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Papers by Usha Thapa

Research paper thumbnail of Female School Teachers' Knowledge Regarding Cervical Cancer

Deleted Journal, Feb 29, 2024

Research paper thumbnail of Oncology Nurses’ Knowledge and Attitude towards Palliative Care

Nepalese journal of cancer, Nov 27, 2023

Research paper thumbnail of A Global Collaboration to Develop and Pilot Test a Mobile Application to Improve Cancer Pain Management in Nepal

Frontiers in Pain Research

IntroductionQuality palliative care, which prioritizes comfort and symptom control, can reduce gl... more IntroductionQuality palliative care, which prioritizes comfort and symptom control, can reduce global suffering from non-communicable diseases, such as cancer. To address this need, the Nepalese Association of Palliative Care (NAPCare) created pain management guidelines (PMG) to support healthcare providers in assessing and treating serious pain. The NAPCare PMG are grounded in World Health Organization best practices but adapted for the cultural and resource context of Nepal. Wider adoption of the NAPCare PMG has been limited due to distribution of the guidelines as paper booklets.MethodsBuilding on a long-standing partnership between clinicians and researchers in the US and Nepal, the NAPCare PMG mobile application (“app”) was collaboratively designed. Healthcare providers in Nepal were recruited to pilot test the app using patient case studies. Then, participants completed a Qualtrics survey to evaluate the app which included the System Usability Scale (SUS) and selected items fr...

Research paper thumbnail of Building a ‘Virtual Library’: continuing a global collaboration to strengthen research capacity within Nepal and other low- and middle-income countries

Research paper thumbnail of P083 Decision Making at End of Life in Cancer Care: What Do Patients Want?

Journal of Pain and Symptom Management, 2016

'research dyad' (consenting hospice patient and family member) was an enrollment barrier. Three p... more 'research dyad' (consenting hospice patient and family member) was an enrollment barrier. Three projects were completed. One patient passed away before an evaluation was completed. The two patients who submitted an evaluation 'greatly' (4/5) enjoyed creating their legacy projects. From the perspective of the family members, two out of three were 'greatly' (4/5) happy with the finished legacy project. Conclusions: We found that near end of life, legacy project creation is difficult to execute for patients and students, particularly in a research setting. However, the completed projects were valuable to both patients and family members, and the process served as a valuable learning experience for the premedical students.

Research paper thumbnail of A survey of cancer care institutions in Nepal to inform design of a pain management mobile application

BMC Palliative Care

Background One way to improve the delivery of oncology palliative care in low and middle-income c... more Background One way to improve the delivery of oncology palliative care in low and middle-income countries (LMICs) is to leverage mobile technology to support healthcare providers in implementing pain management guidelines (PMG). However, PMG are often developed in higher-resourced settings and may not be appropriate for the resource and cultural context of LMICs. Objectives This research represents a collaboration between the University of Virginia and the Nepalese Association of Palliative Care (NAPCare) to design a mobile health application (‘app’) to scale-up implementation of existing locally developed PMG. Methods We conducted a cross-sectional survey of clinicians within Nepal to inform design of the app. Questions focused on knowledge, beliefs, and confidence in managing cancer pain; barriers to cancer pain management; awareness and use of the NAPCare PMG; barriers to smart phone use and desired features of a mobile app. Findings Surveys were completed by 97 palliative care a...

Research paper thumbnail of Informing Design of a Smart Phone Mobile Application to Improve Cancer Pain Management: A Survey of Cancer Care Institutions in Nepal (RP510)

Journal of Pain and Symptom Management

Research paper thumbnail of Female School Teachers' Knowledge Regarding Cervical Cancer

Deleted Journal, Feb 29, 2024

Research paper thumbnail of Oncology Nurses’ Knowledge and Attitude towards Palliative Care

Nepalese journal of cancer, Nov 27, 2023

Research paper thumbnail of A Global Collaboration to Develop and Pilot Test a Mobile Application to Improve Cancer Pain Management in Nepal

Frontiers in Pain Research

IntroductionQuality palliative care, which prioritizes comfort and symptom control, can reduce gl... more IntroductionQuality palliative care, which prioritizes comfort and symptom control, can reduce global suffering from non-communicable diseases, such as cancer. To address this need, the Nepalese Association of Palliative Care (NAPCare) created pain management guidelines (PMG) to support healthcare providers in assessing and treating serious pain. The NAPCare PMG are grounded in World Health Organization best practices but adapted for the cultural and resource context of Nepal. Wider adoption of the NAPCare PMG has been limited due to distribution of the guidelines as paper booklets.MethodsBuilding on a long-standing partnership between clinicians and researchers in the US and Nepal, the NAPCare PMG mobile application (“app”) was collaboratively designed. Healthcare providers in Nepal were recruited to pilot test the app using patient case studies. Then, participants completed a Qualtrics survey to evaluate the app which included the System Usability Scale (SUS) and selected items fr...

Research paper thumbnail of Building a ‘Virtual Library’: continuing a global collaboration to strengthen research capacity within Nepal and other low- and middle-income countries

Research paper thumbnail of P083 Decision Making at End of Life in Cancer Care: What Do Patients Want?

Journal of Pain and Symptom Management, 2016

'research dyad' (consenting hospice patient and family member) was an enrollment barrier. Three p... more 'research dyad' (consenting hospice patient and family member) was an enrollment barrier. Three projects were completed. One patient passed away before an evaluation was completed. The two patients who submitted an evaluation 'greatly' (4/5) enjoyed creating their legacy projects. From the perspective of the family members, two out of three were 'greatly' (4/5) happy with the finished legacy project. Conclusions: We found that near end of life, legacy project creation is difficult to execute for patients and students, particularly in a research setting. However, the completed projects were valuable to both patients and family members, and the process served as a valuable learning experience for the premedical students.

Research paper thumbnail of A survey of cancer care institutions in Nepal to inform design of a pain management mobile application

BMC Palliative Care

Background One way to improve the delivery of oncology palliative care in low and middle-income c... more Background One way to improve the delivery of oncology palliative care in low and middle-income countries (LMICs) is to leverage mobile technology to support healthcare providers in implementing pain management guidelines (PMG). However, PMG are often developed in higher-resourced settings and may not be appropriate for the resource and cultural context of LMICs. Objectives This research represents a collaboration between the University of Virginia and the Nepalese Association of Palliative Care (NAPCare) to design a mobile health application (‘app’) to scale-up implementation of existing locally developed PMG. Methods We conducted a cross-sectional survey of clinicians within Nepal to inform design of the app. Questions focused on knowledge, beliefs, and confidence in managing cancer pain; barriers to cancer pain management; awareness and use of the NAPCare PMG; barriers to smart phone use and desired features of a mobile app. Findings Surveys were completed by 97 palliative care a...

Research paper thumbnail of Informing Design of a Smart Phone Mobile Application to Improve Cancer Pain Management: A Survey of Cancer Care Institutions in Nepal (RP510)

Journal of Pain and Symptom Management

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