A Qualitative Study of Veterans on Long-Term Opioid Analgesics: Barriers and Facilitators to Multimodality Pain Management

Pain Medicine (United States)

Volumn 16, Issue 4, 2015, Pages 726-732

  Simmonds, Maureen J ^a,b   Finley, Erin P ^a,b,c   Vale, Shruthi ^a   Pugh, Mary Jo ^a,b,c   Turner, Barbara J ^a,b  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^b SOUTH TEXAS VETERANS HEALTH CARE SYSTEM   (United States)

^c UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Alternative Therapies; Chronic Pain; Narcotics; Veterans

Indexed keywords

MORPHINE; NARCOTIC ANALGESIC AGENT;

ADULT; AGED; ANALGESIA; ARTICLE; ATTITUDE; CHRONIC PAIN; CLINICAL ARTICLE; FEMALE; GROUNDED THEORY; HUMAN; LONG TERM CARE; MALE; PEER GROUP; PERSONAL EXPERIENCE; QUALITATIVE RESEARCH; QUALITY OF LIFE; SOCIAL SUPPORT; THEORY OF PLANNED BEHAVIOR; TREATMENT DURATION; VETERAN; VETERANS HEALTH; ATTITUDE TO HEALTH; INFORMATION PROCESSING; MIDDLE AGED; MULTIMODALITY CANCER THERAPY; PROCEDURES; PSYCHOLOGY; UNITED STATES;

ADULT; AGED; ANALGESICS, OPIOID; CHRONIC PAIN; COMBINED MODALITY THERAPY; FEMALE; FOCUS GROUPS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; PAIN MANAGEMENT; QUALITATIVE RESEARCH; UNITED STATES; VETERANS; VETERANS HEALTH;

EID: 84926182587     PISSN: 15262375     EISSN: 15264637     Source Type: Journal    
DOI: 10.1111/pme.12626     Document Type: Article

References (29)

1. Institute of Medicine. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: The National Academies Press; 2011.
2. Chaparro LE, Furlan AD, Deshpande A, etal. Opioids compared with placebo or other treatments for chronic low back pain: An update of the Cochrane Review. Spine (Phila Pa 1976) 2014;39(7):556-563.
3. Dunn KM, Saunders KW, Rutter CM, etal. Opioid prescriptions for chronic pain and overdose: A cohort study. Ann Intern Med 2010;152(2):85-92.
4. Bohnert AS, Ilgen MA, Trafton JA, etal. Trends and regional variation in opioid overdose mortality among Veterans Health Administration patients, fiscal year 2001 to 2009. Clin J Pain 2014;30(7):605-612.
5. Von Korff M, Kolodny A, Deyo RA, Chou R. Long-term opioid therapy reconsidered. Ann Intern Med 2011;155(5):325-328.
6. Sehgal N, Colson J, Smith HS. Chronic pain treatment with opioid analgesics: Benefits versus harms of long-term therapy. Expert Rev Neurother 2013;13(11):1201-1220.
7. Stecker T, Fortney J, Owen R, McGovern MP, Williams S. Co-occurring medical, psychiatric, and alcohol-related disorders among veterans returning from Iraq and Afghanistan. Psychosomatics 2010;51(6):503-507.
8. Helmer DA, Chandler HK, Quigley KS, etal. Chronic widespread pain, mental health, and physical role function in OEF/OIF veterans. Pain Med 2009;10(7):1174-1182.
9. Dobscha SK, Morasco BJ, Duckart JP, Macey T, Deyo RA. Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain. Clin J Pain 2013;29(2):102-108.
10. Nuckols TK, Anderson L, Popescu I, etal. Opioid prescribing: A systematic review and critical appraisal of guidelines for chronic pain. Ann Intern Med 2014;160(1):38-47.
11. Office of the Army Surgeon General. Pain management task force report. 2010. Available at: http://www.regenesisbio.com/pdfs/journal/pain_management_task_force:report.pdf (accessed March 2014).
12. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: An updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology 2012;116(2):248-273.
13. Kehlet H, Dahl JB. The value of "multimodal" or "balanced analgesia" in postoperative pain treatment. Anesth Analg 1993;77(5):1048-1056.
14. Furlan AD, Reardon R, Weppler C. Opioids for chronic noncancer pain: A new Canadian practice guideline. CMAJ 2010;182(9):923-930.
15. Vallerand A, Nowak L. Chronic opioid therapy for nonmalignant pain: The patient's perspective. Part II-Barriers to chronic opioid therapy. Pain Manag Nurs 2010;11(2):126-131.
16. Heisler M, Vijan S, Makki F, Piette JD. Diabetes control with reciprocal peer support versus nurse care management: A randomized trial. Ann Intern Med 2010;153(8):507-515.
17. Turner BJ, Weiner M, Berry SD, etal. Overcoming poor attendance to first scheduled colonoscopy: A randomized trial of peer coach or brochure support. J Gen Intern Med 2008;23(1):58-63.
18. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process 1991;50:179-211.
19. Hardeman W, Johnston M, Johnston D, etal. Application of the theory of planned behaviour in behaviour change interventions: A systematic review. Psychol Health 2002;17(2):123-158. doi: 10.1080/08870440290013644a.
20. Glaser BG, Strauss A. The Discovery of Grounded Theory: Strategies for Qualitative Research. New York: Aldine Transaction; 1967.
21. Festinger L. A Theory of Cognitive Dissonance. London: Tavistock; 1962:291.
22. Zemore SE, Ajzen I. Predicting substance abuse treatment completion using a new scale based on the theory of planned behavior. J Subst Abuse Treat 2014;46(2):174-182.
23. Husebø AM, Dyrstad SM, Søreide JA, Bru E. Predicting exercise adherence in cancer patients and survivors: A systematic review and meta-analysis of motivational and behavioural factors. J Clin Nurs 2013;22(1-2):4-21.
24. Howe CQ, Sullivan MD, Saunders KW, etal. Depression and ambivalence toward chronic opioid therapy for chronic non-cancer pain. Clin J Pain 2012;28(7):561-566.
25. Wertli MM, Rasmussen-Barr E, Held U, etal. Fear avoidance beliefs-A moderator of treatment efficacy in patients with low back pain: A systematic review. Spine J 2014;14(11):2658-2678.
26. Anastassopoulos KP, Chow W, Tapia CI, etal. Reported side effects, bother, satisfaction, and adherence in patients taking hydrocodone for non-cancer pain. J Opioid Manag 2013;9(2):97-109.
27. Bergman AA, Matthias MS, Coffing JM, Krebs EE. Contrasting tensions between patients and PCPs in chronic pain management: A qualitative study. Pain Med 2013;14(11):1689-1697.
28. Slade SC, Patel S, Underwood M, Keating JL. What are patient beliefs and perceptions about exercise for non-specific chronic low back pain? A systematic review of qualitative studies. Clin J Pain 2013;30(11):995-1005.
29. Coyle N, Tikoo R. Qualitative research: What this research paradigm has to offer the understanding of pain. Pain Med 2007;8(3):205-206.