Opioid Titration in the Hospice Setting: Barriers Assessment and Modification of the Model Order Sheet and Protocol
Status
Completed
Conditions
Cancer Pain
Treatments
Other: Individual patient interview, focus group and structured survey
Other: interview, focus group and structured survey
Study type
Observational
Funder types
Other
NIH
Identifiers
Details and patient eligibility
About
The purpose of this study is to modify the opioid titration order sheet to meet the needs of the outpatient hospice population and to conduct a pilot trial to assess feasibility, utility, and derive preliminary efficacy data.
Enrollment
65 patients
Sex
All
Ages
21+ years old
Volunteers
Accepts Healthy Volunteers
Inclusion criteria
-
Patient eligibility includes:
- Alive Hospice outpatient
- Diagnosis of carcinoma
- Pain requiring fixed dose opioids
- Age > 21 years
- Not pregnant or lactating
- Willing and able to sign informed consent
- Able to speak/comprehend English
Caregiver eligibility will include:
- Caregiver for an Alive Hospice patient
- Willing and able to sign informed consent
- Able to speak/comprehend English
Hospice Staff eligibility will include:
- Currently on staff at Alive Hospice
- Willing and able to sign informed consent
- Able to read/speak English.
Referring Physician eligibility will include:
- Having recently referred patients to Alive Hospice
- Willing and able to sign informed consent and able to read/speak English.
Exclusion criteria
- patients < 21 years of age
- pregnant or lactating
- patients, caregiver and or Hospice staff that does not speak/comprehend English
Trial design
65 participants in 4 patient groups
Caregiver
Description:
Family members will be asked to complete a demographic survey, an assessment of the patient's current pain, and a series of questionnaires including: Caregiver Pain Medicine Questionnaire, the Stressful Caregiving Adult Reactions To Experiences of Dying Scale, and the Caregivers' Self Efficacy in Pain Management Questionnaire. Upon completion of the questionnaires, patients and caregivers will be interviewed separately.
Treatment:
Other: interview, focus group and structured survey
Other: interview, focus group and structured survey
Other: interview, focus group and structured survey
Hospice staff
Description:
Hospice staff will be asked to complete the Pain Knowledge and Attitudes survey. They will also complete the Technology Acceptance Model (TAM) questionnaire to assess the perceived utility of an opioid titration order sheet to help manage pain control. A demographic survey will also be completed.
Treatment:
Other: interview, focus group and structured survey
Other: interview, focus group and structured survey
Other: interview, focus group and structured survey
Referring physician
Description:
Referring physicians will be asked to complete the Pain Knowledge and Attitudes survey as well as the TAM questionnaire and Demographic Survey.
Treatment:
Other: interview, focus group and structured survey
Other: interview, focus group and structured survey
Other: interview, focus group and structured survey
Patient
Description:
Demographic information includes education, marital status, number in household, and employment status will be obtained from patient. Clinical data will be obtained from the patient's medical records. Information to be obtained will include information about the type of cancer, stage of disease, time since diagnosis, current treatment for cancer, type of pain, time since onset of pain, and time of first opioid prescription. The patient will also take a pain assessment survey.
Treatment:
Other: Individual patient interview, focus group and structured survey
Trial contacts and locations
1
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Data sourced from clinicaltrials.gov
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