There is a major gap between what research has found to be effective and the interventions that are actually being put into practice in the heal care settings (Titer, 2003). TRIP is a multifaceted intervention that promotes the implementation of evidence based practices in health care settings. The ultimate goal of TRIP is to yield improvements in patient outcomes. For this study TRIP intervention will be used to promote the adoption of evidence based guidelines in assessing and managing cancer pain in elderly. To test the effect of a multifaceted TRIP-Cancer Pain Intervention on:

Patient Outcomes

Pain severity Pain interference Overall quality of life Patient adherence to pain treatment

Provider Outcomes

The adoption of clinical practice guidelines

Evaluate the persistence of change in process and outcome variables at long-term follow-up (6 month post interventions)