Journal article
"I Was a Little Surprised": Qualitative Insights From Patients Enrolled in a 12-Month Trial Comparing Opioids With Nonopioid Medications for Chronic Musculoskeletal Pain
The journal of pain, Vol.19(9), pp.1082-1090
09/01/2018
DOI: 10.1016/j.jpain.2018.04.008
PMCID: PMC6349028
PMID: 29715520
Abstract
Chronic musculoskeletal pain is a major public health problem. Although opioid prescribing for chronic pain has increased dramatically since the 1990s, this practice has come under scrutiny because of increases in opioid-related harms and lack of evidence for long-term effectiveness. The Strategies for Prescribing Analgesics Comparative Effectiveness (SPACE) trial was a pragmatic 12-month randomized trial comparing the benefits and harms of opioid versus nonopioid medications for chronic musculoskeletal pain. The current qualitative study was designed to better understand trial results by exploring patients' experiences, including perceptions of medications, experiences with the intervention, and whether expectations were met. Thirty-four participants who were purposefully sampled based on treatment group and intervention response participated in semistructured interviews. The constant comparison method guided analysis. Results revealed that participants often held strong beliefs about opioid medications, which sometimes changed during the trial as they gained experience with medications; participants described a wide variety of experiences with treatment effectiveness, regardless of study group or their response to the intervention; and participants highly valued the personalized pain care model used in SPACE.
Perspective: SPACE trial results indicated no advantage for opioid over nonopioid medications. Qualitative findings suggest that, for both treatment groups, preexisting expectations and anticipated improvement in pain shaped experiences with and responses to medications. The personalized pain care model was described as contributing to positive outcomes in both groups. (C) 2018 by the American Pain Society
Details
- Title: Subtitle
- "I Was a Little Surprised": Qualitative Insights From Patients Enrolled in a 12-Month Trial Comparing Opioids With Nonopioid Medications for Chronic Musculoskeletal Pain
- Creators
- Marianne S. Matthias - Indiana University – Purdue University IndianapolisMelvin T. Donaldson - University of MinnesotaAgnes C. Jensen - Minneapolis VA Health Care SystemErin E. Krebs - Minneapolis VA Health Care System
- Resource Type
- Journal article
- Publication Details
- The journal of pain, Vol.19(9), pp.1082-1090
- Publisher
- Elsevier
- DOI
- 10.1016/j.jpain.2018.04.008
- PMID
- 29715520
- PMCID
- PMC6349028
- ISSN
- 1526-5900
- eISSN
- 1528-8447
- Number of pages
- 9
- Grant note
- F30AT009162; T32GM008244 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA IIR 11-125 / Department of Veterans Affairs, Health Services Research and Development; US Department of Veterans Affairs
- Language
- English
- Date published
- 09/01/2018
- Academic Unit
- Emergency Medicine
- Record Identifier
- 9984656533502771
Metrics
4 Record Views