Wearable Respiratory Monitoring and Feedback for Chronic Pain in Adult Survivors of Childhood Cancer: A Feasibility Randomized Controlled Trial From the Childhood Cancer Survivor Study.


Journal

JCO clinical cancer informatics
ISSN: 2473-4276
Titre abrégé: JCO Clin Cancer Inform
Pays: United States
ID NLM: 101708809

Informations de publication

Date de publication:
11 2020
Historique:
entrez: 4 11 2020
pubmed: 5 11 2020
medline: 1 9 2021
Statut: ppublish

Résumé

Approximately 40% of childhood cancer survivors experience chronic pain, with many also reporting pain-related disability. Given associations established in the general population among respiration, anxiety, and pain, continuous tracking and feedback of respiration may help survivors manage pain. A feasibility, nonblinded, randomized controlled trial (RCT) comparing wearable respiratory monitoring with a control group examined feasibility, acceptability, and preliminary efficacy among survivors of childhood cancer with chronic pain who were ≥ 18 years of age, able to speak and read English, lived in the United States, and had access to a smartphone and the Internet. The primary outcomes were pain interference, pain severity, anxiety, negative affect, and perceived stress. The intervention group (n = 32) received a wearable respiratory monitor, used the device, and completed an in-application breathing exercise daily for 30 days. The control group (n = 33) received psychoeducation after completion of the study. Almost all participants in the intervention group (n = 31 of 32) and control group (n = 32 of 33) completed the study. Of those who completed the intervention, 90.3% wore the device for ≥ 50% of the trial. Posttreatment improvement for negative affect (Cohen The results of this pilot study support the acceptability and feasibility of wearable respiratory monitoring among survivors of childhood cancer. Larger randomized trials are needed to assess efficacy and maintenance of this intervention for chronic pain.

Identifiants

pubmed: 33147073
doi: 10.1200/CCI.20.00070
pmc: PMC7713517
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1014-1026

Subventions

Organisme : NCI NIH HHS
ID : P30 CA021765
Pays : United States
Organisme : NCI NIH HHS
ID : U24 CA055727
Pays : United States

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Auteurs

Nicole M Alberts (NM)

St Jude Children's Research Hospital, Memphis, TN.
Concordia University, Montréal, Quebec, Canada.

Wendy M Leisenring (WM)

Fred Hutchinson Cancer Research Center, Seattle, WA.

Jessica S Flynn (JS)

St Jude Children's Research Hospital, Memphis, TN.

Jillian Whitton (J)

Fred Hutchinson Cancer Research Center, Seattle, WA.

Todd M Gibson (TM)

National Institutes of Health, Bethesda, MD.

Lindsay Jibb (L)

The Hospital for Sick Children, Toronto, Ontario, Canada.

Aaron McDonald (A)

St Jude Children's Research Hospital, Memphis, TN.

James Ford (J)

St Jude Children's Research Hospital, Memphis, TN.

Neema Moraveji (N)

Spire Health, San Francisco, CA.

Blake F Dear (BF)

Macquarie University, Sydney, New South Wales, Australia.

Kevin R Krull (KR)

St Jude Children's Research Hospital, Memphis, TN.

Leslie L Robison (LL)

St Jude Children's Research Hospital, Memphis, TN.

Jennifer N Stinson (JN)

The Hospital for Sick Children, Toronto, Ontario, Canada.

Gregory T Armstrong (GT)

St Jude Children's Research Hospital, Memphis, TN.

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