TY - JOUR
T1 - Prescription opioid use duration and beliefs about pain and pain medication in primary care patients
AU - Day, Philip
AU - Secrest, Scott
AU - Davis, Dawn
AU - Salas, Joanne
AU - van den Berk-Clark, Carissa
AU - Kale, Neelima
AU - Hearing, Catherine
AU - Schneider, F. David
AU - Scherrer, Jeffrey F.
N1 - Publisher Copyright:
© 2020 Journal of Opioid Management, All Rights Reserved.
PY - 2020
Y1 - 2020
N2 - Background: Patient beliefs about pain and opioids have been reported from qualitative data. To overcome limitations of unstructured assessments and small sample sizes, we determined if pain and pain medication beliefs varied by chronic pain status and opioid analgesic use (OAU) duration in primary care patients. Methods: Cross-sectional survey data obtained in 2017 and 2018 from 735 patients ≥ 18 years of age. The eight-item Barriers Questionnaire (BQ) measured beliefs about pain and pain medication. Patients reported OAU and use of other pain treatments. Multiple linear regression models estimated the association between never OAU, 1-90 day OAU and >90 day OAU and each BQ item. Results: Overall, respondents were 49.1 (±15.4) years old, 38.7 percent white, 28.4 percent African-American, 23.5 percent Hispanic, and 68.6 percent female. About one-third never used opioids, 41.8 percent had 1-90 day OAU, and 21.6 percent had > 90 day OAU. Multiple linear regression analyses showed that compared to never OAU, > 90 day OAU had lower average agreement that analgesics are addictive (β = −0.50; 95 percent CI: −0.96, −0.03), and 1-90 day OAU (β = −0.53; 95 percent CI: −0.96, −0.10) and > 90 OAU (β = −0.55; 95 percent CI: −1.04, −0.06) had lower average agreement that analgesics make people do or say embarrassing things. Conclusions: Patients with chronic OAU reported less concern about addiction and opioid-related behavior change. Never users were most likely to agree that opioids are addictive. There continues to be a need to educate patients about opioid risks. Assessing patients' beliefs may identify patients at risk for chronic OAU.
AB - Background: Patient beliefs about pain and opioids have been reported from qualitative data. To overcome limitations of unstructured assessments and small sample sizes, we determined if pain and pain medication beliefs varied by chronic pain status and opioid analgesic use (OAU) duration in primary care patients. Methods: Cross-sectional survey data obtained in 2017 and 2018 from 735 patients ≥ 18 years of age. The eight-item Barriers Questionnaire (BQ) measured beliefs about pain and pain medication. Patients reported OAU and use of other pain treatments. Multiple linear regression models estimated the association between never OAU, 1-90 day OAU and >90 day OAU and each BQ item. Results: Overall, respondents were 49.1 (±15.4) years old, 38.7 percent white, 28.4 percent African-American, 23.5 percent Hispanic, and 68.6 percent female. About one-third never used opioids, 41.8 percent had 1-90 day OAU, and 21.6 percent had > 90 day OAU. Multiple linear regression analyses showed that compared to never OAU, > 90 day OAU had lower average agreement that analgesics are addictive (β = −0.50; 95 percent CI: −0.96, −0.03), and 1-90 day OAU (β = −0.53; 95 percent CI: −0.96, −0.10) and > 90 OAU (β = −0.55; 95 percent CI: −1.04, −0.06) had lower average agreement that analgesics make people do or say embarrassing things. Conclusions: Patients with chronic OAU reported less concern about addiction and opioid-related behavior change. Never users were most likely to agree that opioids are addictive. There continues to be a need to educate patients about opioid risks. Assessing patients' beliefs may identify patients at risk for chronic OAU.
KW - Chronic pain
KW - Opioids
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=85099773832&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85099773832&partnerID=8YFLogxK
U2 - 10.5055/JOM.2020.0600
DO - 10.5055/JOM.2020.0600
M3 - Article
C2 - 33428189
AN - SCOPUS:85099773832
SN - 1551-7489
VL - 16
SP - 425
EP - 434
JO - Journal of Opioid Management
JF - Journal of Opioid Management
IS - 6
ER -