{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T09:18:21Z","timestamp":1778750301511,"version":"3.51.4"},"reference-count":42,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pain control among cancer patients remains inadequate despite the availability of effective pharmacological treatments. Caregivers\u2019 knowledge of pain management is crucial to overall pain management. The objective of the study is to determine the level of knowledge on pain management among family caregivers of patients with cancers and explore the associated factors related to barriers in pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Method<\/jats:title>\n                    <jats:p>A cross-sectional study involving family caregivers of patients with cancer attending Oncology Clinic was conducted from December 2022 until June 2023. The study tools included: (1) sociodemographic data of the family caregiver and clinical characteristics of cancer patients (2) the Malay version of the Family Pain Questionnaire (FPQ) which assesses the caregiver\u2019s knowledge of pain management (3) the Malay version of Barries Questionnaire-13 which assess barriers toward pain management, and (4) the Malay version of Brief Pain Inventory (BPI) which assess patients\u2019 pain experience. The data was analyzed using simple and multiple linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 174 caregivers were recruited for this study. The mean knowledge score among caregivers was 47.5\u00a0\u00b1\u00a010.39. The mean score for BQ-13 was 29.14\u00a0\u00b1\u00a09.98. Multiple linear regression analysis showed that monthly income (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.001 (95% CI [0.00\u20130.002]),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.024), single status (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a04.04 (95% CI [1.25\u20136.84]),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.005), caregiver knowledge (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.31 (95% CI [0.18\u20130.44]),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.001), and degree of pain experience among cancer patients (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.08 (95% CI [0.04\u20130.13]),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.001) are the associated factors for barriers toward cancer pain management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The knowledge of pain management among family caregivers in our study was comparable to other previous studies. Level of knowledge, single status, pain experience, and monthly income had significant associations with barriers to pain management. The findings highlight the need for targeted educational support to address knowledge gaps and reduce barriers to effective pain management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7717\/peerj.21281","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:51:02Z","timestamp":1778748662000},"page":"e21281","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and barriers to pain management among cancer caregivers in Malaysia: a cross-sectional study"],"prefix":"10.7717","volume":"14","author":[{"given":"Syaza Syahirah","family":"Shamsuddin","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili Husniati","family":"Yaacob","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siti Suhaila","family":"Mohd Yusoff","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahisham","family":"Taib","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4443","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"issue":"12","key":"10.7717\/peerj.21281\/ref-1","doi-asserted-by":"publisher","first-page":"38","DOI":"10.5430\/jnep.v10n12p38","article-title":"Adult cancer patients\u2019 barriers toward pain management: a literature review","volume":"10","author":"Abdullah","year":"2020","journal-title":"Journal of Nursing Education and 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