4.4 Article

Evaluation of patients' needs to design and assess a patient education program in cancer pain

Journal

JOURNAL OF PAIN RESEARCH
Volume 12, Issue -, Pages 1813-1823

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/JPR.S197920

Keywords

cancer pain; pain management; pain assessment; patient education; educative needs; questionnaire

Funding

  1. TAKEDA Company
  2. Apicil Foundation
  3. ARDCOM
  4. Ligue contre le Cancer
  5. French National Cancer Institute INCa [RISP15-007_ FP]
  6. ARS (French Regional Health Agency)
  7. ERET (Regional Area for Therapeutic Education)

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Purpose: Patient education constitutes a relevant strategy to improve pain management. In the field of therapeutic patient education (TPE), we aimed 1) to assess pain impact in cancer patients, 2) to identify patients' educative needs in pain management, and 3) to refine research criteria for its future evaluation. Patients and methods: Pain intensity, relief and interference were assessed in 75 cancer patients with unbalanced background pain. Self-assessment questionnaire evaluated i) patients' pain management and ii) their knowledge and needs in TPE. Results: Most patients experienced pain for more than 6 months and 41.6% reported adequate pain relief. Understanding pain and pain management were major patients' preferences (>58%). Most patients declared they knew their pain treatments, but fewer than half of them were able to name them. However, education concerning pain treatment was considered as essential in <30% of patients. Almost all patients (97.1%) stated pain education as beneficial, with a preference for individualized sessions (41.2%). In addition, the assessment criteria for its future evaluation were refined. Conclusion: Targeted population mainly concerned patients with persistent pain. Only half of patients reported pain relief despite antalgics. Patient education was declared as beneficial for almost all participants. Practice implications: Tailoring a pain TPE on patients' needs has the potential to help them to optimally manage their pain daily.

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