Evidence map›Paper›PMID 19962845›Full record

Trial reportPatient education and counseling2010

Improving physician-patient communication about cancer pain with a tailored education-coaching intervention.

Richard L Street, Christina Slee, Donna K Kalauokalani, Dionne Evans Dean, Daniel J Tancredi, Richard L Kravitz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00283166 (Coaching to Improve Care of Cancer Pain), which is not on this map. Cited by 53 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00283166 nacompletednot on this map

Coaching to Improve Care of Cancer Pain

TypeinterventionalSponsorUniversity of California, DavisRan2006 to 2011Enrolled258ConditionsPainArmsTailored Education and Coaching
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
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  4. Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021
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  14. Promoting End-of-Life Discussions in Advanced Cancer: Effects of Patient Coaching and Question Prompt Lists.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
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  18. Improving communication in cancer pain management nursing: a randomized controlled study assessing the efficacy of a communication skills training program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Richard L StreetDepartment of Communication, Texas A&M University, College Station, TX 77843-4234, USA. r-street@tamu.edu
Christina Slee
Donna K Kalauokalani
Dionne Evans Dean
Daniel J Tancredi
Richard L Kravitz

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
Improving Care for Comorbid Physical and Mental IllnessK24MH072756 · NIMH · UNIVERSITY OF CALIFORNIA DAVIS · PI KRAVITZ, RICHARD L · 2005 to 2009
$643k
NCI NIH HHS P30 CA093373NIMH NIH HHS K24 MH072756NIMH NIH HHS MH72756
6 · The paper itself

Abstract

objectiveThis study examined the effect of a theoretically grounded, tailored education-coaching intervention to help patients more effectively discuss their pain-related questions, concerns, and preferences with physicians.

methodsGrounded in social-cognitive and communication theory, a tailored education-coaching (TEC) intervention was developed to help patients learn pain management and communication skills. In a RCT, 148 cancer patients agreed to have their consultations audio-recorded and were assigned to the intervention or a control group. The recordings were used to code for patients' questions, acts of assertiveness, and expressed concerns and to rate the quality of physicians' communication.

resultsPatients in the TEC group discussed their pain concerns more than did patients in the control group. More active patients also had more baseline pain and interacted with physicians using participatory decision-making. Ratings of physicians' information about pain were higher when patients talked more about their pain concerns.

conclusionsThe study demonstrates the efficacy of a theoretically grounded, coaching intervention to help cancer patients talk about pain control. PRACTICE IMPLICATIONS: Coaching interventions can be effective resources for helping cancer patients communicate about their pain concerns if they are theoretically grounded, can be integrated within clinical routines, and lead to improve health outcomes.

Indexed as

CommunicationPain ManagementPatient Education as TopicPhysician-Patient RelationsAdultAgedCaliforniaDelivery of Health CareEducational StatusFemaleHumansMaleMiddle AgedNeoplasmsPainPatient Participation

Identifiers

PMID19962845
PMCPMC2891619

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.