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).

1. Has the research question(s) or hypothesis (or hypotheses) been placed in the context of an appropriate theoretical framework? use the above article

Answer 1

Hypotheses : it is defined as the relationship ship in between the two variables.

It is also a specific and clear predictive statement above the possible outcome of scientific research project or study.

Yes the research hypothesis placed in this study, that is

1. The cancer pain may effect the individual quality of life.

2. And it is significant with the distances of mood and physical functions of the person.

Here the researcher shows two variables , like problem is the cancer and one more variable is quality of life.

The relationship shown in between them.