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UICC World Cancer Congress 2006

Bridging the Gap: Transforming Knowledge into Action

July 8-12, 2006, Washington, DC, USA



Sunday, 9 July 2006 - 12:00 PM
11-27

Reducing Barriers to Pain and Fatigue Management

Tami R. Borneman, RN, MSN, CNS1, Betty R. Ferrell, PhD, FAAN1, Virginia C. Sun, MSN, NP1, Marianna Koczywas, MD2, and Marcia L. Grant, DNSc, FAAN1. (1) Nursing Research & Education, City of Hope National Medical Center, 1500 E. Duarte Rd., Duarte, CA 91010, (2) Medical Oncology, City of Hope National Medical Center, 1500 E. Duarte Rd., Duarte, CA 91010

Objective: The overall purpose of this prospective longitudinal study funded by NCI is to test an innovative model of reducing barriers to managing pain and fatigue in cancer patients. The study applies evidenced-based guidelines from the National Cancer Coalition Network.

Methods: The study is designed in three phases. Phase I consists of usual care to describe the current status of pain and fatigue management in a comprehensive cancer center. Phase II will be a High Intensity Intervention including patient and professional education, peer audit and feedback to address these categories of barriers. Phase III will be a Low Intensity Support Intervention to move the intervention to a more realistic model of care in the clinical setting. Aims include: 1 – Test the effects of the “Passport” intervention on outcomes of pain and fatigue at 1 and 3 months post intervention. Aim 2 – Test the effect of selected demographic and disease/treatment variables on outcomes of the Passport Model at 1 and 3 months post intervention. Aim 3 – Examine the perceived satisfaction with the Passport Model by patients and providers. Aim 4 – Test the effects of the “Passport” intervention by comparing the Phase II High Intensity Intervention to the Phase III Low Intensity Intervention. Results: Phase I will conclude in May 2006. Initial analysis of results (n=100) indicate that significant patient, professional and system barriers exist to effective management of pain and fatigue.


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