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Meaning-centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial.

Publication ,  Journal Article
Winger, JG; Kelleher, SA; Ramos, K; Check, DK; Yu, JA; Powell, VD; Lerebours, R; Olsen, MK; Keefe, FJ; Steinhauser, KE; Porter, LS; Somers, TJ ...
Published in: Psychooncology
July 2023

OBJECTIVE: For patients with advanced cancer, pain is a common and debilitating symptom that can negatively impact physical, emotional, and spiritual well-being. This trial examined the feasibility and initial effects of Meaning-Centered Pain Coping Skills Training (MCPC), a cognitive-behavioral pain management intervention with an emphasis on enhancing meaning (i.e., a personal sense of purpose, worth, and significance) and peace. METHODS: We enrolled 60 adults with stage IV solid tumor cancers and moderate-severe pain between February 2021 and February 2022. Participants were randomized 1:1 to MCPC + usual care or usual care alone. Meaning-Centered Pain Coping Skills Training consisted of four weekly 60-min individual sessions via videoconference or telephone, delivered by a trained therapist using a manualized protocol. Participants completed validated measures of pain severity, pain interference, pain self-efficacy, spiritual well-being (i.e., meaning, peace, and faith), and psychological distress at baseline and 5-week and 10-week follow-ups. RESULTS: All feasibility metrics exceeded prespecified benchmarks. Fifty-eight percent of screened patients were eligible, and 69% of eligible patients consented. Of those assigned to MCPC, 93% completed all sessions and 100% of those who completed follow-ups reported using coping skills weekly. Retention was strong at 5-week (85%) and 10-week (78%) follow-ups. Meaning-Centered Pain Coping Skills Training participants reported better scores than control participants across outcome measures, including moderate-to-large sized differences at 10-week follow-up in pain severity (Cohen's d = -0.75 [95% confidence interval: -1.36, -0.14]), pain interference (d = -0.82 [-1.45, -0.20]), and pain self-efficacy (d = 0.74 [0.13, 1.35]). CONCLUSIONS: MCPC is a highly feasible, engaging, and promising approach for improving pain management in advanced cancer. Future efficacy testing is warranted. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04431830, registered 16 June 2020.

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Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

July 2023

Volume

32

Issue

7

Start / End Page

1096 / 1105

Location

England

Related Subject Headings

  • Pilot Projects
  • Pain
  • Oncology & Carcinogenesis
  • Neoplasms, Second Primary
  • Neoplasms
  • Humans
  • Emotions
  • Adult
  • Adaptation, Psychological
  • 52 Psychology
 

Citation

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ICMJE
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Winger, J. G., Kelleher, S. A., Ramos, K., Check, D. K., Yu, J. A., Powell, V. D., … Somers, T. J. (2023). Meaning-centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial. Psychooncology, 32(7), 1096–1105. https://doi.org/10.1002/pon.6151
Winger, Joseph G., Sarah A. Kelleher, Katherine Ramos, Devon K. Check, Justin A. Yu, Victoria D. Powell, Reginald Lerebours, et al. “Meaning-centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial.Psychooncology 32, no. 7 (July 2023): 1096–1105. https://doi.org/10.1002/pon.6151.
Winger JG, Kelleher SA, Ramos K, Check DK, Yu JA, Powell VD, et al. Meaning-centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial. Psychooncology. 2023 Jul;32(7):1096–105.
Winger, Joseph G., et al. “Meaning-centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial.Psychooncology, vol. 32, no. 7, July 2023, pp. 1096–105. Pubmed, doi:10.1002/pon.6151.
Winger JG, Kelleher SA, Ramos K, Check DK, Yu JA, Powell VD, Lerebours R, Olsen MK, Keefe FJ, Steinhauser KE, Porter LS, Breitbart WS, Somers TJ. Meaning-centered pain coping skills training for patients with metastatic cancer: Results of a randomized controlled pilot trial. Psychooncology. 2023 Jul;32(7):1096–1105.

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

July 2023

Volume

32

Issue

7

Start / End Page

1096 / 1105

Location

England

Related Subject Headings

  • Pilot Projects
  • Pain
  • Oncology & Carcinogenesis
  • Neoplasms, Second Primary
  • Neoplasms
  • Humans
  • Emotions
  • Adult
  • Adaptation, Psychological
  • 52 Psychology