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dc.contributor.authorLatter, Sue
dc.contributor.authorHopkinson, Jane
dc.contributor.authorLowson, Elizabeth
dc.contributor.authorHughes, Jane
dc.contributor.authorHughes, Jacqueline
dc.contributor.authorDuke, Sue
dc.contributor.authorAnstey, Sally
dc.contributor.authorBennett, Michael
dc.contributor.authorMay, Carl
dc.contributor.authorSmith, Peter
dc.contributor.authorRichardson, Alison
dc.date.accessioned2018-04-23T13:42:26Z
dc.date.available2018-04-23T13:42:26Z
dc.date.issued2017-07-05
dc.identifier.citationLatter, S., Hopkinson, J.B., Lowson, E., Hughes, J.A., Hughes, J., Duke, S., Anstey, S., Bennett, M.I., May, C., Smith, P. and Richardson, A. (2018) 'Supporting carers to manage pain medication in cancer patients at the end of life: A feasibility trial', Palliative medicine, 32(1), p.246-256en_US
dc.identifier.issn0269-2163
dc.identifier.issn1477-030X (online)
dc.identifier.urihttp://hdl.handle.net/10369/9575
dc.descriptionThis article was published in Palliative Care on 05 July 2017 (online) available open access at https://doi.org/10.1177/0269216317715197en_US
dc.description.abstractBackground: Carers of people with advanced cancer play a significant role in managing pain medication, yet they report insufficient information and support to do so confidently and competently. There is limited research evidence on the best ways for clinicians to help carers with medication management. Aims: To develop a pain medicines management intervention (Cancer Carers Medicines Management) for cancer patients’ carers near the end of life and evaluate feasibility and acceptability to nurses and carers. To test the feasibility of trial research procedures and to inform decisions concerning a full-scale randomised controlled trial. Design: Phase I-II clinical trial. A systematic, evidence-informed participatory method was used to develop CCMM: a nurse-delivered structured conversational process. A two-arm, cluster randomised controlled feasibility trial of Cancer Carers Medicines Management was conducted, with an embedded qualitative study to evaluate participants’ experiences of Cancer Carers Medicines Management and trial procedures. Setting: Community settings in two study sites. Participants: Phase I comprises 57 carers, patients and healthcare professionals and Phase II comprises 12 nurses and 15 carers. Results: A novel intervention was developed. Nurses were recruited and randomised. Carer recruitment to the trial was problematic with fewer than predicted eligible participants, and nurses judged a high proportion unsuitable to recruit into the study. Attrition rates following recruitment were typical for the study population. Cancer Carers Medicines Management was acceptable to carers and nurses who took part, and some benefits were identified. Conclusion: Cancer Carers Medicines Management is a robustly developed medicines management intervention which merits further research to test its effectiveness to improve carers’ management of pain medicines with patients at the end of life. The study highlighted aspects of trial design that need to be considered in future research.en_US
dc.language.isoenen_US
dc.publisherSageen_US
dc.relation.ispartofseriesPalliative Medicine;
dc.subjectfamily caregiversen_US
dc.subjectcarersen_US
dc.subjectmedicines managementen_US
dc.subjectmedication therapy managementen_US
dc.subjectanalgesiaen_US
dc.subjectterminal careen_US
dc.subjectcanceren_US
dc.subjectpainen_US
dc.subjectclinical trialen_US
dc.subjectnursesen_US
dc.titleSupporting carers to manage pain medication in cancer patients at the end of life: A feasibility trialen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1177/0269216317715197
dcterms.dateAccepted2017-07-05
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionVoRen_US
rioxxterms.licenseref.urihttp://www.creativecommons.org/licenses/by-nc/4.0/en_US
rioxxterms.licenseref.startdate2018-04-23
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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