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Patient, family members and community pharmacists’ views of a proposed overdose prevention intervention delivered in community pharmacies for patients prescribed high strength opioids for chronic non-cancer pain : an explorative intervention development study

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Date
27/09/2022
Author
Mercer, Fiona
Parkes, Tessa
Foster, Rebecca
Steven, Deborah
Baldacchino, Alexander Mario
McAuley, Andrew
Steele, Wez
Schofield, Joe
Matheson, Catriona
Keywords
Overdose risk
Prescription opioids
Chronic non-cancer pain
Overdose intervention
Naxolone
HV Social pathology. Social and public welfare
RM Therapeutics. Pharmacology
NDAS
SDG 3 - Good Health and Well-being
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Abstract
Introduction: Despite opioid prescribing for chronic non-cancer pain (CNCP) having limited therapeutic benefits, recent evidence indicates significant increases in the prescribing of high-strength opioids for individuals with CNCP. Patients prescribed opioids for CNCP have overdose risk factors but generally have low opioid overdose awareness and low perceptions of risk related to prescribed opioids. Currently there are few bespoke overdose prevention resources for this group. Methods: This qualitative study investigated views on a naloxone intervention for people prescribed high-strength opioids for CNCP delivered via community pharmacies. The intervention included overdose risk awareness and naloxone training and provision. Interviews were conducted with eight patients, four family members, and two community pharmacists. Participants were convenience sampled and recruited through networks within the Scottish pain community. The Framework approach was used to analyse findings. Results: All participants had positive attitudes towards the intervention, but patients and family members considered risk of overdose to be very low. Three themes were identified: potential advantages of the intervention; potential barriers to the intervention; and additional suggestions and feedback about the intervention. Advantages included the intervention providing essential overdose information for CNCP patients. Barriers included resource and time pressures within community pharmacies. Discussion and conclusion: While patients had low overdose knowledge and did not see themselves as being at risk of opioid overdose, they were receptive to naloxone use and positive about the proposed intervention. A feasibility trial is merited to further investigate how the intervention would be experienced within community pharmacy settings.
Citation
Mercer , F , Parkes , T , Foster , R , Steven , D , Baldacchino , A M , McAuley , A , Steele , W , Schofield , J & Matheson , C 2022 , ' Patient, family members and community pharmacists’ views of a proposed overdose prevention intervention delivered in community pharmacies for patients prescribed high strength opioids for chronic non-cancer pain : an explorative intervention development study ' , Drug and Alcohol Review , vol. Early View . https://doi.org/10.1111/dar.13554
Publication
Drug and Alcohol Review
Status
Peer reviewed
DOI
https://doi.org/10.1111/dar.13554
ISSN
0959-5236
Type
Journal article
Rights
Copyright © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Description
Funding: This project was funded/supported by a research bursary from NHS Fife R&D&I department.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/26319

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