Evidence map›Paper›PMID 22758921›Full record

Trial reportPain medicine (Malden, Mass.)2012

The effect of a translating research into practice (TRIP)--cancer intervention on cancer pain management in older adults in hospice.

Keela Herr, Marita Titler, Perry G Fine, Sara Sanders, Joseph E Cavanaugh, John Swegle, Xiongwen Tang, Chris Forcucci

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Evaluation of Quality Improvement Initiatives to Improve and Sustain Advance Care Planning Completion and Documentation.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2019
    Article
  6. Article
  7. Article
  8. Evaluation of Evidence-based Nursing Pain Management Practice.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2015
    Article
  9. Article
  10. Article
  11. Article
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

8 authors at 2 institutions in 1 country.

Keela HerrUniversity of Iowa, College of Nursing, Iowa City, IA 52242, USA. keela-herr@uiowa.edu
Marita Titler
Perry G Fine
Sara Sanders
Joseph E Cavanaugh
John Swegle
Xiongwen Tang
Chris Forcucci
University of Iowa · USUniversity of Utah · US

Funding

Cancer Pain in Elders: Promoting EBPs in HospicesR01CA115363 · NCI · UNIVERSITY OF IOWA · PI HERR, KEELA A · 2005 to 2010
$2.7M
NCI NIH HHS R01 CA115363
6 · The paper itself

Abstract

backgroundPain is a major concern for individuals with cancer, particularly older adults who make up the largest segment of individuals with cancer and who have some of the most unique pain challenges. One of the priorities of hospice is to provide a pain-free death, and while outcomes are better in hospice, patients still die with poorly controlled pain.

objectiveThis article reports on the results of a Translating Research into Practice intervention designed to promote the adoption of evidence-based pain practices for older adults with cancer in community-based hospices.

settingThis Institutional Human Subjects Review Board-approved study was a cluster randomized controlled trial implemented in 16 Midwestern hospices.

methodsRetrospective medical records from newly admitted patients were used to determine the intervention effect. Additionally, survey and focus group data gathered from hospice staff at the completion of the intervention phase were analyzed.

resultsImprovement on the Cancer Pain Practice Index, an overall composite outcome measure of evidence-based practices for the experimental sites, was not significantly greater than control sites. Decrease in patient pain severity from baseline to post-intervention in the experimental group was greater; however, the result was not statistically significant (P = 0.1032).

conclusionsFindings indicate a number of factors that may impact implementation of multicomponent interventions, including unique characteristics and culture of the setting, the level of involvement with the change processes, competing priorities and confounding factors, and complexity of the innovation (practice change). Our results suggest that future study is needed on specific factors to target when implementing a community-based hospice intervention, including determining and measuring intervention fidelity prospectively.

Indexed as

AgedAged, 80 and overChronic PainEvidence-Based MedicineFemaleHospicesHumansMaleNeoplasmsOncology NursingPain ManagementTranslational Research, Biomedical

Identifiers

PMID22758921
PMCPMC3422373
OpenAlexW1857352754

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.