Improving Cancer Pain Management Through Teach-Back Educational Approach for Patients and Primary Caregivers: A Pilot Study

Study Overview
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Brief Summary
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This randomized prospective quantitative pilot study compared teach-back method to standardized educational method in patient and caregiver to improve cancer pain management

Detailed Description
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Even though there are comprehensive guidelines for cancer pain management, pain control among cancer patients and survivors is often suboptimal due to undertreatment. According to recent studies, the addition of educational interventions could improve pain relief in cancer patients. Both patients and family caregivers play an important role in delivering cancer pain self-management, especially at home. Providing knowledge for cancer pain management with optimal intervention could improve patient and caregiver outcomes. The Teach-back method, where patients and family caregivers are asked to repeat the instruction they've received from their health care professionals, can assess patients' understanding, repeat or modify the educational material if comprehension is not demonstrated. This pilot study compared the addition of the Teach-back method for cancer patients and their caregivers and its relation to cancer pain management.

Official Title
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Improving Cancer Pain Management Through Teach-Back Educational Approach for Patients and Primary Caregivers: A Pilot Study

Conditions
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Cancer Pain

Intervention / Treatment
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* Other: Teach Back
* Other: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Moderate to severe pain (pain scale 4 and above) ≥18 years old Signed the informed consent Willing to cooperate until the end of studies The patient is fully conscious and able to communicate well Cared by a family caregiver Family caregiver able to fully function as a caregiver Exclusion Criteria: Near-death (dying) stage Not willing to cooperate until the end of studies Altered mental status and communication difficulties

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Group 1: Placebo Group 2: Teach-Back
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Teach-Back<br>The intervention group were educated using the standard educational method with the addition of Teach-back enhancement. It consists of 5 steps: Triage, Tools, Take Responsibility, Tell Me, and Try Again. The Triage, Tools, and Try Again focus on effective information delivery, while the Take Responsibility and Tell Me evaluate the patient's ability to receive the information | Other: Teach Back<br>* Standard cancer pain educational intervention enhanced with teach-back method<br>|
| Placebo Comparator: Non-Teach-Back<br>No educational intervention, just standard educational methods | Other: Placebo<br>* Standard cancer pain educational intervention without enhancement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cancer pain management | Quality of cancer pain management. Patient Global Impression Change (PGIC) scale is used to measure the overall quality of life and satisfaction as a conclusion toward the intervention | one month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health Literacy | using Health Literacy Short Form Survey Questionnaire (HLS-EU-SQ10-IDN) to measure the change in health literacy | one month | 
| Pain Level | using Brief Pain Inventory (BPI) to measure the change in pain level | weekly up to one month | 
| Distress | using distress thermometer to measure change in distress | weekly up to one month | 
| Belief | using Barriers Questionnaire (BQ-13) to measure change in belief | one month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cancer Pain, Education