Pharmacist-led medication education in cancer pain control: a multicentre randomized controlled study in Guangzhou, China

J Int Med Res. 2013 Oct;41(5):1462-72. doi: 10.1177/0300060513491170. Epub 2013 Aug 23.

Abstract

Objective: To evaluate clinical pharmacist-led pain-medication education in patients with cancer.

Methods: A controlled study was conducted prospectively at six tertiary hospitals in China. In-patients with cancer were randomized to receive conventional treatment plus medication education or no education (controls). Education consisted of access to information booklets and eight 30-min face-to-face counselling sessions given by clinical pharmacists over 4 weeks. Patients completed pain- and analgesic-knowledge assessments and a Brief Pain Inventory, pre- and post-study.

Results: A total of 123 and 114 patients in the education and control groups, respectively, completed follow-up. At the end of the study, patient knowledge regarding cancer pain and pain control was significantly increased in both groups; pain and analgesic knowledge scores were significantly higher in the education group compared with controls. In the control group, the increase in total pain-related knowledge was significantly greater in analgesic-naïve patients compared with those who were using/had used analgesics. Pain intensity scores and pain interference of daily activities were significantly reduced in the education group compared with controls.

Conclusions: Clinical pharmacist-led medication education resulted in improved pain control in patients with cancer.

Keywords: Clinical pharmacist; cancer pain; medication education; patients.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Analgesics / therapeutic use*
  • China
  • Education, Pharmacy / organization & administration*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / drug therapy*
  • Neoplasms / physiopathology
  • Neoplasms / psychology
  • Pain / drug therapy*
  • Pain / psychology
  • Pain Management / psychology*
  • Pharmacists*
  • Prospective Studies
  • Surveys and Questionnaires
  • Tertiary Healthcare

Substances

  • Analgesics