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Predictors of intervention session completion in a randomized clinical trial of a behavioral cancer pain intervention

Journal of Pain and Symptom Management Feb 14, 2020

Winger JG, Nunez C, Kelleher SA, et al. - As completion of psychosocial pain management intervention sessions is reported in some patients with cancer and there are other patients who find its completion difficult, researchers sought to determine if intervention session completion predicts postintervention outcomes of pain severity and interference, psychological distress, physical well-being, and pain self-efficacy. In addition, they investigated predictors (ie, demographics, medical characteristics, baseline outcome scores) of session completion. For these purposes, they performed a secondary analysis of a randomized clinical trial (N = 178) that compared delivery formats (in-person vs videoconference) of a Pain Coping Skills Training (PCST) intervention for patients with cancer. Outcomes revealed improved pain outcomes in correlation with completing PCST sessions. This supports considering efforts to improve session completion (eg, videoconference delivery). Completion of videoconference sessions was more frequently achieved by participants with at least some college education, a diagnosis of breast cancer, and higher levels of pain self-efficacy. Completion of in-person sessions was more frequently reported among participants who lived closer to the medical center, had early-stage cancer, and fewer medical comorbidities.
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