A qualitative study of patient and provider perspectives on using web-based pain coping skills training to treat persistent cancer pain

Christine Rini, Maihan B. Vu, Hannah Lerner, Catherine Bloom, Jessica Carda-Auten, William A. Wood, Ethan M. Basch, Peter M. Voorhees, Katherine E. Reeder-Hayes, Francis J. Keefe

Research output: Research - peer-reviewArticle

Abstract

Objective:: Persistent pain is common and inadequately treated in cancer patients. Behavioral pain interventions are a recommended part of multimodal pain treatments, but they are underused in clinical care due to barriers such as a lack of the resources needed to deliver them in person and difficulties coordinating their use with clinical care. Pain coping skills training (PCST) is an evidence-based behavioral pain intervention traditionally delivered in person. Delivering this training via the web would increase access to it by addressing barriers that currently limit its use. We conducted a patient pilot study of an 8-week web-based PCST program to determine the acceptability of this approach to patients and the program features needed to meet their needs. Focus groups with healthcare providers identified strategies for coordinating the use of web-based PCST in clinical care. Method:: Participants included 7 adults with bone pain due to multiple myeloma or metastasized breast or prostate cancer and 12 healthcare providers (4 physicians and 8 advanced practice providers) who treat cancer-related bone pain. Patients completed web-based PCST at home and then took part in an in-depth qualitative interview. Providers attended focus groups led by a trained moderator. Qualitative analyses identified themes in the patient and provider data. Results:: Patients reported strongly favorable responses to web-based PCST and described emotional and physical benefits. They offered suggestions for adapting the approach to better fit their needs and to overcome barriers to completion. Focus groups indicated a need to familiarize healthcare providers with PCST and to address concerns about overburdening patients. Providers would recommend the program to patients they felt could benefit. They suggested applying a broad definition of cancer pain and having various types of providers help coordinate program its use with clinical care. Significance of results:: Web-based PCST was acceptable to patients and providers. Our findings suggest that patients could benefit from this approach, especially if patient and provider barriers are addressed.

LanguageEnglish (US)
Pages1-15
Number of pages15
JournalPalliative and Supportive Care
DOIs
StateAccepted/In press - Mar 7 2017

Fingerprint

Psychological Adaptation
Pain
Cancer Pain
Focus Groups
Health Personnel
Combined Modality Therapy
Bone Neoplasms
Multiple Myeloma
Prostatic Neoplasms
Interviews
Breast Neoplasms
Physicians
Education
Bone and Bones
Neoplasms

Keywords

  • Cancer pain
  • Cognitive behavioral intervention
  • eHealth
  • Pain coping skills training
  • Pain management

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

@article{6ed12cbdbf0f41a7a36d16abfed25ac1,
title = "A qualitative study of patient and provider perspectives on using web-based pain coping skills training to treat persistent cancer pain",
abstract = "Objective:: Persistent pain is common and inadequately treated in cancer patients. Behavioral pain interventions are a recommended part of multimodal pain treatments, but they are underused in clinical care due to barriers such as a lack of the resources needed to deliver them in person and difficulties coordinating their use with clinical care. Pain coping skills training (PCST) is an evidence-based behavioral pain intervention traditionally delivered in person. Delivering this training via the web would increase access to it by addressing barriers that currently limit its use. We conducted a patient pilot study of an 8-week web-based PCST program to determine the acceptability of this approach to patients and the program features needed to meet their needs. Focus groups with healthcare providers identified strategies for coordinating the use of web-based PCST in clinical care. Method:: Participants included 7 adults with bone pain due to multiple myeloma or metastasized breast or prostate cancer and 12 healthcare providers (4 physicians and 8 advanced practice providers) who treat cancer-related bone pain. Patients completed web-based PCST at home and then took part in an in-depth qualitative interview. Providers attended focus groups led by a trained moderator. Qualitative analyses identified themes in the patient and provider data. Results:: Patients reported strongly favorable responses to web-based PCST and described emotional and physical benefits. They offered suggestions for adapting the approach to better fit their needs and to overcome barriers to completion. Focus groups indicated a need to familiarize healthcare providers with PCST and to address concerns about overburdening patients. Providers would recommend the program to patients they felt could benefit. They suggested applying a broad definition of cancer pain and having various types of providers help coordinate program its use with clinical care. Significance of results:: Web-based PCST was acceptable to patients and providers. Our findings suggest that patients could benefit from this approach, especially if patient and provider barriers are addressed.",
keywords = "Cancer pain, Cognitive behavioral intervention, eHealth, Pain coping skills training, Pain management",
author = "Christine Rini and Vu, {Maihan B.} and Hannah Lerner and Catherine Bloom and Jessica Carda-Auten and Wood, {William A.} and Basch, {Ethan M.} and Voorhees, {Peter M.} and Reeder-Hayes, {Katherine E.} and Keefe, {Francis J.}",
year = "2017",
month = "3",
doi = "10.1017/S1478951517000086",
pages = "1--15",
journal = "Palliative and Supportive Care",
issn = "1478-9515",
publisher = "Cambridge University Press",

}

TY - JOUR

T1 - A qualitative study of patient and provider perspectives on using web-based pain coping skills training to treat persistent cancer pain

AU - Rini,Christine

AU - Vu,Maihan B.

AU - Lerner,Hannah

AU - Bloom,Catherine

AU - Carda-Auten,Jessica

AU - Wood,William A.

AU - Basch,Ethan M.

AU - Voorhees,Peter M.

AU - Reeder-Hayes,Katherine E.

AU - Keefe,Francis J.

PY - 2017/3/7

Y1 - 2017/3/7

N2 - Objective:: Persistent pain is common and inadequately treated in cancer patients. Behavioral pain interventions are a recommended part of multimodal pain treatments, but they are underused in clinical care due to barriers such as a lack of the resources needed to deliver them in person and difficulties coordinating their use with clinical care. Pain coping skills training (PCST) is an evidence-based behavioral pain intervention traditionally delivered in person. Delivering this training via the web would increase access to it by addressing barriers that currently limit its use. We conducted a patient pilot study of an 8-week web-based PCST program to determine the acceptability of this approach to patients and the program features needed to meet their needs. Focus groups with healthcare providers identified strategies for coordinating the use of web-based PCST in clinical care. Method:: Participants included 7 adults with bone pain due to multiple myeloma or metastasized breast or prostate cancer and 12 healthcare providers (4 physicians and 8 advanced practice providers) who treat cancer-related bone pain. Patients completed web-based PCST at home and then took part in an in-depth qualitative interview. Providers attended focus groups led by a trained moderator. Qualitative analyses identified themes in the patient and provider data. Results:: Patients reported strongly favorable responses to web-based PCST and described emotional and physical benefits. They offered suggestions for adapting the approach to better fit their needs and to overcome barriers to completion. Focus groups indicated a need to familiarize healthcare providers with PCST and to address concerns about overburdening patients. Providers would recommend the program to patients they felt could benefit. They suggested applying a broad definition of cancer pain and having various types of providers help coordinate program its use with clinical care. Significance of results:: Web-based PCST was acceptable to patients and providers. Our findings suggest that patients could benefit from this approach, especially if patient and provider barriers are addressed.

AB - Objective:: Persistent pain is common and inadequately treated in cancer patients. Behavioral pain interventions are a recommended part of multimodal pain treatments, but they are underused in clinical care due to barriers such as a lack of the resources needed to deliver them in person and difficulties coordinating their use with clinical care. Pain coping skills training (PCST) is an evidence-based behavioral pain intervention traditionally delivered in person. Delivering this training via the web would increase access to it by addressing barriers that currently limit its use. We conducted a patient pilot study of an 8-week web-based PCST program to determine the acceptability of this approach to patients and the program features needed to meet their needs. Focus groups with healthcare providers identified strategies for coordinating the use of web-based PCST in clinical care. Method:: Participants included 7 adults with bone pain due to multiple myeloma or metastasized breast or prostate cancer and 12 healthcare providers (4 physicians and 8 advanced practice providers) who treat cancer-related bone pain. Patients completed web-based PCST at home and then took part in an in-depth qualitative interview. Providers attended focus groups led by a trained moderator. Qualitative analyses identified themes in the patient and provider data. Results:: Patients reported strongly favorable responses to web-based PCST and described emotional and physical benefits. They offered suggestions for adapting the approach to better fit their needs and to overcome barriers to completion. Focus groups indicated a need to familiarize healthcare providers with PCST and to address concerns about overburdening patients. Providers would recommend the program to patients they felt could benefit. They suggested applying a broad definition of cancer pain and having various types of providers help coordinate program its use with clinical care. Significance of results:: Web-based PCST was acceptable to patients and providers. Our findings suggest that patients could benefit from this approach, especially if patient and provider barriers are addressed.

KW - Cancer pain

KW - Cognitive behavioral intervention

KW - eHealth

KW - Pain coping skills training

KW - Pain management

UR - http://www.scopus.com/inward/record.url?scp=85014509412&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014509412&partnerID=8YFLogxK

U2 - 10.1017/S1478951517000086

DO - 10.1017/S1478951517000086

M3 - Article

SP - 1

EP - 15

JO - Palliative and Supportive Care

T2 - Palliative and Supportive Care

JF - Palliative and Supportive Care

SN - 1478-9515

ER -