Question

A Randomized, Clinical Trial of Education
or Motivational-Interviewing–Based Coaching Compared to Usual Care to Improve Cancer Pain Management

Mary Laudon Thomas, RN, MS, AOCN®, Janette E. Elliott, RN-BC, MS, AOCN®, Stephen M. Rao, Ph.D., Kathleen F. Fahey, RN, MS, CNS, Steven M. Paul, Ph.D., and Christine Miaskowski, RN, Ph.D., FAAN

Despite important advances in its management, cancer pain remains a significant clinical problem (Apolone et al., 2009; McGuire, 2004; van den Beuken-van Everdingen et al., 2007). In a meta-analysis, cancer pain was found in 64% of patients with metastatic disease, 59% of patients receiving antineoplastic therapy, and 33% of patients who had received curative cancer treatment (van den Beuken- van Everdingen et al., 2007). Cancer pain also has a negative effect on patients’ functional status (Ferreira et al., 2008; Holen, Lydersen, Klepstad, Loge, & Kassa, 2008; Vallerand, Templin, Sasenau, & Riley-Doucet, 2007) and is associated with psychological distress (Cohen et al., 2003; Vallerand, Hasenau, Templin, & Collins-Bohler, 2005). The effect of cancer pain on an individual’s quality of life (QOL) can be significant and extend beyond disturbances in mood and physical function (Burckhardt & Jones, 2005; Dahl, 2004; Fortner et al., 2003).

4. Has the purpose aim(s), or goal(s) of the study been substantiated? use the above article to answer question

Answer 1

The above article has aim but it needs to be clearly stated.

Goal must be constructed according to the need of the study.

Aim: The aim of the study is to compare the usual care of cancer pain management with the motivational interviewing based coaching method for cancer pain management.

Goal:

To reduce the cancer pain level by motivational interviewing based coaching method.

To improve the quality of life of individual.

To improve the mood and physical function of the individual.

Answer 2

Answer: The aim of the study has been substantiated because in this article it has been mentioned that cancer pain is persistent, although due to advances in medicines and technologies pain management during cancer can not be achieved. This study contains examples of many research which shows that pain during cancer have more adverse effects on the patient's mind as well as functional status.