Improving Cancer Pain Management Through Teach-Back Educational Approach for Patients and Primary Caregivers: A Pilot Study

Tarumanagara University

Status: Completed

Conditions: Cancer Pain

Treatments: Other: Placebo; Other: Teach Back

Study type: Interventional

Funder types: Other

Identifiers

NCT05856292

TarumanagaraU

Details and patient eligibility

About

This randomized prospective quantitative pilot study compared teach-back method to standardized educational method in patient and caregiver to improve cancer pain management

Full description

Even though there are comprehensive guidelines for cancer pain management, pain control among cancer patients and survivors is often suboptimal due to undertreatment. According to recent studies, the addition of educational interventions could improve pain relief in cancer patients. Both patients and family caregivers play an important role in delivering cancer pain self-management, especially at home. Providing knowledge for cancer pain management with optimal intervention could improve patient and caregiver outcomes.

The Teach-back method, where patients and family caregivers are asked to repeat the instruction they've received from their health care professionals, can assess patients' understanding, repeat or modify the educational material if comprehension is not demonstrated. This pilot study compared the addition of the Teach-back method for cancer patients and their caregivers and its relation to cancer pain management.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Moderate to severe pain (pain scale 4 and above)
• ≥18 years old
• Signed the informed consent
• Willing to cooperate until the end of studies
• The patient is fully conscious and able to communicate well
• Cared by a family caregiver
• Family caregiver able to fully function as a caregiver

Exclusion criteria

• Near-death (dying) stage
• Not willing to cooperate until the end of studies
• Altered mental status and communication difficulties

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups, including a placebo group

Teach-Back

Experimental group

Description:

The intervention group were educated using the standard educational method with the addition of Teach-back enhancement. It consists of 5 steps: Triage, Tools, Take Responsibility, Tell Me, and Try Again. The Triage, Tools, and Try Again focus on effective information delivery, while the Take Responsibility and Tell Me evaluate the patient's ability to receive the information

Treatment:

Other: Teach Back

Non-Teach-Back

Placebo Comparator group

Description:

No educational intervention, just standard educational methods

Treatment:

Other: Placebo