TY - JOUR
T1 - Emergency department patient perspectives on the risk of addiction to prescription opioids
AU - Conrardy, Michael
AU - Lank, Patrick
AU - Cameron, Kenzie A.
AU - McConnell, Ryan
AU - Chevrier, Alison
AU - Sears, Jill
AU - Ahlstrom, Eric
AU - Wolf, Michael S.
AU - Courtney, D. Mark
AU - McCarthy, Danielle M.
N1 - Publisher Copyright:
© 2015 American Academy of Pain Medicine. All rights reserved.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Objective. To characterize emergency department (ED) patients’ knowledge and beliefs about the addictive potential of opioids. Design. Mixed methods analysis of data from a randomized controlled trial. Setting. Urban academic ED (>88,000 visits). Subjects. One hundred and seventy four discharged ED patients prescribed hydrocodone-acetaminophen for acute pain. Methods. The study analyzed data collected from a randomized controlled trial investigating patients’ knowledge of opioids. ED patients discharged with hydrocodone-acetaminophen completed an audio-recorded phone interview 4-7 days later. This analysis focuses on responses about addiction. Responses were categorized using content analysis; thematic analysis identified broad themes common across different categories. Results. Participants’ mean age was 45.5 years (SD, 14.8), 58.6% female, 50.6% white, and the majority had an orthopedic diagnosis (24.1% back pain, 52.3% other injuries). Responses were categorized first based on whether the patient believed that opioids could be addictive (categorized as: yes, 58.7%; no, 19.5%; depends, 17.2%; or do not know, 4.6%), and second based on whether or not the patient discussed his/her own experience with the medication (categorized as: personalized, 35.6%; or not personalized, 64.4%). Cohen’s Kappa was 0.84 for all categories. Three themes emerged in the thematic analysis: theme 1) patients expect to “feel” addicted if they are addicted, theme 2) patients fear addiction, and theme 3) side effects affected patient views of addiction. Conclusion. In this sample, patients had misconceptions about opioid addiction. Some patients did not know opioids could be addictive, others underestimated their personal risk of addiction, and others overtly feared addiction and, therefore, risked inadequate pain management. Despite limited data, we recommend providers discuss opioid addiction with their patients.
AB - Objective. To characterize emergency department (ED) patients’ knowledge and beliefs about the addictive potential of opioids. Design. Mixed methods analysis of data from a randomized controlled trial. Setting. Urban academic ED (>88,000 visits). Subjects. One hundred and seventy four discharged ED patients prescribed hydrocodone-acetaminophen for acute pain. Methods. The study analyzed data collected from a randomized controlled trial investigating patients’ knowledge of opioids. ED patients discharged with hydrocodone-acetaminophen completed an audio-recorded phone interview 4-7 days later. This analysis focuses on responses about addiction. Responses were categorized using content analysis; thematic analysis identified broad themes common across different categories. Results. Participants’ mean age was 45.5 years (SD, 14.8), 58.6% female, 50.6% white, and the majority had an orthopedic diagnosis (24.1% back pain, 52.3% other injuries). Responses were categorized first based on whether the patient believed that opioids could be addictive (categorized as: yes, 58.7%; no, 19.5%; depends, 17.2%; or do not know, 4.6%), and second based on whether or not the patient discussed his/her own experience with the medication (categorized as: personalized, 35.6%; or not personalized, 64.4%). Cohen’s Kappa was 0.84 for all categories. Three themes emerged in the thematic analysis: theme 1) patients expect to “feel” addicted if they are addicted, theme 2) patients fear addiction, and theme 3) side effects affected patient views of addiction. Conclusion. In this sample, patients had misconceptions about opioid addiction. Some patients did not know opioids could be addictive, others underestimated their personal risk of addiction, and others overtly feared addiction and, therefore, risked inadequate pain management. Despite limited data, we recommend providers discuss opioid addiction with their patients.
KW - Emergency Medicine
KW - Narcotic Addiction
KW - Opioid Analgesics
KW - Opioids
KW - Qualitative Research
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U2 - 10.1111/pme.12862
DO - 10.1111/pme.12862
M3 - Article
C2 - 26332701
AN - SCOPUS:84940920757
SN - 1526-2375
VL - 17
SP - 114
EP - 121
JO - Pain Medicine
JF - Pain Medicine
IS - 1
ER -