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Войти в исследования European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2025
Multicomponent self-management intervention for cancer patients with pain: A pilot randomized controlled study.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Zhang Junfeng, Yu Wenru, Wu Xing, Zhang Shuzhen, Yang Mengting, Luo Mei, Jiang Jiayao, Mai Minwen, Ho Laurie L K, Chan Dorothy N S
Аннотация
PURPOSE: This study evaluated the feasibility, acceptability, and preliminary effects of a multicomponent mHealth-supported self-management intervention for cancer patients with pain.
METHODS: This pilot study used a prospective, single-blinded, parallel-group randomized controlled trial design. 24 Participants were randomized into an intervention group, receiving a four-session multicomponent self-management intervention based on the information-motivation-behavioural skills model and PainManager app, or a control group with usual care. Feasibility was assessed using eligibility, enrolment, intervention completion and attrition rates. Acceptability was measured using a satisfaction questionnaire and semi-structure interview. Preliminary effects were evaluated on pain intensity, self-efficacy, QoL, pain-related knowledge, and medication adherence at baseline, post-intervention, and four weeks after the intervention.
RESULTS: Twenty-three participants completed the study, showing high feasibility (95.8 % retention). Preliminary analysis showed small effects on pain intensity (Hedge's g = -0.164), self-efficacy (Hedge's g = -0.259), QoL (Hedge's g = -0.043), and pain knowledge (Hedge's g = -0.199) but a moderate positive effect on medication adherence (Hedge's g = 0.484). All participants satisfied with the multicomponent self-management intervention and the PainManager app. The qualitative analysis of interviews with 10 participants revealed three themes, including the PainManager app's convenience and benefits for users, satisfaction with medical staff involvement, and challenges in completing questionnaires.
CONCLUSIONS: The study demonstrated high feasibility and acceptability of the multicomponent self-management intervention, with improvements in medication adherence. The limited impact on pain intensity and other outcomes indicates the need for larger scale study to validate these findings and investigate the long-term effects of the intervention.
METHODS: This pilot study used a prospective, single-blinded, parallel-group randomized controlled trial design. 24 Participants were randomized into an intervention group, receiving a four-session multicomponent self-management intervention based on the information-motivation-behavioural skills model and PainManager app, or a control group with usual care. Feasibility was assessed using eligibility, enrolment, intervention completion and attrition rates. Acceptability was measured using a satisfaction questionnaire and semi-structure interview. Preliminary effects were evaluated on pain intensity, self-efficacy, QoL, pain-related knowledge, and medication adherence at baseline, post-intervention, and four weeks after the intervention.
RESULTS: Twenty-three participants completed the study, showing high feasibility (95.8 % retention). Preliminary analysis showed small effects on pain intensity (Hedge's g = -0.164), self-efficacy (Hedge's g = -0.259), QoL (Hedge's g = -0.043), and pain knowledge (Hedge's g = -0.199) but a moderate positive effect on medication adherence (Hedge's g = 0.484). All participants satisfied with the multicomponent self-management intervention and the PainManager app. The qualitative analysis of interviews with 10 participants revealed three themes, including the PainManager app's convenience and benefits for users, satisfaction with medical staff involvement, and challenges in completing questionnaires.
CONCLUSIONS: The study demonstrated high feasibility and acceptability of the multicomponent self-management intervention, with improvements in medication adherence. The limited impact on pain intensity and other outcomes indicates the need for larger scale study to validate these findings and investigate the long-term effects of the intervention.