Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2020
Randomized Controlled TrialAn individualized, interactive, advance-care planning intervention promotes transitions in prognostic-awareness states among terminally ill cancer patients in their last 6 months-A secondary analysis of a randomized controlled trial.
To examine whether an advance care planning intervention randomized controlled trial facilitates terminally ill cancer patients' transitions to accurate prognostic awareness (PA) and the time spent in the accurate PA state in patients' last six months. ⋯ Our intervention meaningfully facilitated participants' transition toward accurate PA and more time spent in the accurate PA state (State 4). Our intervention can help health care professionals foster cancer patients' accurate PA earlier in the terminal illness trajectory to make informed end-of-life care decisions tailored to their readiness for prognostic information.
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J Pain Symptom Manage · Jun 2020
Randomized Controlled TrialOnline Couple-Based Meditation Intervention for Patients with Primary or Metastatic Brain Tumors and their Partners: Results of a Pilot Randomized Controlled Trial.
Although patients with primary and metastatic brain tumors and their partners are at risk of experiencing high symptom burden, they are often excluded from psychosocial intervention studies. Thus, we sought to examine the feasibility and preliminary efficacy of a couple-based meditation (CBM) program targeting symptom and well-being outcomes. ⋯ It seems to be feasible, acceptable, and possibly efficacious to deliver a dyadic intervention via FaceTime to brain tumor couples. Although both patients and partners in the CBM group rated the intervention as beneficial, significant group differences with medium-to-large effect sizes were only found for patients.
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J Pain Symptom Manage · Jun 2020
Randomized Controlled TrialPredictors of Intervention Session Completion in a Randomized Clinical Trial of a Behavioral Cancer Pain Intervention.
Some patients with cancer are able to complete psychosocial pain management intervention sessions, and others find it difficult to do so. ⋯ Completing PCST sessions is important for improving pain outcomes. Efforts to increase session completion (e.g., videoconference delivery) should be considered.
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J Pain Symptom Manage · Jun 2020
Randomized Controlled TrialEffect of aromatherapy massage on quality of sleep in the palliative care ward: a randomized controlled trial.
There is little evidence of the effectiveness of aromatherapy massage in palliative care despite its popularity. ⋯ A single aromatherapy massage session is no more effective than not having a massage in improving sleep quality in palliative care settings. However, older patients and those in poor health conditions may benefit from aromatherapy massage.
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J Pain Symptom Manage · Jun 2020
Randomized Controlled TrialRandomized Controlled Trial of Advance Care Planning Video Decision Aid for the General Population.
Advance care planning (ACP) in a healthy general population could improve the quality of care when a health problem arises. ⋯ A well-constructed video decision support intervention can increase the intention to document ACP in the general population that presumably had little opportunity to discuss ACP with physicians.