The proposed study seeks to examine whether an informational intervention designed to reduce patient related barriers to effective pain management will result in better pain management. Three-hundred twenty-five adults who have metastatic breast, lung, or prostate cancer or multiple myeloma and who have failed a first course of treatment will participate. An experimental design with longitudinal follow-up will be used to test the effects of the intervention. The informational intervention will include the provision of corrective information about addiction, tolerance, and other misconceptions and the provision of objective sensory and coping information about side effect management. Dependent variables will center on appropriate pain management including patients' reports of pain and patients' reports of the severity of analgesic side effect. In addition, the study will explore whether self-efficacy, patient's endorsement of barriers, and family caregiver's endorsement of barriers mediate the effects of the intervention.
| Krause, Melanie R; Serlin, Ronald C; Ward, Sandra E et al. (2010) Testing mediation in nursing research: beyond Baron and Kenny. Nurs Res 59:288-94 |
| Donovan, Heidi S; Kwekkeboom, Kristine L; Rosenzweig, Margaret Q et al. (2009) Nonspecific effects in psychoeducational intervention research. West J Nurs Res 31:983-98 |
| Ward, Sandra E; Serlin, Ronald C; Donovan, Heidi S et al. (2009) A randomized trial of a representational intervention for cancer pain: does targeting the dyad make a difference? Health Psychol 28:588-97 |
| Gunnarsdottir, Sigridur; Ward, Sandra; Serlin, Ronald C (2008) Attitudinal barriers to cancer pain management in the Icelandic population. Cancer Nurs 31:95-102 |
| Ward, Sandra; Donovan, Heidi; Gunnarsdottir, Sigridur et al. (2008) A randomized trial of a representational intervention to decrease cancer pain (RIDcancerPain). Health Psychol 27:59-67 |
| Donovan, Heidi Scharf; Ward, Sandra E; Song, Mi-Kyung et al. (2007) An update on the representational approach to patient education. J Nurs Scholarsh 39:259-65 |
| Ezenwa, Miriam O; Ameringer, Suzanne; Ward, Sandra E et al. (2006) Racial and ethnic disparities in pain management in the United States. J Nurs Scholarsh 38:225-33 |
| Ameringer, Suzanne; Serlin, Ronald C; Hughes, Susan H et al. (2006) Concerns about pain management among adolescents with cancer: developing the Adolescent Barriers Questionnaire. J Pediatr Oncol Nurs 23:220-32 |
| Gunnarsdottir, Sigridur; Serlin, Ronald C; Ward, Sandra (2005) Patient-related barriers to pain management: the Icelandic Barriers Questionnaire II. J Pain Symptom Manage 29:273-85 |
| Ward, Sandra; Donovan, Heidi Scharf; Serlin, Ronald C (2003) An alternative view on ""an alternative paradigm"". Res Nurs Health 26:256-9 |
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