Tami Borneman, R.N., M.S.N., Research

Reducing Barriers to Pain & Fatigue Management
5-Year (2005-2010) NCI funded grant.  This study takes place in the Medical Oncology Outpatient Clinic with Dr. Marianna Koczywas as the primary physician contact.

The overall purpose of this study is to test an innovative model of reducing barriers to the management of pain and fatigue in cancer patients. These two symptoms were recognized by the NIH State of the Science Conference on Symptom Management in Cancer as critical symptoms impacting QOL and as priority areas for future research. The model, “Passport to Comfort” addresses patient, professional and system barriers to the relief of pain and fatigue and is based on established guidelines developed by the National Comprehensive Cancer Network.

This is a 3-phase study:

  • Phase I (September 2005-April 2006) followed patients to evaluate their usual care for pain and fatigue at accrual and at 1 and 3 months post-accrual via self-report instruments.
  • Phase II (June 2006-May 2008) is the “High Dose Passport Intervention” that included intensive patient and professional education as well as the implementation of the algorithms. Follow-up with accrued patients will occur at pre-intervention and at 1 and 3 months post-intervention.
  • Phase III (June 2008-May 2010) is the Low Intensity Intervention whereby the researchers continue to facilitate the intervention as it is implemented into existing systems and procedures within the cancer center.

Quality of Life and Symptom Concerns in Lung Cancer
The purpose of this descriptive, retrospective study was to determine QOL and symptom concerns in a cohort of lung cancer patients treated at a NCI designated comprehensive cancer center. The study aims were to describe 1) treatment received by lung cancer patients consistent with NCCN guidelines; and 2) symptoms experienced by lung cancer patients impacting QOL. A prospective analysis of QOL symptom concerns will occur in the next phase of this study.