Evidence map›Paper›PMID 30658657›Full record

ArticleTrials2019

A phase III wait-listed randomised controlled trial of novel targeted inter-professional clinical education intervention to improve cancer patients' reported pain outcomes (The Cancer Pain Assessment (CPAS) Trial): study protocol.

Jane L Phillips, Nicole Heneka, Melanie Lovell, Lawrence Lam, Patricia Davidson, Frances Boyle, Nikki McCaffrey, Sally Fielding, Tim Shaw

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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

9 authors at 4 institutions in 2 countries.

Jane L PhillipsUniversity of Technology Sydney, PO Box 123, Ultimo, NSW, 2007, Australia. jane.phillips@uts.edu.au.ORCID http://orcid.org/0000-0002-3691-8230
Nicole HenekaUniversity of Technology Sydney, PO Box 123, Ultimo, NSW, 2007, Australia.
Melanie LovellUniversity of Sydney, City Rd, Camperdown, NSW, 2006, Australia.
Lawrence LamUniversity of Technology Sydney, PO Box 123, Ultimo, NSW, 2007, Australia.
Patricia DavidsonJohns Hopkins University, 3400 N. Charles Street, Baltimore, MD, 21218, USA.
Frances BoyleUniversity of Sydney, City Rd, Camperdown, NSW, 2006, Australia.
Nikki McCaffreyDeakin University, 1 Gheringhap St, Geelong, VIC, 3220, Australia.
Sally FieldingUniversity of Technology Sydney, PO Box 123, Ultimo, NSW, 2007, Australia.
Tim ShawUniversity of Sydney, City Rd, Camperdown, NSW, 2006, Australia.
University of Technology Sydney · AUThe University of Sydney · AUDeakin University · AUJohns Hopkins University · US

Funding

Cancer Australia Priority-driven Collaborative Cancer Research Scheme 112701
6 · The paper itself

Abstract

backgroundVariations in care models contribute to cancer pain being under-recognised and under-treated in half of all patients with cancer. International and national cancer pain management guidelines are achievable with minimal investment but require practice changes. While much of the cancer pain research over the preceding decades has focused on management interventions, little attention has been given to achieving better adherence to recommended cancer pain guideline screening and assessment practices. This trial aims to reduce unrelieved cancer pain by improving cancer and palliative doctors' and nurses' ('clinicians') pain assessment capabilities through a targeted inter-professional clinical education intervention delivered to participants' mobile devices ('mHealth').

methodsA wait-listed, randomised control trial design. Cancer and/or palliative care physicians and nurses employed at one of the six participating sites across Australia will be eligible to participate in this trial and, on enrolment, will be allocated to the active or wait-listed arm. Participants allocated to the active arm will be invited to complete the mHealth cancer pain assessment intervention. In this trial, mHealth is defined as medical or public health practice supported by mobile devices (i.e. phones, patient monitoring devices, personal digital assistants and other wireless devices). This mHealth intervention integrates three evidence-based elements, namely: the COM-B theoretical framework; spaced learning pedagogy; and audit and feedback. This intervention will be delivered via the QStream online platform to participants' mobile devices over four weeks. The trial will determine if a tailored mHealth intervention, targeting clinicians' cancer pain assessment capabilities, is effective in reducing self-reported cancer pain scores, as measured by a Numerical Rating Scale (NRS). DISCUSSION: If this mHealth intervention is found to be effective, in addition to improving cancer pain assessment practices, it will provide a readily transferable evidence-based framework that could readily be applied to other evidence practice gaps and a scalable intervention that could be administered simultaneously to multiple clinicians across diverse geographical locations. Moreover, if found to be cost-effective, it will help transform clinical continuing professional development. In summary, this mHealth intervention will provide health services with an opportunity to offer an evidence-based, pedagogically robust, cost-effective, scalable training alternative.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR), ACTRN12618001103257 . Registered on 3 July 2018.

Indexed as

Patient Care TeamAttitude of Health PersonnelCancer PainCell PhoneClinical Trials, Phase III as TopicEducation, Medical, ContinuingEducation, Nursing, ContinuingGuideline AdherenceHealth Knowledge, Attitudes, PracticeHumansMobile ApplicationsMulticenter Studies as TopicNew South WalesPain ManagementPain MeasurementPractice Guidelines as TopicAssessment, painCancer painClinical competenceCost-benefit analysisEducation, professionalHealth services researchMeSH termsMobile applicationsPain measurementPalliative carePatient-reported outcome measures

Identifiers

PMID30658657
PMCPMC6339283
OpenAlexW2914691057

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.