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Chronic pain, prescribed opioids and overdose risk : a qualitative exploration of the views of affected individuals and family members

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Date
17/01/2022
Author
Parkes, Tessa
Foster, Rebecca
McAuley, Andrew
Steven, Deborah
Matheson, Catriona
Baldacchino, Alex
Keywords
Chronic pain
Prescription opioids
Qualitative research
Overdose prevention
Naloxone
RM Therapeutics. Pharmacology
Medicine (miscellaneous)
Health(social science)
E-DAS
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Abstract
It has been estimated that chronic non cancer pain (CNCP) affects more than 30% of people worldwide. Correspondingly, prescriptions for individuals experiencing CNCP have increased in recent years. While opioids can minimize pain, they also pose a risk of overdose. In 2019 in Scotland, prescription analgesics contributed to, or were implicated in, approximately 19% of drug related deaths. The experiences of those prescribed opioids for CNCP and family members, particularly their perceptions of overdose risk, are under-explored in the literature. This study aimed to address this gap by exploring how individuals and family members perceive the issue of overdose in relation to opioid analgesics, and their views of overdose prevention and potential interventions. Lived experiences from 12 individuals and family members living in Scotland were shared via in-depth qualitative interviews and analysed using NVivo and Framework. Coding was iterative and deductive. Analysis generated five themes: (1) living with pain and experiencing stigma; (2) taking more medication than prescribed; (3) side effects of medication; (4) overdose risk and prevention: the role of prescribers; and (5) attitudes towards naloxone to address overdose risk. Study findings have implications for the development of interventions and broader responses to reduce overdose risk among this group.
Citation
Parkes , T , Foster , R , McAuley , A , Steven , D , Matheson , C & Baldacchino , A 2022 , ' Chronic pain, prescribed opioids and overdose risk : a qualitative exploration of the views of affected individuals and family members ' , Drugs: Education, Prevention and Policy , vol. Latest Articles . https://doi.org/10.1080/09687637.2021.2022100
Publication
Drugs: Education, Prevention and Policy
Status
Peer reviewed
DOI
https://doi.org/10.1080/09687637.2021.2022100
ISSN
0968-7637
Type
Journal article
Rights
Copyright © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/24704

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