Internal Medicine · General Practice · 6 h ago
Interviews Identify Priorities for Pain Self-Management in Chronic Pain and OUD
A qualitative study interviewed 31 patients with chronic pain and opioid use disorder or opioid misuse, and 15 clinicians and staff in primary care settings. Participants highlighted barriers and needs that researchers used to tailor a pain self-management intervention; the study did not test its effectiveness.
- Interviews included 31 patients and 15 clinicians or staff.
- Patients raised concerns about long-term opioid therapy and pain self-efficacy.
- Clinicians cited stigma and social determinants as care barriers.
- Findings informed intervention development; effectiveness was not assessed.
Researchers interviewed 31 patients with chronic pain and opioid use disorder (OUD) or opioid misuse (OM), alongside 15 clinicians and staff from primary care settings in Pennsylvania and West Virginia. The qualitative study was conducted within a pragmatic clinical trial to inform the development and tailoring of a pain self-management (PSM) intervention. Interviews explored experiences of pain and pain management, and views on behavioral interventions; transcripts were coded and analyzed thematically.
Patients described concerns about the risks of long-term opioid therapy, limited confidence in their ability to manage pain, and complex relationships with clinicians. Clinicians and staff identified social determinants of health and stigma as factors that may impede care for people with these co-occurring conditions.
The findings informed the formulation of a PSM intervention for this population, but the study reports interview findings rather than intervention outcomes. It therefore does not establish whether the tailored approach improves pain, OUD or OM outcomes. The authors suggest the findings may also inform development of other psychosocial interventions.
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Journal of General Internal Medicine: Tailoring Pain Self‑management for Chronic Pain and Opioid Use Disorder: Qualitative Insights from Patients and Clinicians ↗This is an automated AI-condensed summary that has not yet been reviewed by an editor. Always consult the full item at the original source.