At a glance
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Pilot Test of a Pain Management Intervention Preparatory to a Future Pragmatic Trial (ASCENT)
In Brief
A clinical study evaluating Acupuncture Therapy, Cancer Pain Management, and 14 other interventions for Chronic Leukemia and 4 related conditions. Completed, enrolled 51 participants across 2 sites.
Detailed Summary
This clinical trial tests how well a pain management intervention preparatory to a future pragmatic trial works in rural dwelling and Hispanic cancer survivors. Cancer pain is a key case study in health disparities in the United States. Cancer pain is prevalent, under treated, and remains a major cause of suffering, impairment, and disability for millions of Americans. Individual pain interventions and care models show promise for cancer pain in controlled settings. Hispanic and rural-dwelling cancer survivors stand to benefit the most from electronic health record innovations, as each of these health disparities populations experience profound disparities in pain outcomes, including marked under- and over-prescribing of opioids. Additionally, Hispanics not only comprise a steadily growing proportion of cancer survivors, but are also increasingly immigrating to rural communities, potentially placing them at "double risk" for poor outcomes. This trial will allow for the refinement of pain management intervention components that could help the management of cancer-related pain in rural dwelling and Hispanic cancer survivors.
Study Details
Timeline
Interventions
Undergo acupuncture therapy
Receive pain clinic referral
Undergo CBT
Participate in focus group
Receive self-guided pain management education materials
Participate in exercise
Complete interview
Receive massage
Practice mindfulness
Receive pain treatment/medicine
Receive palliative care referral
Undergo visits with PCM and CHW for pain management
Receive pain management referrals
Receive spiritual support
Receive spiritual care referral
Ancillary studies