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Self-management support intervention to control cancer pain in the outpatient setting: a randomized controlled trial study protocol

Overview of attention for article published in BMC Cancer, May 2015
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Title
Self-management support intervention to control cancer pain in the outpatient setting: a randomized controlled trial study protocol
Published in
BMC Cancer, May 2015
DOI 10.1186/s12885-015-1428-1
Pubmed ID
Authors

Laura MJ Hochstenbach, Annemie M Courtens, Sandra MG Zwakhalen, Maarten van Kleef, Luc P de Witte

Abstract

Pain is a prevalent and distressing symptom in patients with cancer, having an enormous impact on functioning and quality of life. Fragmentation of care, inadequate pain communication, and reluctance towards pain medication contribute to difficulties in optimizing outcomes. Integration of patient self-management and professional care by means of healthcare technology provides new opportunities in the outpatient setting. This study protocol outlines a two-armed multicenter randomized controlled trial that compares a technology based multicomponent self-management support intervention with care as usual and includes an effect, cost and process evaluation. Patients will be recruited consecutively via the outpatient oncology clinics and inpatient oncology wards of one academic hospital and one regional hospital in the south of the Netherlands. Irrespective of the stage of disease, patients are eligible when they are diagnosed with cancer and have uncontrolled moderate to severe cancer (treatment) related pain defined as NRS ≥ 4 for more than two weeks. Randomization (1:1) will assign patients to either the intervention or control group; patients in the intervention group receive self-management support and patients in the control group receive care as usual. The intervention will be delivered by registered nurses specialized in pain and palliative care. Important components include monitoring of pain, adverse effects and medication as well as graphical feedback, education, and nurse support. Effect measurements for both groups will be carried out with questionnaires at baseline (T0), after 4 weeks (T1) and after 12 weeks (T2). Pain intensity and quality of life are the primary outcomes. Secondary outcomes include knowledge, self-efficacy, anxiety, depression and pain medication use. The final questionnaire contains also questions for the economic evaluation that includes both cost-effectiveness and cost-utility analysis. Data for the process evaluation will be gathered continuously over the study period and focus on recruitment, reach, dose delivered and dose received. The proposed study will provide insight into the effectiveness the self-management support intervention delivered by nurses to outpatients with uncontrolled cancer pain. Study findings will be used to empower patient and health professionals to improve cancer pain control. NCT02333968 December 29, 2014.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 283 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
United States 1 <1%
Unknown 281 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 43 15%
Student > Bachelor 35 12%
Student > Ph. D. Student 26 9%
Researcher 25 9%
Student > Doctoral Student 21 7%
Other 62 22%
Unknown 71 25%
Readers by discipline Count As %
Nursing and Health Professions 70 25%
Medicine and Dentistry 58 20%
Psychology 19 7%
Social Sciences 12 4%
Computer Science 11 4%
Other 34 12%
Unknown 79 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 March 2016.
All research outputs
#13,751,991
of 23,314,015 outputs
Outputs from BMC Cancer
#3,063
of 8,440 outputs
Outputs of similar age
#128,515
of 267,400 outputs
Outputs of similar age from BMC Cancer
#72
of 216 outputs
Altmetric has tracked 23,314,015 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 8,440 research outputs from this source. They receive a mean Attention Score of 4.4. This one has gotten more attention than average, scoring higher than 61% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,400 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 216 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.