Partner-guided cancer pain management at the end of life: a preliminary study
Open accessAbstract
This preliminary study tested the efficacy of a partner-guided cancer pain management protocol for patients who are at the end of life. Seventy-eight advanced cancer patients meeting criteria for hospice eligibility and their partners were randomly assigned to a partner-guided pain management training intervention, or usual care control condition. The partner-guided pain management training protocol was a three-session intervention conducted in patients' homes that integrated educational information about cancer pain with systematic training of patients and partners in cognitive and behavioral pain coping skills. Data analyses revealed that the partner-guided pain management protocol produced significant increases in partners' ratings of their self-efficacy for helping the patient control pain and self-efficacy for controlling other symptoms. Partners receiving this training also showed a trend to report improvements in their levels of caregiver strain. Overall, the results of this preliminary study suggest that a partner-guided pain management protocol may have benefits in the context of cancer pain at the end of life. Given the significance of pain at the end of life, future research in this area appears warranted.
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Several studies show an association between endorsing masculinity and higher pain threshold and tolerance and lower pain ratings.
“A number of studies have demonstrated an association between endorsing masculinity and a higher pain threshold and tolerance and lower pain ratings 194–198.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [197]
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- Authors
- Keefe, F. J., Ahles, T. A., Sutton, L., Dalton, J., Baucom, D., Pope, M. S., Knowles, V., McKinstry, E., Furstenberg, C., Syrjala, K., Waters, S. J., McKee, D., McBride, C., Rumble, M., & Scipio, C.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Keefe, Francis J.
- ORCID
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 29
- Issue
- 3
- Pages
- 263-272
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W2036000048
- Cited by
- 165
- References
- 50
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 9 · 2018: 14 · 2017: 5 · 2016: 10 · 2015: 10 · 2014: 10 · 2013: 6 · 2012: 22
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fetzer Institute
- Dartmouth College
- National Cancer Institute (R21 CA8521)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- cancer pain, end-of-life care, family caregivers, caregiver self-efficacy, caregiver burden, hospice, advanced cancer, home-based intervention
- MeSH terms
- Adaptation, Psychological, Feasibility Studies, Female, Humans, Male, Middle Aged, Neoplasms, Pain, Patient Education as Topic, Terminal Care, Spouses, Pain Management
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