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

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Abstract

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.

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Funding

PPB is funded by the National Institutes of Health K12 HD057022-14 Conflict of Interest: The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. VA Puget Sound Health Care System, 9600 Veterans Dr SW, Tacoma, WA, 98493, USA

    Emily Cox-Martin

  2. Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA

    Phoutdavone Phimphasone-Brady

  3. Strauss Health Sciences Library, University of Colorado-Anschutz Medical Campus, Aurora, CO, USA

    Lilian Hoffecker

  4. Department of Family Medicine, and ACCORDS Center, University of Colorado School of Medicine, Aurora, CO, USA

    Russell E. Glasgow

Authors
  1. Emily Cox-Martin
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  2. Phoutdavone Phimphasone-Brady
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  3. Lilian Hoffecker
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  4. Russell E. Glasgow
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Contributions

ECM conceived the project. ECM and PPB conducted article screening, data extraction, analyses, and manuscript development. LH contributed to literature review methodology and implementation as well as manuscript development. REG contributed to conceptual development of the project and manuscript development.

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Correspondence to Emily Cox-Martin.

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Emily Cox-Martin, Phoutdavone Phimphasone-Brady, Lilian Hoffecker, Russell E. Glasgow declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required. This article does not contain any studies with animals performed by the authors.

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Cox-Martin, E., Phimphasone-Brady, P., Hoffecker, L. et al. Psychosocial Interventions for Pain Management in Breast Cancer Survivors: A RE-AIM Evaluation. J Clin Psychol Med Settings 30, 182–196 (2023). https://doi.org/10.1007/s10880-022-09874-9

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  • DOI: https://doi.org/10.1007/s10880-022-09874-9

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