Abstract
Objective: This study aimed to compare the effectiveness of counseling and digital booklet on the level of treatment adherence through reduced pain scale, Morisky Medication Adherence Scale (MMAS-8) scores, and pill count scores in patients with cancer pain using opioid analgesics. Methods: The author conducted this study at Dharmais Cancer Hospital with a quasi-experimental design. The study sample consisted of 134 respondents who met the inclusion and exclusion criteria, underwent a counseling intervention, and received a digital booklet. The author divided the sample into two groups, the counseling group (n=67) and the digital booklet group (n=67). Adherence level was measured using MMAS-8 and pill count. The pain scale was measured using the Numerical Rating Scale. Those measurements were conducted before the intervention (pre-test) and after 2 weeks of provisioning counseling and receipt of the digital booklet (post-test). Results: The results showed that each counseling and digital booklet improve adherence (p<0.05) and decrease pain scale (p<0.05). There was a significant difference in changes in the level of adherence (p=0.027) between the two groups. However, there was no significant difference in changes in the pain scale (p=0.132) between the two groups. Conclusions: The analysis showed a significant difference (p<0.05) between adherence level and pain scale before and after intervention by both counseling and digital booklet. Nevertheless, adherent increasing and pain scale reduction by counseling is better than a digital booklet.
Highlights
Cancer is one of the leading causes of death worldwide
This study aimed to compare the effectiveness of counseling and digital booklet on the level of adherence and pain scale at Dharmais Cancer Hospital from March to April 2021
In the counseling group and digital booklet, the respondents experienced an increase in adherence after being given the intervention
Summary
Cancer is one of the leading causes of death worldwide. Global Cancer Observatory data states that in 2020 there were 19.2 million new cases with a death rate of 9.9 million deaths [1]. In 2016, 17.2 million cases of disabilities globally were caused by cancer [2]. One of the factors that cause disability in cancer patients is pain [3]. Pain is a widespread cause of patient disability in various types of cancer and affects the quality of life of cancer patients [4]. Uncontrolled pain can significantly reduce bodily functions, appetite, sleep, mood, and quality of life [5]
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