ANALYSIS OF THE EFFECTIVENESS OF COUNSELING AND DIGITAL BOOKLET BY PHARMACIST ON ADHERENCE AND PAIN CONTROL OF CANCER PATIENTS AT DHARMAIS CANCER HOSPITAL

RURYNTA FERLY SHAVIRA; RETNOSARI ANDRAJATI; RISANI ANDALASIA PUTRI

doi:10.22159/ajpcr.2021.v14i8.42167

Authors

RURYNTA FERLY SHAVIRA Department of Pharmaceutical Science, Faculty of Pharmacy, University of Indonesia, Depok, West Java, Indonesia.
RETNOSARI ANDRAJATI Department of Pharmaceutical Science, Faculty of Pharmacy, University of Indonesia, Depok, West Java, Indonesia.
RISANI ANDALASIA PUTRI Department of Pharmacy, Dharmais Cancer Hospital, West Jakarta, Jakarta, Indonesia.

DOI:

https://doi.org/10.22159/ajpcr.2021.v14i8.42167

Keywords:

Adherence, Cancer pain, Counseling, Digital booklet

Abstract

Objective: This study aimed to compare the effectiveness of counseling and digital booklet on the level of treatment adherence through reduced pain scale, Morisky Medication Adherence Scale (MMAS-8) scores, and pill count scores in patients with cancer pain using opioid analgesics.

Methods: The author conducted this study at Dharmais Cancer Hospital with a quasi-experimental design. The study sample consisted of 134 respondents who met the inclusion and exclusion criteria, underwent a counseling intervention, and received a digital booklet. The author divided the sample into two groups, the counseling group (n=67) and the digital booklet group (n=67). Adherence level was measured using MMAS-8 and pill count. The pain scale was measured using the Numerical Rating Scale. Those measurements were conducted before the intervention (pre-test) and after 2 weeks of provisioning counseling and receipt of the digital booklet (post-test).

Results: The results showed that each counseling and digital booklet improve adherence (p<0.05) and decrease pain scale (p<0.05). There was a significant difference in changes in the level of adherence (p=0.027) between the two groups. However, there was no significant difference in changes in the pain scale (p=0.132) between the two groups.

Conclusions: The analysis showed a significant difference (p<0.05) between adherence level and pain scale before and after intervention by both counseling and digital booklet. Nevertheless, adherent increasing and pain scale reduction by counseling is better than a digital booklet.

Downloads

Download data is not yet available.

References

GLOBOCAN. International agency for research on cancer 2020. Global Cancer Observatory Cancer Today 2020;419:1-2.

Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries. A systematic analysis for the global burden of disease study 2016. Lancet 2017;390:1211-59.

van Leeuwen M, Husson O, Alberti P, Arraras JI, Chinot OL, Costantini A, et al. Understanding the quality of life (QOL) issues in survivors of cancer: Towards the development of an EORTC QOL cancer survivorship questionnaire. Health Qual Life Outcomes 2018;16:1-15.

Damodar G, Gopinath S, Vijayakumar S, Rao A. Reasons for low quality of life in south Indian cancer patient population: A prospective observational study. Indian J Pharm Sci 2014;76:2-9.

Hui D, Bruera E. A personalized approach to assessing and managing pain in patients with cancer. J Clin Oncol 2014;32:1640-6.

Van Den Beuken MH, Hochstenbach LM, Joosten EA, Tjan-Heijnen VC, Janssen DJ. Update on prevalence of pain in patients with cancer: Systematic review and meta-analysis. J Pain Symptom Manage 2015;51:1070-90.

Bevilacqua LA, Dulak D, Schofield E, Starr TD, Nelson CJ, Roth AJ, et al. Prevalence and predictors of depression, pain, and fatigue in older-versus younger-adult cancer survivors. Psychooncology 2020;27:900-7.

Lau J, Flamer D, Murphy-Kane P. Interventional anesthesia and palliative care collaboration to manage cancer pain: A narrative review. Can J Anesth 2020;67:235-46.

Swarm RA, Paice JA, Anghelescu DL, Are M, Bruce JY, Buga S, et al. Adult cancer pain version 3. J Natl Comprehensive Cancer Network 2019;7:977-1007.

World Health Organization. WHO Guidelines for the Pharmacological and Radiotherapeutic Management of Cancer Pain in Adults and Adolescents. Geneva: World Health Organization; 2018.

Portenoy RK, Ahmed E. Principles of opioid use in cancer pain. J Clin Oncol 2014;32:1662-70.

Bruera E, Paice JA. Cancer pain management: Safe and effective use of opioids. Am Soc Clin Oncol Educ Book 2015;35:e593-9.

Yeager D, Williams K, Bai J, Cooper H, Quest T, Meghani S, Bruner DW. Factors related to adherence to opioids in black patients with cancer pain. J Pain Symptom Manage 2019;57:28-36.

Fallon M, Giusti R, Aielli F, Hoskin P, Rolke R, Sharma M, et al. Management of cancer pain in adult patients: ESMO clinical practice guidelines. Ann Oncol 2018;29:166-91.

ESMO. ESMO Patient Guide Series. Lugano, Switzerland: ESMO; 2018. p. 1-55.

Jahn P, Kuss O, Schmidt H, Bauer A, Kitzmantel M, Jordan K, et al. Improvement of pain-related self-management for cancer patients through a modular transitional nursing intervention: A cluster-randomized multicenter trial. Pain 2014;155:746-54.

Lin CC, Chou PL, Wu SL, Chang YC, Lai YL. Long-term effectiveness of a patient and family pain education program on overcoming barriers to management of cancer pain. Pain 2006;122:271-81.

Ramesh A, Rajanandh MG, Thanmayee S, Merin GS, Suresh S, Srinivas KS. Impact of patient counseling on medication adherence, beliefs and satisfaction about oral chemotherapies in patients with metastatic cancer at a super specialty hospital. Int J Cancer Res 2015;11:128-35.

Liang SY, Chen KP, Tsay SL, Wu SF, Chuang YH, Wang TJ, et al. Relationship between belief about analgesics, analgesic adherence and pain experience in taiwanese cancer outpatients. Asian Pac J Cancer Prev 2013;14:713-6.

Savas M, Bayraktar-Ekincioglu A, Celebi N. An evaluation of cancer patients’ opinions about use of opioid analgesics and the role of clinical pharmacist in patient education in Turkey. Int J Clin Pharm 2020;43:375-82.

Koh SJ, Keam B, Hyun MK, Seo JJ, Park KU, Oh SY, et al. Cancer pain management education rectifies patients’ misconceptions of cancer pain, reduces pain, and improves quality of life. Pain Med 2018;19:2546-55.

Yildirim YK, Cicek F, Uyar M. Effects of pain education program on pain intensity, pain treatment satisfaction, and barriers in Turkish cancer patients. Pain Manage Nurs 2009;10:220-8.

Makhlouf SM, Pini S, Ahmed S, Bennett MI. Managing pain in people with cancer-a systematic review of the attitudes and knowledge of professionals, patients, caregivers and public. J Cancer Educ 2020;35:214-40.

Oldenmenger WH, Sillevis Smitt PA, Van Montfort CA, De Raaf PJ, Van Der Rijt CC. A combined pain consultation and pain education program decreases average and current pain and decreases interference in daily life by pain in oncology outpatients: A randomized controlled trial. Pain 2011;152:2632-9.

Syrjala KL, Abrams JR, Polissar NL, Hansberry J, Robison J, DuPen S, et al. Patient training in cancer pain management using integrated print and video materials: A multisite randomized controlled trial. Pain 2008;1-2:175-86.

Lovell MR, Forder PM, Stockler MR, Butow P, Briganti EM, Chye R, et al. A randomized controlled trial of a standardized educational intervention for patients with cancer pain. J Pain Symptom Manage 2010;40:49-59.

Thomas ML, Elliott JL, Rao SM, Fahey KF, Paul SM, Miaskowski C. A randomized, clinical trial of education or motivational-interviewing-based coaching compared to usual care to improve cancer pain management. Oncol Nurs Forum 2012;39:39-49.

American Cancer Society. Facts About Cancer Pain. Cancer Pain. United States: American Cancer Society; 2019. p. 1-5.