Meaning-Centered Pain Coping Skills Training for Cancer Pain

Summary

This study is a randomized controlled trial of a psychosocial pain management intervention called, Meaning-Centered Pain Coping Skills Training (MCPC). Patients with advanced solid tumor cancer and pain interference (N=210) will be randomized to MCPC or a standard care control condition. Patient-reported outcomes will be assessed at baseline and 8- and 12-week follow-ups. The risk and safety issues in this trial are low and limited to those common to a psychosocial intervention (e.g., loss of confidentiality).

Eligibility

Inclusion Criteria:

* Stage IV solid tumor cancer diagnosis
* Eastern Cooperative Oncology Group (ECOG) performance status of 2 or lower
* At least one clinical pain severity rating \> 0 out of 10 in past month
* At least moderate pain interference (8-item Patient-Reported Outcomes Measurement Information System \[PROMIS\] Pain Interference T-score \>/= 55) in the past week at telephone screening
* Ability to speak and read in English
* Age \>/= 18 years.

Exclusion Criteria:

* Significant cognitive impairment as indicated in medical chart or during telephone screening
* Serious untreated mental illness
* Primary brain cancer diagnosis
* Previous engagement in Pain Coping Skills Training or Meaning-Centered Psychotherapy
* Enrollment in hospice at screening

Conditions3

Locations1 site

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