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

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, Effect...

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Bibliographic Details
Published in:Journal of clinical psychology in medical settings 2023-03, Vol.30 (1), p.182-196
Main Authors: Cox-Martin, Emily, Phimphasone-Brady, Phoutdavone, Hoffecker, Lilian, Glasgow, Russell E.
Format: Article
Language:English
Subjects:
Breast Neoplasms - complications
Cancer Pain - therapy
Cancer Survivors
Family Medicine
Female
General Practice
Health Psychology
Humans
Medicine
Medicine & Public Health
Pain Management
Psychosocial Intervention
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Summary: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.
ISSN:1068-9583
1573-3572
DOI:10.1007/s10880-022-09874-9