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Review Article | OPEN ACCESS

Educational interventions to optimize pain management in adult cancer patients: a scoping review

Nancy Y Nashwan1, 2, Hala ZI Alagha3 , Noraida Shah2, Farida Islahudin2

1Department of Pharmacy, Turkish Palestinian Friendship Hospital, Gaza, Palestine; 2Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 3Department of Pharmacology and Medical Sciences, Faculty of Pharmacy, Al Azhar University of Gaza, Palestine.

For correspondence:-  Hala Alagha   Email: p103903@siswa.ukm.edu.my

Received: 30 September 2024        Accepted: 11 March 2025        Published: 30 March 2025

Citation: Nashwan NY, Alagha HZ, Shah N, Islahudin F. Educational interventions to optimize pain management in adult cancer patients: a scoping review. Trop J Pharm Res 2025; 24(3):429-349 doi: 10.4314/tjpr.v24i3.15

© 2025 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: This review investigated educational interventions in optimizing pain management in adult cancer patients. Methods: The preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) guidelines were used. Key search terms and medical subject headings (MeSH) include “cancer pain”, “educational intervention”, “adherence”, “pain management”, “pharmacist”, “caregiver”, “nurse”, and “physician”. Results: Although 7,042 records were obtained, only 37 articles were included in the final analysis. Most studies were randomized controlled trials and utilized educational interventions targeting the patients. Nine articles reported interventions focusing on healthcare professionals (HCPs), while two reports utilized targeted family caregivers (FCGs). The interventions were aimed at clarifying misconceptions about opioids, improving patients’ pain-related knowledge and adherence to therapy, and HCPs’ compliance with practice guidelines. Although different methods were utilized to deliver the interventions, face-to-face sessions and interactive group discussions were most commonly implemented for patients, FCGs and HCPs, respectively. Also, these educational interventions improved pain management in adult cancer patients. Conclusion: Educational interventions had positive effect in optimizing pain management in adult cancer patients. However, systematic reviews are necessary to determine the effects of such interventions and identify factors that may play key roles in pain management for adult cancer patients.

Keywords: Cancer pain, Caregivers, Education, Healthcare professionals, Intervention

Impact Factor
Thompson Reuters (ISI): 0.6 (2023)
H-5 index (Google Scholar): 49 (2023)

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