Measuring the Effects of Therapeutic Education Program "Caratif" Patient Under Strong Opioids Versus Standard Taking Charge of Patient Pain Receiving Opioid Therapy in Medical Oncology.

Public Assistance-Hospitals of Marseille (AP-HM)

Status: Unknown

Conditions: Pain Management

Treatments: Other: therapeutic education of type "caratif; Other: Standard care

Study type: Interventional

Funder types: Other

Identifiers

NCT02862002

RC12_3975 - 2756

Details and patient eligibility

About

A first empirical evidence on the difficulties of observance of morphine in cancer patients invited a multidisciplinary team to initiate an innovative quality approach. It shows the lack of transcript of a comprehensive care causing a problem for monitoring actions undertaken for the relief of pain. In addition, two exploratory studies targeting the expectations and needs of the Patient Therapeutic Education (E.T.P) receiving strong opioids.

The E.T.P, public health priority, provides a framework for action and improving care. In oncology, the involvement of the patient in pain relief and management of opioids represents an axis of intervention more appropriate. Yet, it is not found in literature. In our department, we conduct an experimental therapeutic education program type "caratif" and a nurse consultation FTE receiving opioids on the model of nursing "care" of J. Watson (humanist emphasis promoting interpersonal teaching-learning mobilizing the patient experience). The ETP folder and its tools have been continuously validated with patients. The heart of the educational process is in the patient's complex path neat oncology and relies on interaction and creativity between patient and caregivers.

Enrollment: 200 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult
• Cancer patients receiving opioids
• Suffering from pain caused by their disease or treatment with chemotherapy and / or radiotherapy and / or surgery
• Supported within the oncology or palliative care
• Receiving at least 3 courses of chemotherapy
• Having read, understood and signed the informed consent
• Subject beneficiary of a social security scheme or an equivalent -

Exclusion criteria

• adults subject to a legal protection measure or unable to consent
• Non-beneficiaries of a social security scheme,
• persons deprived of liberty by a judicial or administrative decision,
• patients with neurological or psychiatric disorders

Trial design

200 participants in 2 patient groups

Therapeutic Patient Education (E.T.P)of type "caratif

Experimental group

Description:

Patients in arm E.T.P benefit of the nursing consultation E.T.P,

Treatment:

Other: Standard care

Other: therapeutic education of type "caratif

standard care

Active Comparator group

Description:

patients receiving standard care of cancer pain.

Treatment:

Other: Standard care

Other: therapeutic education of type "caratif