Examining the cultural appropriateness of an educational intervention program on pain management for patients with cancer in Vietnam

Abstract

Background: Educational interventions have been shown to be effective in reducing cancer pain for patients with cancer. However, there is a lack of educational intervention programs for cancer pain management in Vietnam, and none have been studied or implemented in clinical practice.

Objective: This study aimed to evaluate the cultural appropriateness and clinical applicability of a pain management educational intervention program modified from PRO-SELF©: Pain Control Program for patients with cancer.

Methods: This quantitative descriptive study was conducted from January to June 2022 with 15 experts, including oncologists, nurses with palliative care and pain relief certifications, and pharmacists. Data were collected using a 23-item questionnaire rated on a 5-point scale and analyzed using descriptive statistics.

Results: The program was evaluated for its appropriateness, clinical applicability, and feasibility, resulting in high ratings with an average of 4.49 ± 0.23, 4.56 ± 0.33, and 4.29 ± 0.55, respectively. The general mean score of the items was 4.46 ± 0.22. Experts also provided comments for adjustments to the program, which were incorporated into a revised draft of the intervention program.

Conclusions: The pain management educational intervention program for Vietnamese patients with cancer was considered appropriate and clinically applicable by the experts. Further clinical trials can now be conducted to evaluate the program’s effectiveness.

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Declaration of Conflicting Interest

The authors declare no conflicts of interest concerning the research, authorship, and publication of this article.

Acknowledgment

The authors expressed appreciation to all participants for supporting this study.

Authors’ Contributions

SDV: Searching for documents, developing outlines, writing draft articles, and completing main articles. PCP, CTMN: reviewed the quality and revised the manuscript. LVT: Searched for documents; performed data collection, data cleaning, data entry, and data analysis. HQL, LTBN, LGN: collecting data. All authors approved of the final version of the manuscript.

Data Availability Statement

The datasets used and analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of the Use of AI in Scientific Writing

Nothing to declare.

References

Read more

American Society of Clinical Oncology. (2020). Managing cancer-related pain: A guide for patients, families, and caregivers from the American Society of Clinical Oncology. https://www.cancer.net/sites/cancer.net/files/managing_pain_booklet.pdf

Bandura, A., & Walters, R. H. (1963). Social learning and personality development. Holt Rinehart and Winston: New York.

Bender, M. S., Janson, S. L., Franck, L. S., & Lee, K. A. (2018). Theory of symptom management. In M. J. Smith & P. R. Liehr (Eds.), Middle range theory for nursing (pp. 147-178). Springer Publishing Company.

Bibi, R., Maneewat, K., Sangchan, H., & Sae-sia, W. (2022). Persistent post-surgical pain and its relationship to health-related quality of life in Pakistani women after breast cancer surgery. Belitung Nursing Journal, 8(3), 258-265. https://doi.org/10.33546/bnj.2022

Breivik, H., Cherny, N., Collett, B., De Conno, F., Filbet, M., Foubert, A. J., Cohen, R., & Dow, L. (2009). Cancer-related pain: A pan-European survey of prevalence, treatment, and patient attitudes. Annals of Oncology, 20(8), 1420-1433. https://doi.org/10.1093/annonc/mdp001

Cancer Care Ontario. (2016). How to manage your pain. https://unityhealth.to/wp-content/uploads/2021/05/pain.pdf

Cancer Council Australia. (2018). Overcoming cancer pain. Sydney: Cancer Council Australia. https://www.cancersa.org.au/uploads/support/Overcoming_Cancer_Pain_Booklet.pdf

McCracken, L. M. (1998). Learning to live with the pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74(1), 21-27. https://doi.org/10.1016/S0304-3959(97)00146-2

National Cancer Institute. (2019). Cancer pain control. https://www.cancer.gov/publications/patient-education/paincontrol.pdf

Oregon Pain Guidance. (2021). Pain education toolkit. https://www.oregonpainguidance.org/paineducationtoolkit/

Turk, D. C. (1990). Customizing treatment for chronic pain patients: Who, what, and why. The Clinical Journal of Pain, 6(4), 255-270.

Vietnam Ministry of Health. (2022). Decision 183/QD-BYT 2022 on providing the Guidance on Palliative Care. https://english.luatvietnam.vn/decision-no-183-qd-byt-dated-january-25-2022-of-the-ministry-of-health-on-providing-the-guidance-on-palliative-care-216352-doc1.html

Vu, S. D. (2021). Structure, content, and effectiveness of pain management education interventions for patients with cancer: A systematic review study for the period 2010 to 2022 The 20th National Cancer Prevention Conference "Cancer and Immunity", Vietnam.

West, C. M. (2003). The PRO-SELF©: Pain Control Program—An effective approach for cancer pain management. Oncology Nursing Forum, 30(1), 65-73. https://doi.org/10.1188/03.ONF.65-73

Yamanaka, M., & Suzuki, K. (2021). Evaluation of appropriateness of a nursing intervention program to promote pain self-management for adult outpatients with cancer pain. Asia-Pacific Journal of Oncology Nursing, 8(1), 33-39. https://doi.org/10.4103/apjon.apjon_37_20

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