Development of a self-efficacy promoting program for pain management in patients with cancer: A pilot study

Authors

  • Jia Liu A student of the Master of Nursing Science Program in International, Faculty of Nursing, Khon Kaen University
  • Busaba Somjaivong Faculty of Nursing, Khon Kaen University
  • Ladawan Panpanit Faculty of Nursing, Khon Kaen University
  • LiFang Zhang Faculty of Nursing, Youjiang Medical University for Nationalities, China

Keywords:

pain management, cancer-related pain, cancer patients, self-efficacy

Abstract

  This article presents the process for the development of a self-efficacy promoting program on pain management among patients with cancer. It consisted of three steps: 1) literature review step, 2) developing a program based on self-efficacy theory, and 3) assessment of program quality, feasibility, and acceptability. The program quality was assessed by verification of the content validity index (CVI) by five experts. The acceptability of the program was determined in terms of retention rate in the program. The feasibility of the program was tested by comparing the outcomes before and after participating in the program among 10 cancer patients with pain using paired t-test and Wilcoxon Signed Rank Test. Findings revealed that CVI of the program was .98.  Retention rate in the program was 100%. Participants had decreased pain levels (Z=-2.68, p<.01) and improved pain self-efficacy scores (t=-5.78, p<.01). Therefore, the development of a self-efficacy promoting program on pain management among patients with cancer had sufficient quality, feasibility, and acceptability. Further research is needed to evaluate the outcome of this program using larger sample size.

References

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A cancer journal for clinicians 2021;71(3):209–49.

Cao W, Chen HD, Yu YW, Li N, Chen WQ. Changing profiles of cancer burden worldwide and in China: A secondary analysis of the global cancer statistics 2020. Chinese Medical Journal 2021;134(7):783–91.

Kroker L, Dubois C, Münstedt K, Büntzel J, Keinki C, Hübner J. A pilot study of side effects of cancer therapies and their impact on satisfaction with life. Cancer Investigation 2019;37(4-5):216–26.

Swarm RA, Paice JA, Anghelescu DL, Are M, Bruce JY, Buga S, et al. Adult cancer pain, version 3.2019, NCCN clinical practice guidelines in oncology. JNCCN 2019;17(8):977–1007.

Koller A, Miaskowski C, De Geest S, Opitz O, Spichiger E. A systematic evaluation of content, structure, and efficacy of interventions to improve patients' self-management of cancer pain. Journal of Pain and Symptom Management 2012;44(2):264–84.

Neufeld NJ, Elnahal SM, Alvarez RH. Cancer pain: A review of epidemiology, clinical quality and value impact. Future Oncology (London, England) 2017; 13(9):833–41.

Ngamkham S, Holden JE, Smith EL. A systematic review: Mindfulness intervention for cancer-related pain. Asia-Pacific Journal of Oncology Nursing 2019;6(2):161–9.

National Comprehensive Cancer Network, Inc. NCCN clinical practice guidelines in oncology (NCCN Guidelines®) adult cancer pain, version USA: Comprehensive Cancer Network, Fort Washington, PA; 2015.

Cheng L, Wei K, Zhang Q, Zhang Q, Han YL, Hu JL. Effects of self-efficacy intervention on self-efficacy, pain, sleep quality and quality of life in patients with gastric cancer. Advances in Cancer 2021;(12):1280-3.

Te Boveldt N, Vernooij‐Dassen M, Leppink I, Samwel H, Vissers K, Engels Y. Patient empowerment in cancer pain management: An integrative literature review. Psycho‐Oncology 2014;23(11):1203-11.

Bandura A. Self-efficacy, the exercise of control. New York; Freeman and Co, 1997.

Bandura A. Social cognitive theory: An agentic perspective. Annual Review of Psychology 2001;52:1-26.

Anderson A, Starkweather A, Cong X, Kim K, Schulman-Green D, Judge M, et al. Self-efficacy survey study of pain self-management in patients with cancer. Pain Management Nursing 2022;23(4):486-93.

Chirico A, Lucidi F, Merluzzi T, Alivernini F, Laurentiis M, Botti G, et al. A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget 2017;8(22):36800-11.

Royani Z, Rayyani M, Vatanparast M, Mahdavifar M, Goleij J. The relationship between self-care and self-efficacy with empowerment in patients undergoing hemodialysis. Military Caring Sciences Journal 2015;1(2):116-22.

Zhang XX. Effect of a self-efficacy intervention on cancer pain in patients with advanced liver cancer. Inner Mongolia medical university; 2019.

Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological review 1977;84(2):191-215.

Bandura A. Self-efficacy mechanism in physiological activation and health-promoting behavior. In J. Madden IV, S. Mathysse, J. Barchas (Eds.), Adaptation, learning, and affect. New York: Raven Press. 1986b.

Bandura A. Self-efficacy mechanism in physiological activation and health-promoting behavior. In J. Madden IV, S. Mathysse, J. Barchas (Eds.), Adaptation, learning, and affect. New York: Raven Press. 1986b.

Zhang M, Chan SW, You L, Wen Y, Peng L, Liu W, et al. The effectiveness of a self-efficacy-enhancing intervention for Chinese patients with colorectal cancer: A randomized controlled trialwith6-monthfollowup.IJNS2014;51(8): 1083-92.

Smith MJ, Liehr PR. Middle range theory for nursing. 3rd ed. Springer. 2014.

Yang B, Zhao Y, Wang YP, Sun YH, Xie BY. The role of health education model in improving self-efficacy of patients with advanced cancer pain. Chinese Journal of Practical Nursing 2016; 5:334-7.

Xu L, Shi YH. The effect of self-efficacy intervention on cancer pain in patients with malignant tumor during radiotherapy and chemotherapy. Chinese community physicians 2019;(32):158-60.

Wu YH, Chen WY, Shui XF, Xu LS. Application of self-efficacy in the nursing of patients with lung cancer pain. Chinese Modern Doctor 2017;55(8):149-52.

Bennett MI, Kaasa S, Barke A, Korwisi B, Rief W, Treede RD; IASP Taskforce for the classification of chronic pain. The IASP classification of chronic pain for ICD-11: chronic cancer-related pain. Pain 2019;160(1): 38-44.

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised international association for the study of pain definition of pain: Concepts, challenges, and compromises. Pain 2020;161(9);1976-82.

Caraceni A, Shkodra M. Cancer pain assessment and classification. Cancers 2019; 11(4):510.

Fink RM, Gallagher E. Cancer pain assessment and measurement. Seminars in Oncology Nursing 2019;35(3):229-34.

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(Suppl 4):iv166-91.

Behzadmehr R, Dastyar N, Moghadam MP, Abavisani M, Moradi M. Effect of complementary and alternative medicine interventions on cancer related pain among breast cancer patients: A systematic review. Complementary Therapies in Medicine 2020;49:102318.

Lara-Solares A, Ahumada Olea M, Basantes Pinos A, Bistre Cohén S, Bonilla Sierra P, Duarte Juárez ER, et al. Latin-American guidelines for cancer pain management. Pain Management 2017;7(4): 287-98.

Yang YQ. Effect analysis of self-efficacy theory in nursing of cancer pain patients. Electronic Journal of Practical Clinical Nursing 2020;5(23):142

Li X. Application of the theory of self-efficacy intervention for nasopharyngeal carcinoma research on the effects of radiation and chemotherapy patients quality of life after discharge. Guangxi Medical University;2015.

Yang R, Lu Z, Gu X, Dai B. The effect of an information support program on self-efficacy of prostate cancer patients during hormonal therapy. APJON 2021;8(6):639-52.

Novy DM, Aigner CJ. The biopsychosocial model in cancer pain. COSPC 2014; 8(2): 117-23.

Stanton AL, Luecken LJ, MacKinnon DP, Thompson EH. Mechanisms in psychosocial interventions for adults living with cancer: opportunity for integration of theory, research, and practice. JCCP 2013; 81(2): 318.

Yang Y, Yang M, Bai J, Zhao J, Chen K, Zhou X, et al. Validation of simplified chinese version of the pain self-efficacy questionnaire (SC-PSEQ) and SC-PSEQ-2 for patients with nonspecific low back pain in mainland china. Spine 2019;44(20): E1219-26.

Gunnarsdottir S, Zoëga S, Serlin RC, Sveinsdottir H, Hafsteinsdottir E, Fridriksdottir N, et al. The effectiveness of the pain resource nurse program to improve pain management in the hospital setting: A cluster randomized controlled trial. IJNS 2017;75:83-90.

Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy 2019;15(2): 214-21.

Carson JW, Carson KM, Olsen M, Sanders L, Westbrook K, Keefe FJ, et al. Yoga practice predicts improvements in day-to-day pain in women with metastatic breast cancer. J Pain Symptom Manage 2021;61(6):1227-33.

Keenan A, Keithley JK. Integrative review: Effects of music on cancer pain in adults. Oncology Nursing Forum 2015;42(6):E368-75.

Foster C, Breckons M, Cotterell P, Barbosa D, Calman L, Corner J, et al. Cancer survivors’ self-efficacytoself-manageintheyearfollowing primary treatment. JCSRP 2015;9(1):11-9.

Wang YN, Yin YJ. Effects of self-efficacy intervention on cancer pain in patients with malignant tumor during radiotherapy and chemotherapy. Nursing Practice and Research 2018; 16:89-91.

Downloads

Published

2023-06-30

How to Cite

1.
Liu J, Somjaivong B, Panpanit L, Zhang L. Development of a self-efficacy promoting program for pain management in patients with cancer: A pilot study. JNSH [Internet]. 2023 Jun. 30 [cited 2024 May 11];46(2):76-89. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/263178

Issue

Section

Research Article