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Improving Functional Status in African Americans With Cancer Pain: A Randomized Clinical Trial
- Source :
- Oncol Nurs Forum
- Publication Year :
- 2018
-
Abstract
- OBJECTIVES: To determine the efficacy of the Power Over Pain–Coaching (POP-C) intervention to improve functional status among African American outpatients with cancer pain. SAMPLE & SETTING: 310 African American patients were recruited from an urban comprehensive cancer center. The study took place in the patients’ homes. METHODS & VARIABLES: A two-group randomized design with repeated measures was used. Data were analyzed with linear mixed effects regression analysis and structural equation change score models. Variables were pain, pain-related distress, functional status, perceived control over pain, and the following antecedents to control: medication management, pain advocacy, and living with pain. RESULTS: Functional status was improved in POP-C participants relative to control group participants (p < 0.05). Distress also was differentially decreased (p < 0.05). Pain intensity ratings decreased significantly in all patients (p < 0.05). The largest intervention effects were observed in the living with pain component. IMPLICATIONS FOR NURSING: Perceived control over pain was strongly related to functional status and is amenable to interventions using the POP-C intervention components described in this article.
- Subjects :
- Adult
Male
medicine.medical_specialty
Psychological intervention
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Behavior Therapy
Intervention (counseling)
Medicine
Humans
Pain Management
Completely randomized design
Aged
Aged, 80 and over
business.industry
Repeated measures design
Cancer
Cancer Pain
Middle Aged
medicine.disease
United States
Black or African American
Distress
030220 oncology & carcinogenesis
Physical therapy
Female
business
Cancer pain
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15380688
- Volume :
- 45
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Oncology nursing forum
- Accession number :
- edsair.doi.dedup.....024e77acbc173558b6ffaf345d6ecda7