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Action research: developing a pediatric cancer pain program in jordan.
G Allen Finley1, Paula Forgeron, Maha Arnaout
1Dalhousie University, Halifax, Nova Scotia, Canada. allen.finley@dal.ca <allen.finley@dal.ca>
Journal of Pain and Symptom Management
|February 9, 2008
Summary
Pediatric cancer pain management improved globally through an action research approach in Jordan. This study highlights that health professionals' misconceptions, not cultural beliefs, were key barriers to effective pain control for children.
Area of Science:
- Palliative Care
- Pediatric Oncology
- Health Services Research
Background:
- Children's pain, particularly cancer pain, remains undertreated globally.
- Effective pain management strategies are crucial for improving quality of life in pediatric cancer patients.
Purpose of the Study:
- To evaluate the effectiveness of an action research approach in developing a sustainable pediatric cancer pain management service.
- To identify barriers and facilitators to implementing pain management programs in a low-resource setting.
Main Methods:
- An action research methodology was employed to develop and refine a pediatric cancer pain management program in Amman, Jordan.
- The study focused on addressing health professionals' knowledge and attitudes regarding pain and opioid use.
Main Results:
- The action research approach led to a sustainable pain control program.
- Barriers were primarily health professionals' misconceptions about pain and opioids, rather than cultural or religious factors.
- Consistent pain assessment, increased consultations, and greater use of intravenous opioids were observed outcomes.
Conclusions:
- An action research model can successfully establish sustainable pediatric pain management services.
- Education and addressing health professionals' misconceptions are critical for improving pediatric pain control.
- Multilevel administrative support, role-modeling, and mentorship are essential for program success.
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