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Acceptability of a primary care-based opioid and pain review service: a mixed-methods evaluation in England

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@article{92733e9378704b708826a2c71f8ead57,
title = "Acceptability of a primary care-based opioid and pain review service: a mixed-methods evaluation in England",
abstract = "Background Primary care opioid prescribing to treat chronic non-cancer pain (CNCP) has progressively increased despite a lack of evidence for long-term safety and effectiveness. Developing primary care interventions to reduce opioid dependence in CNCP patients is a public health priority. AimWe report the acceptability of the South Gloucestershire pain and opioid review service for CNCP patients which aimed to help patients understand their relationship with prescribed opioids and support non-drug-based pain management strategies. Design and Setting The service was based in two GP practices in South Gloucestershire and delivered by project workers. A mixed-methods evaluation was performed. MethodDescriptive data were collected on delivered within-service and community-based interventions. Twenty-five semi-structured interviews (18 service-users, 7 service-providers) explored experiences of the service.ResultsThe enrolment process, person-centred, primary care-based delivery and service content focused on psychological issues underlying CNCP were acceptable to service users and providers. Service users welcomed having time to discuss their pain, its management and related psychological issues. Maintaining a long-term approach was desired as CNCP is a complex issue which takes time to address. GPs recommended that funding is needed to ensure they have dedicated time to support a similar service and to ensure that project workers receive adequate clinical supervision.ConclusionThis service model was acceptable and may be a useful means to manage patients with CNCP who develop opioid dependence after long-term use of opioids. A randomised controlled trial is needed to formally test the effectiveness of the service.",
keywords = "pain, primary health care, health promotion, pain management, chronic pain, opiod-related disorders",
author = "Jo Kesten and Kyla Thomas and Lauren Scott and Kevin Bache and Matthew Hickman and Rona Campbell and Pickering, {Anthony E} and Sabi Redwood",
year = "2019",
month = "10",
day = "8",
doi = "10.3399/bjgp19X706097",
language = "English",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - Acceptability of a primary care-based opioid and pain review service

T2 - a mixed-methods evaluation in England

AU - Kesten, Jo

AU - Thomas, Kyla

AU - Scott, Lauren

AU - Bache, Kevin

AU - Hickman, Matthew

AU - Campbell, Rona

AU - Pickering, Anthony E

AU - Redwood, Sabi

PY - 2019/10/8

Y1 - 2019/10/8

N2 - Background Primary care opioid prescribing to treat chronic non-cancer pain (CNCP) has progressively increased despite a lack of evidence for long-term safety and effectiveness. Developing primary care interventions to reduce opioid dependence in CNCP patients is a public health priority. AimWe report the acceptability of the South Gloucestershire pain and opioid review service for CNCP patients which aimed to help patients understand their relationship with prescribed opioids and support non-drug-based pain management strategies. Design and Setting The service was based in two GP practices in South Gloucestershire and delivered by project workers. A mixed-methods evaluation was performed. MethodDescriptive data were collected on delivered within-service and community-based interventions. Twenty-five semi-structured interviews (18 service-users, 7 service-providers) explored experiences of the service.ResultsThe enrolment process, person-centred, primary care-based delivery and service content focused on psychological issues underlying CNCP were acceptable to service users and providers. Service users welcomed having time to discuss their pain, its management and related psychological issues. Maintaining a long-term approach was desired as CNCP is a complex issue which takes time to address. GPs recommended that funding is needed to ensure they have dedicated time to support a similar service and to ensure that project workers receive adequate clinical supervision.ConclusionThis service model was acceptable and may be a useful means to manage patients with CNCP who develop opioid dependence after long-term use of opioids. A randomised controlled trial is needed to formally test the effectiveness of the service.

AB - Background Primary care opioid prescribing to treat chronic non-cancer pain (CNCP) has progressively increased despite a lack of evidence for long-term safety and effectiveness. Developing primary care interventions to reduce opioid dependence in CNCP patients is a public health priority. AimWe report the acceptability of the South Gloucestershire pain and opioid review service for CNCP patients which aimed to help patients understand their relationship with prescribed opioids and support non-drug-based pain management strategies. Design and Setting The service was based in two GP practices in South Gloucestershire and delivered by project workers. A mixed-methods evaluation was performed. MethodDescriptive data were collected on delivered within-service and community-based interventions. Twenty-five semi-structured interviews (18 service-users, 7 service-providers) explored experiences of the service.ResultsThe enrolment process, person-centred, primary care-based delivery and service content focused on psychological issues underlying CNCP were acceptable to service users and providers. Service users welcomed having time to discuss their pain, its management and related psychological issues. Maintaining a long-term approach was desired as CNCP is a complex issue which takes time to address. GPs recommended that funding is needed to ensure they have dedicated time to support a similar service and to ensure that project workers receive adequate clinical supervision.ConclusionThis service model was acceptable and may be a useful means to manage patients with CNCP who develop opioid dependence after long-term use of opioids. A randomised controlled trial is needed to formally test the effectiveness of the service.

KW - pain

KW - primary health care

KW - health promotion

KW - pain management

KW - chronic pain

KW - opiod-related disorders

U2 - 10.3399/bjgp19X706097

DO - 10.3399/bjgp19X706097

M3 - Article

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

M1 - bjgp19X706097

ER -