Journal of pain and symptom management
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J Pain Symptom Manage · May 2023
Randomized Controlled Trial Pragmatic Clinical TrialPrevalence, Severity, and Co-Occurrence of SPPADE Symptoms in 31,866 Patients with Cancer.
To examine the prevalence, severity, and co-occurrence of SPPADE symptoms as well as their association with cancer type and patient characteristics. ⋯ The high prevalence and co-occurrence of SPPADE symptoms in patients with all types of cancer warrants clinical approaches that optimize detection and management.
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J Pain Symptom Manage · May 2023
Randomized Controlled TrialMassage Therapy for Hospitalized Patients Receiving Palliative Care: A Randomized Clinical Trial.
Massage therapy is increasingly used in palliative settings to improve quality of life (QoL) and symptom burden; however, the optimal massage "dosage" remains unclear. ⋯ Massage therapy in complex patients with advanced illness was beneficial beyond dosage. Findings support session length (10 or 20 minutes) was predictive of short-term improvements while treatment frequency (once or three consecutive days) predicted sustained improvement at follow-up.
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J Pain Symptom Manage · Apr 2023
Randomized Controlled TrialEffects of a Patient Question Prompt List on Question Asking and Self-Efficacy During Outpatient Palliative Care Appointments.
Question prompt lists (QPLs) promote participation during medical appointments, including in the context of serious illness care. However, no studies have used parameters of a theoretical framework to examine the effects of QPL use in outpatient palliative care. ⋯ Despite their promise in previous studies, results of the current study suggest that QPLs may lack potency to shift patient and care partner question asking in palliative care appointments, and that other mechanisms outlined in Self-Efficacy Theory may characterize the relation between question asking and self-efficacy.
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J Pain Symptom Manage · Apr 2023
Randomized Controlled TrialEffects of Spiritual Care on Well-being of Intensive Care Family Surrogates: A Clinical Trial.
Critical illness of a family member is associated with high emotional and spiritual distress and difficult medical decisions. ⋯ Proactive, semistructured spiritual care delivered by chaplains improves well-being for ICU surrogates. Results provide evidence for inclusion of chaplains in palliative and intensive care teams.
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J Pain Symptom Manage · Mar 2023
Randomized Controlled TrialExamining Caregiver Outcomes in the CONNECT Intervention for Patients with Advanced Cancer.
Palliative care offers patient and family centered approaches that may mitigate risk of caregiver burden and poor mood. ⋯ Caregivers in CONNECT did not experience improved burden or mood, however, they reported higher self-efficacy compared to caregivers receiving standard care. This study highlights the need for strategies to optimize caregiver outcomes in palliative care interventions.