PMID- 31451364

OWN - NLM
STAT- Publisher
LR - 20190827
IS - 1873-5134 (Electronic)
IS - 0738-3991 (Linking)
DP - 2019 Aug 17
TI - Randomized clinical trial of computerized PAINRelieveIt(R) for patients with
sickle cell disease: PAINReportIt(R) and PAINUCope(R).
LID - S0738-3991(19)30361-1 [pii]
LID - 10.1016/j.pec.2019.08.021 [doi]
AB - OBJECTIVE: To compare effects of a tailored multimedia education program
versus
usual-care on barriers to pain management of adult patients with SCD.
METHODS:
Pretest/posttest randomized controlled trial (RCT) of 228 outpatients with
SCD
randomized to the tablet-based PAINUCope intervention focused on barriers to
pain
management, pain, and analgesic adherence or selection of games (control).
Outcomes were barriers to pain management, pain, and analgesic adherence.
RESULTS: The barriers to pain management and pain scores did not change
significantly from pretest to posttest for either condition. Changes in
analgesic
adherence rates from pretest to posttest were statistically significant for
the
intervention group (p=.046) but not for the usual care group (p=.419). The
group
difference was not statistically significant. CONCLUSIONS: This first RCT of
a
tailored multimedia education intervention with adult patients with SCD did
not
significantly reduce the outcomes of interest compared to the control group.
Findings provide insights for improving intervention delivery and
reinforcement
of patient behaviors. PRACTICE IMPLICATIONS: Study redesign is warranted with
modifications that include theoretical and methodological approaches and
patient-centered delivery of the intervention that take advantage of recent
technology developments.
CI - Copyright (c) 2019 Elsevier B.V. All rights reserved.
FAU - Dyal, Brenda W
AU - Dyal BW
AD - University of Florida, Department of Biobehavioral Nursing Science,
Gainesville,
FL, United States.
FAU - Ezenwa, Miriam O
AU - Ezenwa MO
AD - University of Florida, Department of Biobehavioral Nursing Science,
Gainesville,
FL, United States; University of Illinois at Chicago College of Nursing,
Department of Biobehavioral Health Science, Chicago, IL, United States;
University of Illinois at Chicago Comprehensive Sickle Cell Center, Chicago,
IL,
United States.
FAU - Yao, Yingwei
AU - Yao Y
AD - University of Florida, Department of Biobehavioral Nursing Science,
Gainesville,
 FL, United States; University of Illinois at Chicago College of Nursing,
Department of Biobehavioral Health Science, Chicago, IL, United States.
FAU - Molokie, Robert E
AU - Molokie RE
AD - University of Illinois at Chicago Comprehensive Sickle Cell Center, Chicago,
IL,
United States; University of Illinois at Chicago College of Medicine,
Division of
Hematology/Oncology, Chicago, IL, United States; Jesse Brown Veteran's
Administration Medical Center, Chicago, IL, United States; University of
Illinois
at Chicago College of Pharmacy, Department of Biopharmaceutical Sciences and
Comprehensive Sickle Cell Center Chicago, IL, United States.
FAU - Wang, Zaijie J
AU - Wang ZJ
AD - University of Illinois at Chicago College of Pharmacy, Department of
Biopharmaceutical Sciences and Comprehensive Sickle Cell Center Chicago, IL,
United States.
FAU - Ballas, Samir K
AU - Ballas SK
AD - Thomas Jefferson University, Philadelphia, PA, United States.
FAU - Suarez, Marie L
AU - Suarez ML
AD - University of Illinois at Chicago College of Nursing, Department of
Biobehavioral
Health Science, Chicago, IL, United States.
FAU - Wilkie, Diana J
AU - Wilkie DJ
AD - University of Florida, Department of Biobehavioral Nursing Science,
Gainesville,
FL, United States; University of Illinois at Chicago College of Nursing,
Department of Biobehavioral Health Science, Chicago, IL, United States;
University of Illinois at Chicago Comprehensive Sickle Cell Center, Chicago,
IL,
United States. Electronic address: diwilkie@ufl.edu.
LA - eng
PT - Journal Article
DEP - 20190817
PL - Ireland
TA - Patient Educ Couns
JT - Patient education and counseling
JID - 8406280
SB - N
OTO - NOTNLM
OT - Pain barriers
OT - Pain management
OT - Patient education
OT - Sickle cell disease
EDAT- 2019/08/28 06:00
MHDA- 2019/08/28 06:00
CRDT- 2019/08/28 06:00
PHST- 2018/12/28 00:00 [received]
PHST- 2019/06/24 00:00 [revised]
PHST- 2019/08/16 00:00 [accepted]
PHST- 2019/08/28 06:00 [entrez]
PHST- 2019/08/28 06:00 [pubmed]
PHST- 2019/08/28 06:00 [medline]
AID - S0738-3991(19)30361-1 [pii]
AID - 10.1016/j.pec.2019.08.021 [doi]
PST - aheadofprint
SO - Patient Educ Couns. 2019 Aug 17. pii: S0738-3991(19)30361-1. doi:
10.1016/j.pec.2019.08.021.