Effects of coaching patients with lung cancer to report cancer pain

Diana Wilkie, Donna Berry, Kevin Cain, Hsiu Ying Huang, Julia Mekwa, Frances Lewis, Betty Gallucci, Yu Chuan Lin, Angela Chen, Nai Ying Ko

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

The authors have examined the effects of coaching sensory self-monitoring and reporting on pain-related variables in patients with lung cancer. Randomly assigned to coached or not-coached groups, 215 patients have their interactions with their providers audiotaped and complete study measures pre- and postintervention. Of the 151 patients who complete the 4-week study, those coached are more likely than those not coached to give their providers unsolicited sensory pain information and to mention it before their providers ask for it. The mean number of pain parameters discussed during the audiotaped clinic visit is statistically larger at study end for the coached group. Scores for analgesic adequacy, all pain indices except one, anxiety, depression, and catastrophizing coping are not significantly different. Although coaching increases the amount of pain data communicated to providers by patients with lung cancer, the magnitude is small and does not lead to improved adequacy of analgesics prescribed for each patient's pain level.

Original languageEnglish (US)
Pages (from-to)23-46
Number of pages24
JournalWestern journal of nursing research
Volume32
Issue number1
DOIs
StatePublished - Feb 2010

Keywords

  • Coaching
  • Lung cancer
  • Pain
  • Patient-centered communications
  • Self-monitoring
  • Self-reporting

ASJC Scopus subject areas

  • Nursing(all)

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    Wilkie, D., Berry, D., Cain, K., Huang, H. Y., Mekwa, J., Lewis, F., Gallucci, B., Lin, Y. C., Chen, A., & Ko, N. Y. (2010). Effects of coaching patients with lung cancer to report cancer pain. Western journal of nursing research, 32(1), 23-46. https://doi.org/10.1177/0193945909348009