Question

critique the article titled (A Randomized, Clinical Trial of Education or Motivational-Interviewing–Based Coaching Compared to Usual Care to Improve Cancer Pain Management).

Answer 1

Mary.thomas,Veterans Administration Palo Alto Healthcare System, California, USA. A randomized, clinical trial of education or motivational-interviewing-based coaching compared to usual care to improve cancer pain management

*the author conducted a clinical trial with 318 adults with various types of cancer-related pain in 6 outpatient clinics she choose 2 groups, one with education,viewed a video and received a pamphlet on managing cancer pain.. meanwhile patients in the coaching group participated in four telephone sessions with an advanced practice nurse interventionist using motivational interviewing techniques to decrease attitudinal barriers to cancer pain management. Questionnaires were completed at baseline and six weeks after the final telephone calls. coaching may be a useful strategy to help patients decrease attitudinal barriers toward cancer pain management and to better manage their cancer pain.

*in this trial, author didnt mentioned about patient age groups, elderlypatients are more sensitive to tolerete cancer pain. about pca(patient controlled anaesthesia) was not mentioned.. need to add more pain control measures like comfort measures and drug management should be added.just by education and telephone sessions its hard to reduce pain