Evidence map›Paper›PMID 30782014›Full record

ArticleClinical trials (London, England)2019

Caregiver-guided pain coping skills training for patients with advanced cancer: Background, design, and challenges for the CaringPals study.

Laura S Porter, Gregory Samsa, Jennifer L Steel, Laura C Hanson, Thomas W LeBlanc, Janet Bull, Stacy Fischer, Francis J Keefe

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Clinical trials (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  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

8 authors at 5 institutions in 1 country.

Laura S Porter1 Duke University School of Medicine, Durham, NC, USA.
Gregory Samsa1 Duke University School of Medicine, Durham, NC, USA.
Jennifer L Steel2 University of Pittsburgh, Pittsburgh, PA, USA.
Laura C Hanson3 Division of Geriatric Medicine & Palliative Care Program, University of North Carolina, Chapel Hill, NC, USA.
Thomas W LeBlanc1 Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-0546-7895
Janet Bull4 Four Seasons Compassion for Life, Hendersonville, NC, USA.
Stacy Fischer5 University of Colorado, Denver, CO, USA.
Francis J Keefe1 Duke University School of Medicine, Durham, NC, USA.
Duke University · USFour Seasons · USUniversity of Colorado Denver · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

Refinement and Expansion of the Palliative Care Research Cooperative Group (PCRC)U24NR014637 · NINR · DUKE UNIVERSITY · PI KUTNER, JEAN S, POLLAK, KATHRYN I · 2013 to 2017
$9.6M
Palliative Care Research Cooperative Group (PCRC): Refinement and ExpansionU2CNR014637 · NINR · UNIVERSITY OF COLORADO DENVER · PI KUTNER, JEAN S, POLLAK, KATHRYN I · 2018 to 2022
$8.6M
Couple Communication in Cancer: A Multi-Method Examination - Renewal - 1R01CA201179 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI Shelby Langer, LAURA S PORTER · 2016 to 2026
$7.2M
Caregiver-Guided Pain Management Training in Palliative CareR01NR015348 · NINR · DUKE UNIVERSITY · PI KEEFE, FRANCIS J., PORTER, LAURA S · 2014 to 2017
$2.0M
NCI NIH HHS R01 CA201179NINR NIH HHS R01 NR015348NINR NIH HHS U24 NR014637NINR NIH HHS U2C NR014637
6 · The paper itself

Abstract

BACKGROUND/

aimsPain is a major concern of patients with advanced cancer and their caregivers. There is strong evidence that pain coping skills training interventions based on cognitive-behavioral principles can reduce pain severity and pain interference. However, few such interventions have been tested for patients with advanced cancer and their family caregivers. This study aims to test the efficacy of a caregiver-guided pain coping skills training protocol on patient and caregiver outcomes.

methodsA total of 214 patients age ≥18 with Stage III-Stage IV cancer and moderate to severe pain, along with their family caregivers, are being identified and randomized with a 1:1 allocation to the caregiver-guided pain coping skills training intervention or enhanced treatment-as-usual. Dyads in both conditions receive educational resources on pain management, and the caregiver-guided pain coping skills training intervention includes three weekly 60-min sessions conducted with the patient-caregiver dyad via videoconference. Measures of caregiver outcomes (self-efficacy for helping the patient manage pain, caregiver strain, caregiving satisfaction, psychological distress) and patient outcomes (self-efficacy for pain management, pain intensity and interference, psychological distress) are collected at baseline and post-intervention. Caregiver outcomes are also collected 3 and 6 months following the patient's death. The study is enrolling patients from four tertiary care academic medical centers and one free-standing hospice and palliative care organization. The primary outcome is caregiver self-efficacy for helping the patient manage pain.

resultsThis article describes challenges in the design and implementation of the CaringPals trial. Key issues for trial design include the identification and recruitment of patients with advanced cancer and pain, and the follow-up and collection of data from caregivers following the patient's death.

conclusionThe CaringPals trial addresses a gap in research in pain coping skills training interventions by addressing the unique needs of patients with advanced cancer and their caregivers. Findings from this study may lead to advances in the clinical care of patients with advanced cancer and pain, as well as a better understanding of the effects of training family caregivers to help patients cope with pain.

Indexed as

Adaptation, PsychologicalCancer PainCaregiversPain ManagementResearch DesignAdultAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedMulticenter Studies as TopicNeoplasm StagingPatient SatisfactionAdvanced cancercancer paincaregivingresearch design

Identifiers

PMID30782014
PMCPMC6533140
OpenAlexW2915398749

What OpenQuestion holds

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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.