Evidence map›Paper›PMID 31286871›Full record

Trial reportBMC cancer2019

Effectiveness of a therapeutic patient education program in improving cancer pain management: EFFADOL, a stepped-wedge randomised controlled trial.

Virginie Prevost, Natacha Heutte, Alexandra Leconte, Idlir Licaj, Claire Delorme, Bénédicte Clarisse, EFFADOL-Group

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03297723 (Effectiveness of a Patient Therapeutic Education Program in Improving Pain Management), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT03297723 completednot on this map

Effectiveness of a Patient Therapeutic Education Program in Improving Pain Management

TypeobservationalSponsorCentre Francois BaclesseRan2017 to 2023Enrolled167ConditionsPain CancerArmsTherapeutic education Programm
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Educational Processes for Health and Disease Self-Management in Public Health: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Review
  3. Cancer Pain and Patient Education: Strategy, Implementation, Difficulties and Opportunities of EFFADOL, a Regional Collaborative Programme.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  4. Article
  5. 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

7 authors at 5 institutions in 2 countries.

Virginie PrevostUniversity of Normandy, 14000, Caen, France. virginie.prevost@unicaen.fr.
Natacha HeutteClinical Research Department, Centre François Baclesse, 14000, Caen, France.
Alexandra LeconteClinical Research Department, Centre François Baclesse, 14000, Caen, France.
Idlir LicajUMR 1086 INSERM « ANTICIPE », Centre François Baclesse, 14000, Caen, France.
Claire DelormeBayeux Hospital, 14400, Bayeux, France.
Bénédicte ClarisseClinical Research Department, Centre François Baclesse, 14000, Caen, France.
EFFADOL-Group
Centre François Baclesse · FRInserm · FRCancers et Préventions · FRCentre Hospitalier Universitaire de Caen Normandie · FRConseil Régional de Basse-Normandie · FR

Funding

French Cancer Institute (INCa) RISP15-007_FP / INCA_10187
6 · The paper itself

Abstract

backgroundDespite numerous guidelines, nearly one of two patients with cancer pain remains undertreated, thereby affecting their quality of life. Active patient involvement through Therapeutic Patient Education (TPE) is considered as a relevant strategy to overcoming hurdles in pain management. The aim of the EFFADOL study is to assess the effectiveness of a TPE program in improving cancer pain management. METHODS/

designThe EFFADOL study is a stepped-wedge randomised controlled trial. A total of 260 cancer patients with unbalanced background pain will be randomised over the institutional level, i.e. stepped-wedge cluster design. Six clusters will be formed, one at the regional level of "Basse-Normandie" for patients receiving the educational approach by health providers already trained to TPE. Then, five additional centers will be gradually included at the national level, making it possible to compare the "conventional" management of pain (before medical staff training to TPE) with the educational approach (after being trained). The main study parameter is pain interference on daily life assessed with the self-administrated and validated Brief Pain Inventory questionnaire. Secondary objectives comprised the evaluation of patients' adherence to pain education program, the description of pain intensity, pain relief, analgesic adherence and pain emotional impact. Educational dimension of the program will be evaluated through the patients' acquisition of knowledge and skills about their pain and treatment as well as their self-efficacy to participate actively in pain management. The patient's feeling of pain changes will be measured. Finally, the satisfaction of participants and educators will be reported. We hypothetise active involvement of patients in TPE will lead to an improved pain management compared to standard care. DISCUSSION: Analyzing the impact of a TPE program in cancer pain patients will improve their pain management and quality of life. We expect that the dissemination of our project educational approach through the French territory will be accompanied by long term change in clinical practices with mutual benefit to patients and caregiver-educators.

trial registrationNCT03297723 , registered: 09/28/2017. Protocol version: Version n°1.1 dated from 2016/09/08.

Indexed as

Health Knowledge, Attitudes, PracticePain ManagementPatient ParticipationCancer PainHealth EducatorsHumansPatient Education as TopicPatient SatisfactionQuality of LifeSurveys and QuestionnairesPain cancerPain managementPatient educationQuality of lifeStepped-wedge randomised controlled trial

Identifiers

PMID31286871
PMCPMC6615097
OpenAlexW2961023212

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.