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March 1, 1993Pain

Patient-related barriers to management of cancer pain

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Authors

SWSandra E. WardUniversity of Wisconsin–MadisonNGNancy GoldbergAmerican Association of Nurse PractitionersVMVickie Miller-McCauleyUniversity of Florida

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Implication

Cross-sectional study shows patient concerns regarding analgesics correlate with undertreatment in cancer pain, indicating key targets for intervention.

Key Points

  • To investigate patient-related concerns regarding reporting pain and using analgesics, and to determine how these barriers relate to pain severity and medication adequacy.
  • Survey administered to 270 cancer patients assessing pain-related beliefs via the 27-item Barriers Questionnaire (BQ), covering 8 specific concern domains such as fear of addiction and side effects.
  • Pain severity and interference evaluated using the Brief Pain Inventory (BPI), alongside weekly pain medication tracking to categorize participants as under-medicated or adequately medicated.
  • Patient concerns across BQ domains ranged from 37% to 85%, with higher prevalence observed among individuals who were older, had lower education levels, or had lower incomes.
  • Elevated levels of concern significantly correlated with increased pain severity.
  • Patients classified as under-medicated reported significantly higher levels of concern compared to those categorized as adequately medicated.

Cite This Study

Ward et al. (1993) studied this question.

synapsesocial.com/papers/69dcc98b1e43378fbd1334fdhttps://doi.org/10.1016/0304-3959(93)90165-l
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Knowledge and beliefs about cancer in a socioeconomically disadvantaged population1991 · 112 citations