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Region Hovedstaden - en del af Københavns Universitetshospital
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Family nursing conversations with patients with chronic non-cancer pain and their selected family members A protocol for the FANCOC-PAIN quasi-experimental trial

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Introduction:
Chronic non-cancer pain (CNCP) is a disabling condition with comprehensive physical, psychosocial and socio-economic consequences. The biopsychosocial approach is the gold standard in treatment planning. Still, pain rarely resolves, rendering CNCP a condition of life – which requires patient acceptance. From a social perspective, family involvement may increase patients’ ability to manage CNCP. However, the area is underexposed and needs research to describe the impact of specific involvement approaches on the manageability of CNCP. This trial aims to investigate whether an intervention with family nursing conversations (FNC) in the context of established CNCP treatment, compared to usual treatment, will improve both patients’ and family members’ self-efficacy.

Methods:
The trial has a prospective non-blinded quasi-experimental design with two comparable groups: A control group and an intervention group, including 25 family dyads in both groups, each consisting of the patient and between one and three selected family members. In the intervention group, every family dyad will be offered three-four FNC based on the family systems nursing framework. Each conversation lasts 1.5 hours with three weeks interval. The trial setting is a multidisciplinary pain centre in the Capital Region of Denmark. The intervention will be conducted by the employed nurses who will be trained in FNC over a three-day course, followed by practice with test families. Data in the control group will be collected before training onset. The primary outcome is self-efficacy. Secondary outcomes are family function, health-related quality of life, anxiety and depression. Data will be collected at baseline, week nine and, for the intervention group, also at week 26.

Discussion:
CNCP is a devastating condition that lacks effective treatment services. With this trial, an initial step is taken to fill the research gap by illuminating the family's role in the day-to-day management of CNCP, creating knowledge within the social part of the biopsychosocial treatment approach. With effective intervention, FNC may be implemented as a standard treatment in the future.

Trial registration:
ClinicalTrials.gov: Family Nursing for Patients With Chronic Nonmalignant Pain, NCT03981302, initial released June 4, 2019. Protocol version, March 2021. The collection of data for the intervention group is in progress.
OriginalsprogEngelsk
TidsskriftMedicine, Case Reports and Study Protocols
Vol/bind2
Udgave nummer5
DOI
StatusUdgivet - maj 2021

ID: 65795053