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Improving Pain Self-Management Among Rural Older Adults With Cancer.

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An adapted Cancer Health Empowerment for Living without Pain (CA-HELP) intervention proved feasible and acceptable for rural older adults with cancer, improving pain management and communication. This study highlights the potential of CA-HELP to address undertreated cancer pain in underserved populations.

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Area of Science:

  • Gerontology
  • Oncology
  • Public Health

Background:

  • Undertreated cancer pain is a significant public health issue for older adults in rural areas.
  • There is a need for effective interventions to improve pain management in this vulnerable demographic.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of an adapted Cancer Health Empowerment for Living without Pain (CA-HELP) intervention.
  • To assess changes in pain outcomes, including self-management, self-efficacy, and patient-reported pain, following the CA-HELP intervention.

Main Methods:

  • A case-series study involving older adults (≥65 years) with cancer in a rural Tennessee setting.
  • Participants received an adapted CA-HELP intervention comprising a workbook and nurse coaching call.
  • Feasibility, acceptability, and pre-post outcome measures (pain self-management, self-efficacy, pain, misconceptions) were assessed.

Main Results:

  • The intervention demonstrated high feasibility (100% accrual and completion) and acceptability (80-100% positive ratings).
  • Significant improvements were observed in pain self-management and self-efficacy for communicating pain to clinicians.
  • Patient-reported pain and misconceptions about pain significantly decreased post-intervention.

Conclusions:

  • The adapted CA-HELP intervention is feasible and acceptable for older adults with cancer in rural settings.
  • The intervention shows promise in improving pain-related outcomes and communication for this population.
  • CA-HELP offers a potential solution for undertreated cancer pain in underserved rural communities.