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Psychosocial Interventions for Pain Management in Breast Cancer Survivors: A RE-AIM Evaluation. | LitMetric

AI Article Synopsis

  • sychosocial interventions for breast cancer pain are effective, but over 45% of survivors still experience this chronic issue.* ! *The study used the RE-AIM framework to assess how well these interventions are reported in terms of individual and setting/staff-level factors.* ! *Findings revealed that while individual-level factors were reported reasonably well, there were significant gaps in reporting concerning the sustained implementation at the setting/staff level, highlighting the need for better trial design and implementation strategies.*

Article Abstract

Psychosocial interventions for breast-cancer-related pain are effective, yet over 45% of survivors continue to struggle with this often-chronic side effect. This study evaluated multilevel indicators that can influence successful translation of interventions into clinical practice. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was applied to evaluate reporting of individual and setting/staff-level intervention indicators. A systematic search and multi-step screening process identified 31 randomized controlled trials for psychosocial interventions for breast cancer-related pain. Average reporting of indicators for individual-level dimensions (Reach and Effectiveness) were 65.2% and 62.3%, respectively. Comparatively, indicators for setting/staff-level dimensions were reported at a lower average frequency (Implementation, 46.8%; Adoption, 15.2%; Maintenance, 7.7%). Low reporting of setting/staff-level dimensions suggests gaps in the sustained implementation of psychosocial interventions. Implementation science methods and frameworks could improve trial design and accelerate the translation of psychosocial interventions for breast cancer-related pain into clinical practice.

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Source
http://dx.doi.org/10.1007/s10880-022-09874-9DOI Listing

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