Pain Coping Skills Training for Breast Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new telehealth program designed to help women with breast cancer manage pain more effectively. Participants will learn pain coping skills in a single online session, followed by brief weekly phone calls for support. The trial aims to determine if this approach improves pain management, quality of life, and confidence in handling pain. Women with stage I-IV breast cancer who experience frequent pain and receive care at a Duke Cancer Network clinic may be eligible to participate. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance pain management strategies for future patients.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this pain coping skills training protocol is safe for women with breast cancer?
Research has shown that Pain Coping Skills Training (PCST) is generally safe for people. Studies have found that those using PCST often manage their pain better without major side effects. For instance, one study found that PCST helped cancer patients reduce their pain and need less pain medication. It also increased their confidence in dealing with pain, known as pain self-efficacy. These findings suggest that PCST is well-tolerated and can be a useful tool for managing pain.12345
Why are researchers excited about this trial?
Researchers are excited about Pain Coping Skills Training (PCST) for breast cancer because it offers a non-drug approach to managing pain. Unlike traditional treatments that often rely on medications like opioids or NSAIDs, PCST empowers patients by teaching them mental strategies to cope with pain. This method is delivered through telehealth sessions, making it highly accessible and convenient for patients. By focusing on psychological techniques, PCST aims to reduce the need for medications, potentially minimizing side effects and fostering a sense of control over pain management.
What evidence suggests that this pain coping skills training is effective for breast cancer patients?
Research has shown that Pain Coping Skills Training (PCST) can reduce pain and decrease the need for pain medication in women with breast cancer. Participants in this trial will engage in a 50-minute telehealth session followed by five weekly, 15-minute supportive phone calls. Those who participated in PCST felt more confident in managing their pain. Specifically, they experienced improvements in pain levels and coping abilities, with the five-session format offering the most benefits. This method not only reduces pain but also enhances quality of life by helping women manage their pain more effectively.12567
Who Is on the Research Team?
Cary Reid, MD, PhD
Principal Investigator
Weill Medical College of Cornell University
Are You a Good Fit for This Trial?
This trial is for women aged 55 or older with stage I-IV breast cancer who have had significant pain recently, can speak and read English, have adequate hearing and vision for telehealth sessions, and are receiving care at a Duke Cancer Network clinic.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a 50-minute telehealth session for pain coping skills training followed by 5 weekly, 15-minute supportive phone calls
Follow-up
Participants are monitored for pain severity, pain interference, health-related quality of life, and self-efficacy for pain management
What Are the Treatments Tested in This Trial?
Interventions
- Pain Coping Skills Training (PCST)
Trial Overview
The study tests a one-session telehealth pain coping skills training (PCST) program plus five short follow-up calls to help manage pain in older women with breast cancer. Participants are randomly assigned to groups.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants in this group will complete a 50-minute telehealth session with a trained study nurse. During this session, they will be taught how to use several coping strategies for managing pain. This will be followed by 5 weekly, 15-minute supportive phone calls, where the study nurse will reinforce the learned coping skills. They will be asked to complete 2 follow-up surveys (10 weeks and 15 weeks after the first survey).
Participants in this group will not complete the new program. They will be asked to complete 2 follow-up surveys (10 and 15 weeks after the first survey).
Find a Clinic Near You
Who Is Running the Clinical Trial?
Weill Medical College of Cornell University
Lead Sponsor
National Institute on Aging (NIA)
Collaborator
Duke University
Collaborator
Citations
Effect of Pain Coping Skills Training on Pain and Pain ... - PMC
Both conditions led to improvements in pain, pain medication use, pain self-efficacy, and coping skills use, and 5-session PCST showed the greatest benefits.
Cost-Effectiveness Analysis Evaluating Delivery Strategies ...
This article presents the results of a cost analysis of the delivery of PCST, a nonpharmacological intervention, to women with breast cancer and pain.
Effect of Pain Coping Skills Training on ...
Both conditions led to improvements in pain, pain medication use, pain self-efficacy, and coping skills use, and 5-session PCST showed the greatest benefits.
4.
physiciansweekly.com
physiciansweekly.com/post/impact-of-pcst-on-pain-and-pain-medication-utilization-among-women-with-breast-cancerImpact of PCST on Pain and Pain Medication Utilization ...
Both groups of participants experienced significant decreases in pain severity and pain medication use, along with increased pain self-efficacy, from pre- to ...
Effect of Pain Coping Skills ... - Scholars@Duke publication
RESULTS: Pain and pain medication use significantly decreased, while pain self-efficacy increased pre-post for women randomized to both conditions (P's <.05).
Web-Based Pain Coping Skills Training (PCST) for ...
This trial aims to fill a gap in evidence-based behavioral pain interventions for breast cancer survivors with AI-associated arthralgia.
Comparing a Targeted Pain Coping Skills Training ...
This clinical trial compares the Targeted-PCST intervention to two educational interventions for the management of persistent pain in women who underwent a ...
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