Attitudinal barriers to cancer pain management in Iceland
Review TypeNone: Degree-based Submission
Repository Posting Date2020-10-13T20:57:34Z
Author DetailsDr. Sigríður Gunnarsdóttir, PhD, RN
Lead Author Sigma AffliationNon-member
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
Attitudes about pain among patients, their family members and the lay-public can be barriers to cancer pain management. The aim of this dissertation was to evaluate attitudinal barriers to cancer-pain management in the general population of Iceland, and to evaluate relationships between barriers and background variables. A secondary aim was to evaluate the prevalence of pain of various origins in the population. The study is guided by a framework by Ward and colleagues, where attitudinal barriers (e.g. fear of addiction) interfere with pain management (under-utilization of analgesics) and consequently quality of life. The present study targets the antecedent variables (attitudes). A random sample of 1286 Icelandic adults was drawn from a national registry holding information about all 278,000 citizens of Iceland. Data collection was conducted with a postal-survey based on The Tailored Design. The Icelandic Barriers Questionnaire-II (IBQ-II), and the Brief Pain Inventory, both reliable and valid measures, were used to evaluate barriers and pain respectively. Of 1286 invited, 599 (46.6%) completed the survey. The mean (SD) age of respondents and non-respondents was 45.28 (17.14) and 44.25 (19.44) respectively. Majority of respondents were female (55.8%), while 47.6% of non-respondents were female. The mean (SD) IBQ-II score was 2.16 (0.77), on a scale of 0 to 5, with higher scores indicating stronger barriers. Education was inversely related to barriers. Those who had personal experience with cancer had lower barriers than those who did not, and health care professionals had lower IBQ-II scores than the rest of the participants. Roughly forty percent of participants had pain in the previous week, and 32.1% of the sample had experienced this pain for more than three months. Barriers to cancer pain management are prevalent in Iceland. They are also stronger than has been seen in research conducted in other countries. Pain of various origins is also prevalent in Iceland. These findings support the need for interventions aimed at pain management in general, and barriers to pain management in particular. This data will aid in the design, implementation, and evaluation of educational interventions and quality-improvement-projects, aimed at overcoming barriers to management of cancer-pain, and improvement of pain management.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3155200; ProQuest document ID: 305112856. The author still retains copyright.
Degree GrantorThe University of Wisconsin - Madison
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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