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Patient Educ Couns. 2011 Nov;85(2):275-80. doi: 10.1016/j.pec.2010.11.007. Epub 2010 Dec 15.

Associations between pain control self-efficacy, self-efficacy for communicating with physicians, and subsequent pain severity among cancer patients.

Author information

  • 1Department of Family and Community Medicine, University of California, Davis, Sacramento, CA 95817, USA. afjerant@ucdavis.edu

Abstract

OBJECTIVE:

Coaching patients to be more active in health encounters may improve communication with physicians but does not necessarily improve health outcomes. We explored this discrepancy by examining relationships between self-efficacy for communicating with physicians and pain control self-efficacy and subsequent pain severity among cancer patients participating in a coaching trial.

METHODS:

We analyzed data from 244 English-speaking adults with various cancer types reporting significant pain, recruited from 49 oncology physicians' offices. Mixed model linear regression examined relationships between post-intervention communication self-efficacy and pain control self-efficacy and subsequent pain severity over 12 weeks.

RESULTS:

Post-intervention pain control self-efficacy (but not communication self-efficacy) was significantly related to subsequent pain severity: a one standard deviation increase was associated with a 0.19 point decrease (95% confidence interval=-0.33, -0.04; p=0.01) in pain severity over time, approximately 25% of the effect size of the influence of post-intervention pain on subsequent pain.

CONCLUSION:

Among cancer patients enrolled in a coaching trial, post-intervention pain control self-efficacy, but not communication self-efficacy, was significantly related to subsequent pain severity.

PRACTICE IMPLICATIONS:

Identifying behavioral mediators of cancer pain severity may lead to coaching interventions that are more effective in improving cancer pain control.

Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

PMID:
21159483
[PubMed - indexed for MEDLINE]
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