Pain education for underserved minority cancer patients: A randomized controlled trial

Karen O. Anderson, Tito R. Mendoza, Richard Payne, Vicente Valero, Guadalupe R. Palos, Arlene Nazario, Stephen P Richman, Judith Hurley, Ibrahima Gning, Garrett R. Lynch, Dorianne Kalish, Charles S. Cleeland

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Purpose: Previous studies found that African American and Hispanic cancer patients are at risk for undertreatment of pain. We evaluated the efficacy of a pain education intervention for underserved minority patients. Patients and Methods: Ninety-seven underserved African American and Hispanic outpatients with cancer-related pain were enrolled onto a randomized clinical trial of pain management education. The patients in the education group received a culture-specific video and booklet on pain management. The control group received a video and booklet on nutrition. A research nurse met with each patient to review the materials. We measured changes in pain intensity and pain-related interference 2 to 10 weeks after the intervention, as well as changes in quality of life, perceived pain control, functional status, analgesics, and physician pain assessments. Results: Physicians underestimated baseline pain intensity and provided inadequate analgesics for more than 50% of the sample. Although the ratings for pain intensity and pain interference decreased over time for both groups, there was no statistically significant difference between groups. Pain education did not affect quality of life, perceived pain control, or functional status. African American patients in the education but not the control group reported a significant decrease in pain worst ratings from baseline to first follow-up (P < .01), although this decrease was not maintained at subsequent assessments. Conclusion: Brief education had limited impact on pain outcomes for underserved minority patients, suggesting that more intensive education for patients and interventions for physicians are needed.

Original languageEnglish
Pages (from-to)4918-4925
Number of pages8
JournalJournal of Clinical Oncology
Volume22
Issue number24
DOIs
StatePublished - Dec 15 2004

Fingerprint

Randomized Controlled Trials
Education
Pain
Neoplasms
Patient Education
African Americans
Pamphlets
Vulnerable Populations
Pain Management
Physicians
Hispanic Americans
Analgesics
Quality of Life
Control Groups
Pain Measurement
Outpatients
Nurses
Research

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Anderson, K. O., Mendoza, T. R., Payne, R., Valero, V., Palos, G. R., Nazario, A., ... Cleeland, C. S. (2004). Pain education for underserved minority cancer patients: A randomized controlled trial. Journal of Clinical Oncology, 22(24), 4918-4925. https://doi.org/10.1200/JCO.2004.06.115

Pain education for underserved minority cancer patients : A randomized controlled trial. / Anderson, Karen O.; Mendoza, Tito R.; Payne, Richard; Valero, Vicente; Palos, Guadalupe R.; Nazario, Arlene; Richman, Stephen P; Hurley, Judith; Gning, Ibrahima; Lynch, Garrett R.; Kalish, Dorianne; Cleeland, Charles S.

In: Journal of Clinical Oncology, Vol. 22, No. 24, 15.12.2004, p. 4918-4925.

Research output: Contribution to journalArticle

Anderson, KO, Mendoza, TR, Payne, R, Valero, V, Palos, GR, Nazario, A, Richman, SP, Hurley, J, Gning, I, Lynch, GR, Kalish, D & Cleeland, CS 2004, 'Pain education for underserved minority cancer patients: A randomized controlled trial', Journal of Clinical Oncology, vol. 22, no. 24, pp. 4918-4925. https://doi.org/10.1200/JCO.2004.06.115
Anderson KO, Mendoza TR, Payne R, Valero V, Palos GR, Nazario A et al. Pain education for underserved minority cancer patients: A randomized controlled trial. Journal of Clinical Oncology. 2004 Dec 15;22(24):4918-4925. https://doi.org/10.1200/JCO.2004.06.115
Anderson, Karen O. ; Mendoza, Tito R. ; Payne, Richard ; Valero, Vicente ; Palos, Guadalupe R. ; Nazario, Arlene ; Richman, Stephen P ; Hurley, Judith ; Gning, Ibrahima ; Lynch, Garrett R. ; Kalish, Dorianne ; Cleeland, Charles S. / Pain education for underserved minority cancer patients : A randomized controlled trial. In: Journal of Clinical Oncology. 2004 ; Vol. 22, No. 24. pp. 4918-4925.
@article{84afdc278b5849f583273a334a2a480b,
title = "Pain education for underserved minority cancer patients: A randomized controlled trial",
abstract = "Purpose: Previous studies found that African American and Hispanic cancer patients are at risk for undertreatment of pain. We evaluated the efficacy of a pain education intervention for underserved minority patients. Patients and Methods: Ninety-seven underserved African American and Hispanic outpatients with cancer-related pain were enrolled onto a randomized clinical trial of pain management education. The patients in the education group received a culture-specific video and booklet on pain management. The control group received a video and booklet on nutrition. A research nurse met with each patient to review the materials. We measured changes in pain intensity and pain-related interference 2 to 10 weeks after the intervention, as well as changes in quality of life, perceived pain control, functional status, analgesics, and physician pain assessments. Results: Physicians underestimated baseline pain intensity and provided inadequate analgesics for more than 50{\%} of the sample. Although the ratings for pain intensity and pain interference decreased over time for both groups, there was no statistically significant difference between groups. Pain education did not affect quality of life, perceived pain control, or functional status. African American patients in the education but not the control group reported a significant decrease in pain worst ratings from baseline to first follow-up (P < .01), although this decrease was not maintained at subsequent assessments. Conclusion: Brief education had limited impact on pain outcomes for underserved minority patients, suggesting that more intensive education for patients and interventions for physicians are needed.",
author = "Anderson, {Karen O.} and Mendoza, {Tito R.} and Richard Payne and Vicente Valero and Palos, {Guadalupe R.} and Arlene Nazario and Richman, {Stephen P} and Judith Hurley and Ibrahima Gning and Lynch, {Garrett R.} and Dorianne Kalish and Cleeland, {Charles S.}",
year = "2004",
month = "12",
day = "15",
doi = "10.1200/JCO.2004.06.115",
language = "English",
volume = "22",
pages = "4918--4925",
journal = "Journal of Clinical Oncology",
issn = "0732-183X",
publisher = "American Society of Clinical Oncology",
number = "24",

}

TY - JOUR

T1 - Pain education for underserved minority cancer patients

T2 - A randomized controlled trial

AU - Anderson, Karen O.

AU - Mendoza, Tito R.

AU - Payne, Richard

AU - Valero, Vicente

AU - Palos, Guadalupe R.

AU - Nazario, Arlene

AU - Richman, Stephen P

AU - Hurley, Judith

AU - Gning, Ibrahima

AU - Lynch, Garrett R.

AU - Kalish, Dorianne

AU - Cleeland, Charles S.

PY - 2004/12/15

Y1 - 2004/12/15

N2 - Purpose: Previous studies found that African American and Hispanic cancer patients are at risk for undertreatment of pain. We evaluated the efficacy of a pain education intervention for underserved minority patients. Patients and Methods: Ninety-seven underserved African American and Hispanic outpatients with cancer-related pain were enrolled onto a randomized clinical trial of pain management education. The patients in the education group received a culture-specific video and booklet on pain management. The control group received a video and booklet on nutrition. A research nurse met with each patient to review the materials. We measured changes in pain intensity and pain-related interference 2 to 10 weeks after the intervention, as well as changes in quality of life, perceived pain control, functional status, analgesics, and physician pain assessments. Results: Physicians underestimated baseline pain intensity and provided inadequate analgesics for more than 50% of the sample. Although the ratings for pain intensity and pain interference decreased over time for both groups, there was no statistically significant difference between groups. Pain education did not affect quality of life, perceived pain control, or functional status. African American patients in the education but not the control group reported a significant decrease in pain worst ratings from baseline to first follow-up (P < .01), although this decrease was not maintained at subsequent assessments. Conclusion: Brief education had limited impact on pain outcomes for underserved minority patients, suggesting that more intensive education for patients and interventions for physicians are needed.

AB - Purpose: Previous studies found that African American and Hispanic cancer patients are at risk for undertreatment of pain. We evaluated the efficacy of a pain education intervention for underserved minority patients. Patients and Methods: Ninety-seven underserved African American and Hispanic outpatients with cancer-related pain were enrolled onto a randomized clinical trial of pain management education. The patients in the education group received a culture-specific video and booklet on pain management. The control group received a video and booklet on nutrition. A research nurse met with each patient to review the materials. We measured changes in pain intensity and pain-related interference 2 to 10 weeks after the intervention, as well as changes in quality of life, perceived pain control, functional status, analgesics, and physician pain assessments. Results: Physicians underestimated baseline pain intensity and provided inadequate analgesics for more than 50% of the sample. Although the ratings for pain intensity and pain interference decreased over time for both groups, there was no statistically significant difference between groups. Pain education did not affect quality of life, perceived pain control, or functional status. African American patients in the education but not the control group reported a significant decrease in pain worst ratings from baseline to first follow-up (P < .01), although this decrease was not maintained at subsequent assessments. Conclusion: Brief education had limited impact on pain outcomes for underserved minority patients, suggesting that more intensive education for patients and interventions for physicians are needed.

UR - http://www.scopus.com/inward/record.url?scp=16644400712&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=16644400712&partnerID=8YFLogxK

U2 - 10.1200/JCO.2004.06.115

DO - 10.1200/JCO.2004.06.115

M3 - Article

C2 - 15611506

AN - SCOPUS:16644400712

VL - 22

SP - 4918

EP - 4925

JO - Journal of Clinical Oncology

JF - Journal of Clinical Oncology

SN - 0732-183X

IS - 24

ER -