Predictors of pain management among American Indian cancer survivors

Felicia Hodge, Karabi Nandy, Mary Cadogan, Tracy Itty, Umme Warda, Fernando Martinez, Ann Quan

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


There is little research on cancer symptom management among Indigenous populations. This paper reports on the predictors of cancer pain management among American Indian cancer patients/ survivors and their caregivers/ family. The intervention was a symptom management toolkit delivered via traditional talking circles vs. standard care (control) at eight randomized reservation and urban clinic sites in the Southwest. Participants (N=184) were American Indian adults diagnosed with cancer and/or caregiver/ family members. The primary outcome measure collected via pre-test and post-test questionnaires was the ability to manage cancer pain. Significant differences at post-test were the ability to manage cancer-related pain (p=.02) and a close relationship (p=.0018) that proved significant for intervention participants and was instrumental in fostering their ability to manage pain. The study also showed improvement in the desire and ability to improve cancer pain management among intervention participants. Programs targeting American Indians should use culturally appropriate education to improve management of cancer-related symptoms.

Original languageEnglish (US)
Pages (from-to)636-643
Number of pages8
JournalJournal of Health Care for the Poor and Underserved
Issue number2
StatePublished - May 2016
Externally publishedYes


  • American Indians
  • Cancer education
  • Cancer pain management
  • Predictors of pain management
  • Talking circles

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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