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Using Patient Reported Outcomes in Oncology Clinical Practice
Sarah A Kelleher1, Tamara J Somers1, Tracie Locklear2
1Department Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States.
Scandinavian Journal of Pain
|November 8, 2016
Summary
Patient self-efficacy for pain and symptom management is linked to better outcomes in cancer patients. Lower self-efficacy correlates with poorer functioning, suggesting a need for targeted interventions to improve quality of life.
Area of Science:
- Oncology
- Psychosocial Oncology
- Patient Reported Outcomes
Background:
- Patient-reported outcomes (PROs) are increasingly vital in cancer care.
- Standard PROs are established, with growing interest in additional valuable measures.
- This study investigates self-efficacy for pain and symptoms as a PRO in cancer patients.
Purpose of the Study:
- To examine the association between self-efficacy for pain/symptoms and patient outcomes (pain, symptom severity, distress, functioning).
- To explore differences based on cancer type (breast vs. gastrointestinal).
- To assess the impact of assessment mode (paper/pencil vs. electronic tablet).
Main Methods:
- Observational study of 178 breast and gastrointestinal cancer patients.
- Utilized Chronic Pain Self Efficacy Scale, MD Anderson Symptom Inventory, and FACT-G.
- PROs collected via paper/pencil and electronic tablet concurrently.
Main Results:
- Higher self-efficacy scores positively correlated with better pain/symptom management and functioning.
- Lower self-efficacy was associated with poorer overall outcomes and functioning.
- Results were consistent across cancer types and assessment modes; patients preferred electronic data collection.
Conclusions:
- Self-efficacy for pain and symptom management is a valuable addition to clinic-based PRO assessments.
- Validated self-efficacy scales can be integrated to identify patients needing intervention.
- Electronic PRO collection is practical and well-received, supporting timely psychosocial interventions to enhance quality of life.
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