distress | using distress thermometer to measure change in distress | weekly up to one month |
| Belief | using Barriers Questionnaire (BQ-13) to measure change in belief | one month |