PAIN
Volume 143, Issue 3 , Pages 192-199 , June 2009

How effective are patient-based educational interventions in the management of cancer pain? Systematic review and meta-analysis

  • Michael I. Bennett

      Affiliations

    • International Observatory on End of Life Care, Institute for Health Research, Lancaster University, Lancaster LA1 4YT, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 1524 593309; fax: +44 1524 592401.
  • ,
  • Anne-Marie Bagnall

      Affiliations

    • Faculty of Health, Leeds Metropolitan University, Calverley Street, Leeds LS1 3HE, UK
  • ,
  • S. José Closs

      Affiliations

    • School of Healthcare, University of Leeds, Leeds LS2 9UT, UK

Received 20 August 2008 ,Revised 7 January 2009 ,Accepted 13 January 2009.

References 

  1. Allard P, Maunsell E, Labbé J, Dorval M. Educational interventions to improve cancer pain control: a systematic review. J Palliat Med. 2001;4:191–203
  2. Anderson K, Mendoza T, Payne R, Valero V, Palos G, Nazario A, et al. Pain education for underserved minority cancer patients: a randomized controlled trial. J Clin Oncol. 2004;22:4918–4925
  3. Aubin M, Verzina L, Parent R, Fillion L, Allard P, Bergeron R, et al. Impact of an educational program on pain management in patients with cancer living at home. Oncol Nurs Forum. 2006;33:1183–1188
  4. Barlesi F, Duffaud F, Doddoli C, Gimenez Cl, Auquier P, Favre R, et al. Impact of a brochure on pain destined for thoracic oncology patients. Presse Med. 2004;33:1313–1318
  5. Bennett MI. What evidence do we have that the WHO analgesic ladder is effective in cancer pain?. In:  McQuay HJ,  Moore R,  Kalso E editor. Systematic reviews in pain research; methodology refined. Seattle: IASP Press; 2008;
  6. Caraceni A, Zecca E, Bonezzi C, Arcuri E, Yaya Tur R, Mattoni M, et al. Gabapentin for neuropathic cancer pain: a randomized controlled trial from the gabapentin cancer pain study group. J Clin Oncol. 2004;14:2909–2917
  7. Chang M, Chang Y, Chiou J, Tsou T, Lin C. Overcoming patient-related barriers to cancer pain management for home care patients: a pilot study. Cancer Nurs. 2002;25:470–476
  8. Clotfelter C. The effect of an educational intervention on decreasing pain intensity in elderly people with cancer. Oncol Nurs Forum. 1999;26:27–33
  9. Dalton JA. Education for pain management: a pilot study. Patient Educ Couns. 1987;9:155–165
  10. Daut RL, Cleeland CS, Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain. 1983;17:197–210
  11. Deandrea S, Montanari M, Moja L, Apolone G. Prevalence of undertreatment in cancer pain. A review of published literature. Ann Oncol. 2008;19:1985–1991
  12. Devine EC, Westlake SK. The effects of psychoeducational care provided to adults with cancer: meta-analysis of 116 studies. Oncol Nurs Forum. 1995;22:1369–1381
  13. Devine EC. Meta-analysis of the effect of psycho-educational interventions on pain in adults with cancer. Oncol Nurs Forum. 2003;30:75–89
  14. Engers AJ, Jellema P, Wensing M, van der Windt DAWM, Grol R, van Tulder MW. Individual patient education for low back pain (Review). Cochrane Database Syst Rev. 2008;CD004047
  15. http://www.EPICsurvey.com.
  16. van Everdingen MH, Rijke JM, Kessels AG, Schouten HC, Kleef MV, Patijn J. High prevalence of pain in patients with cancer in a large population-based study in The Netherlands. Pain. 2007;132:312–320
  17. Gunnarsdottir S, Donovan H, Serlin RC, Voge C, Ward S. Patient related barriers to pain management: the Barriers Questionnaire II (BQ II). Pain. 2002;99:385–396
  18. Harris K, Li K, Flynn C, Chow E. Worst, average or current pain in the Brief Pain Inventory: which should be used to calculate the response to palliative radiotherapy in patients with bone metastases?. Clin Oncol. 2007;19:523–527
  19. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 [updated February 2008]. The Cochrane Collaboration, 2008. Available from: www.cochrane-handbook.org.
  20. Keefe FJ, Ahles TA, Sutton L, Dalton J, Baucom D, Pope MS, et al. Partner-guided cancer pain management at the end of life: a preliminary study. J Pain Symptom Manage. 2005;29:263–272
  21. Lai YH, Guo SL, Keefe FJ, Tsai SL, Chien CC, Sung YC, et al. Effects of brief pain education on hospitalized cancer patients with moderate to severe pain. Support Care Cancer. 2004;12:645–652
  22. Lin CC. Barriers to the analgesic management of cancer pain: a comparison of attitudes of Taiwanese patients and their family caregivers. Pain. 2000;88:7–14
  23. Lin C-C, Chou P-L, Wu S-L, Chang Y-C, Lai Y-L. Long-term effectiveness of a patient and family pain education program on overcoming barriers to management of cancer pain. Pain. 2006;122:271–281
  24. McMillan S, Small B. Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients: a clinical trial. Oncol Nurs Forum. 2007;34:313–321
  25. Miaskowski C. Patient education about cancer pain management: How much time is enough?. Pain. 2008;135:1–2
  26. Miaskowski C, Dodd MJ, West C. Lack of adherence with the analgesic regimen: a significant barrier to effective cancer pain management. J Clin Oncol. 2001;19:4275–4279
  27. Miaskowski C, Dodd M, West C, Schumacher K, Paul S, Tripathy D, et al. Randomized clinical trial of the effectiveness of a self-care intervention to improve cancer pain management. J Clin Oncol. 2004;22:1713–1720
  28. Miaskowski C, Dodd M, West C, Paul SM, Schumacher K, Tripathy D, et al. The use of a responder analysis to identify differences in patient outcomes following a self-care intervention to improve cancer pain management. Pain. 2007;129:55–63
  29. Oliver J, Kravitz R, Kaplan S, Meyers F. Individualized patient education and coaching to improve pain control among cancer outpatients. J Clin Oncol. 2001;19:2206–2212
  30. Rimer B, Levy M, Keintz M, Fox L, Engstrom P, MacElwee N. Enhancing cancer pain control regimens through patient education. Patient Educ Couns. 1987;10:267–277
  31. Stockler M, Vardy J, Pillai A, Warr D. Acetaminophen (paracetamol) improves pain and well-being in people with advanced cancer already receiving a strong opioid regimen: a randomized, double-blind, placebo-controlled cross-over trial. J Clin Oncol. 2004;22:3389–3394
  32. Syrjala KL, Abrams JR, Polissar NL, Hansberry J, Robison J, DuPen S, et al. Patient training in cancer pain management using integrated print and video materials: a multisite randomized controlled trial. Pain. 2008;135:175–186
  33. Vallerand AH, Templin T, Hasenau SM, Riley-Doucart C. Factors that affect functional status in patients with cancer-related pain. Pain. 2007;132:82–90
  34. Vallieres I, Aubin Ml, Blondeau L, Simard S, Giguere A. Effectiveness of a clinical intervention in improving pain control in outpatients with cancer treated by radiation therapy. Int J Radiat Oncol Biol Phys. 2006;66:234–237
  35. Ward SE, Goldberg N, Miller-McCauley V, Mueller C, Nolan A, Pawlik-Plank D, et al. Patient-related barriers to management of cancer pain. Pain. 1993;52:319–324
  36. Ward S, Donovan HS, Owen B, Grosen E, Serlin R. An individualized intervention to overcome patient-related barriers to pain management in women with gynaecologic cancers. Res Nurs Health. 2000;23:393–405
  37. Ward S, Serlin R, Wang KK. The efficacy of a tailored barriers intervention for cancer information service (CIS) callers in pain. Oncol Nurs Forum. 2007;34:169
  38. Ward S, Donovan H, Gunnarsdottir S, Serlin RC, Shapiro GR, Hughes S. A randomized trial of a representational intervention to decrease cancer pain (RIDcancerPain). Health Psychol. 2008;1:59–67
  39. World Health Organisation. Cancer pain relief. 2nd ed.. Geneva: WHO; 1996;
  40. Wells N, Hepworth JT, Murphy BA, Wujcik D, Johnson R. Improving cancer pain management through patient and family education. J Pain Symptom Manage. 2003;25:344–356
  41. de Wit R, van Dam F. From hospital to home care: a randomized controlled trial of a pain education programme for cancer patients with chronic pain. J Adv Nurs. 2001;36:742–754
  42. Yates P, Edwards H, Nash R, Aranda S, Purdie D, Najman J, et al. A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns. 2004;53:227–237

PII: S0304-3959(09)00045-1

doi: 10.1016/j.pain.2009.01.016

PAIN
Volume 143, Issue 3 , Pages 192-199 , June 2009