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IMPROVING CAREGIVERASSESSMENT ANDCOMMUNICATION ABOUTPAIN IN RELATIVESWITH DEMENTIA Catherine RiffinLilla BrodyPriya Mukhi2022 год

IMPROVING CAREGIVER ASSESSMENT AND COMMUNICATION ABOUT PAIN IN RELATIVES WITH DEMENTIA
статья из журнала

Полный текстСтраница публикацииПубликация в OpenAlex
Аннотация: Abstract Pain is under-detected and poorly managed in persons with dementia (PWD). Family caregivers are well situated to detect and facilitate management of pain in PWD, but they receive little guidance and training in these tasks. Our group developed the Pain Identification and Communication Toolkit (PICT), a manualized, multicomponent intervention to help caregivers recognize pain in their care recipients and communicate their observations to healthcare providers. PICT includes a) training in administering an observational pain assessment tool, b) coaching in effective pain communication, and c) building caregivers’ skills through practice. To evaluate PICT’s acceptability, feasibility, and preliminary efficacy, we conducted a pilot randomized controlled trial of N=34 caregivers (n=18 randomized to PICT; n=16 randomized to a control condition). Participants were from diverse racial and ethnic backgrounds (14% Black; 15% Hispanic; 8% Asian; 8% multiracial). Of the caregivers enrolled in the intervention group, 66.7% reported that PICT improved their confidence in identifying pain symptoms, and 83.3% reported that PICT improved their confidence in communicating pain-related concerns to providers. Retention was excellent: 100% of caregivers in the PICT group completed all intervention sessions (4 total); only 5% prematurely terminated the study (did not complete the 12-week post-assessment questionnaire). Notably, caregivers in the PICT group showed a significant improvement in confidence communicating with healthcare providers from baseline to 12-week follow-up (M=3.9 vs. M=4.4; p<.01). Collectively, these findings suggest PICT’s potential as an intervention to help caregivers recognize and communicate about pain in PWD and that a full-scale efficacy trial with larger sample is warranted.
Год издания: 2022
Авторы: Catherine Riffin, Lilla Brody, Priya Mukhi, M. Carrington Reid, Keela Herr, Karl Pillemer
Издательство: University of Oxford
Источник: Innovation in Aging
Ключевые слова: Pain Management and Opioid Use, Patient-Provider Communication in Healthcare, Palliative Care and End-of-Life Issues
Другие ссылки: Innovation in Aging (PDF)
Innovation in Aging (HTML)
PubMed Central (HTML)