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Predictors of Intervention Session Completion in a Randomized Clinical Trial of a Behavioral Cancer Pain Intervention.
Winger, Joseph G; Nunez, Christine; Kelleher, Sarah A; Ingle, Krista K; Gandhi, Vicky; Keefe, Francis J; Somers, Tamara J.
Afiliação
  • Winger JG; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA. Electronic address: joseph.winger@duke.edu.
  • Nunez C; Miller School of Medicine, University of Miami, Coral Gables, Florida, USA.
  • Kelleher SA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
  • Ingle KK; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
  • Gandhi V; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
  • Keefe FJ; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
  • Somers TJ; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
J Pain Symptom Manage ; 59(6): 1268-1277, 2020 06.
Article em En | MEDLINE | ID: mdl-32045676
CONTEXT: Some patients with cancer are able to complete psychosocial pain management intervention sessions, and others find it difficult to do so. OBJECTIVES: Conduct a secondary analysis of a randomized clinical trial (N = 178) that compared delivery formats (in-person vs. videoconference) of a pain coping skills training (PCST) intervention for patients with cancer to examine if intervention session completion predicts postintervention outcomes of pain severity and interference, psychological distress, physical well-being, and pain self-efficacy; and identify predictors (i.e., demographics, medical characteristics, baseline outcome scores) of session completion. METHODS: Session completion (i.e., completing all four sessions vs. missing at least one session) was tested as a predictor of postintervention outcomes. Predictors of session completion were then examined. RESULTS: In both study conditions combined, PCST session completion predicted improvement from baseline to postintervention in pain severity (ß = -0.27; P = 0.03), pain interference (ß = -0.25; P = 0.048), and pain self-efficacy (ß = 0.23; P = 0.07). Participants in the videoconference condition were significantly more likely than those in the in-person condition to complete all sessions (83% vs. 65%; P = 0.006). Participants with at least some college education (odds ratio [OR] 4.36; P = 0.04), a diagnosis of breast cancer (OR 6.73; P = 0.04), and higher levels of pain self-efficacy (OR 2.32; P = 0.02) were more likely to complete videoconference sessions. Participants who lived closer to the medical center (OR 0.64; P = 0.07), had early stage cancer (OR 3.82; P = 0.07), and fewer medical comorbidities (OR 0.59; P = 0.04) were more likely to complete in-person sessions. CONCLUSION: Completing PCST sessions is important for improving pain outcomes. Efforts to increase session completion (e.g., videoconference delivery) should be considered.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor do Câncer / Neoplasias Tipo de estudo: Clinical_trials / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor do Câncer / Neoplasias Tipo de estudo: Clinical_trials / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article