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Improvement of pain related self management for oncologic patients through a trans institutional modular nursing intervention : protocol of a cluster randomized multicenter trial . BACKGROUND Pain is one of the most frequent and distressing symptoms in cancer patients . For the majority of the patients , sufficient pain relief can be obtained if adequate treatment is provided . However , pain remains often undertreated due to institutional , health care professional and patient related barriers . Patients self management skills are affected by the patients ' knowledge , activities and attitude to pain management . This trial protocol is aimed to test the SCION-PAIN program , a multi modular structured intervention to improve self management in cancer patients with pain . METHODS 240 patients with diagnosed malignancy and pain > 3 days and average pain > or= 3/10 will participate in a cluster randomized trial on 18 wards in 2 German university hospitals . Patients from the intervention wards will receive , additionally to standard pain treatment , the SCION-PAIN program consisting of 3 modules : pharmacologic pain management , nonpharmacologic pain management and discharge management . The intervention will be conducted by specially trained oncology nurses and includes components of patient education , skills training and counseling to improve self care regarding pain management beginning with admission followed by booster session every 3rd day and one follow up telephone counseling within 2 to 3 days after discharge . Patients in the control group will receive standard care . Primary endpoint is the group difference in patient related barriers to management of cancer pain ( BQII ) , 7 days after discharge . Secondary endpoints are : pain intensity & interference , adherence , coping and HRQoL . DISCUSSION The study will determine if the acquired self management skills of the patients continue to be used after discharge from hospital . It is hypothesized that patients who receive the multi modular structured intervention will have less patient related barriers and a better self management of cancer pain . TRIAL REGISTRATION ClinicalTrials NCT00779597 .
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Intervention_Control
standard pain treatment
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Intervention_Physical
the SCION-PAIN program consisting of 3 modules : pharmacologic pain management , nonpharmacologic pain management and discharge management
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Intervention_Educational
patient education , skills training and counseling to improve self care regarding pain management beginning with admission followed by booster session every 3rd day and one follow up telephone counseling within 2 to 3 days after discharge
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Outcome_Mental
group difference in patient related
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Outcome_Pain
barriers to management of cancer pain
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Outcome_Pain
pain intensity & interference , adherence , coping and HRQoL
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Outcome_Pain
cancer pain .