Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study
Objectives Approximately 10% of chronic pain patients who receive opioids develop an opioid use disorder (OUD). Tapering programmes for these patients show high drop-out rates. Insight into chronic pain patients’ experiences with tapering programmes for prescription OUD could help improve such progr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e075246.full |
| _version_ | 1797370568100544512 |
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| author | Ellen S Koster Marcel L Bouvy Lisa Eveline Maria Davies Katinka FM Damen Harmen Beurmanjer Vivienne WT van Dam Arnt FA Schellekens |
| author_facet | Ellen S Koster Marcel L Bouvy Lisa Eveline Maria Davies Katinka FM Damen Harmen Beurmanjer Vivienne WT van Dam Arnt FA Schellekens |
| author_sort | Ellen S Koster |
| collection | DOAJ |
| description | Objectives Approximately 10% of chronic pain patients who receive opioids develop an opioid use disorder (OUD). Tapering programmes for these patients show high drop-out rates. Insight into chronic pain patients’ experiences with tapering programmes for prescription OUD could help improve such programmes. Therefore, we investigated the perspectives of chronic pain patients with prescription OUD to identify facilitators and barriers to initiate and complete a specialised OUD tapering programme.Design A qualitative study using semi-structured interviews on experiences with initiation and completion of opioid tapering was audio recorded, transcribed and subject to directed content analysis.Setting This study was conducted in two facilities with specialised opioid tapering programmes in the Netherlands.Participants Twenty-five adults with chronic pain undergoing treatment for prescription OUD participated.Results Participants indicated that tapering is a personal process, where willingness and motivation to taper, perceived (medical) support and pain coping strategies have an impact on the tapering outcome. The opportunity to join a medical-assisted tapering programme, shared decision-making regarding tapering pace, tapering location, and receiving medical and psychological support facilitated completion of an opioid tapering programme.Conclusions According to patients, a successful treatment of prescription OUD requires a patient-centred approach that combines personal treatment goals with shared decision-making on opioid tapering. Referral to a specialised tapering programme that incorporates opioid rotation, non-judgmental attitudes, and psychological support can create a safe and supportive environment, fostering successful tapering and recovery. |
| first_indexed | 2024-03-08T18:04:21Z |
| format | Article |
| id | doaj.art-6bc0e631166b4b1fabf3ac8bba7647cc |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-08T18:04:21Z |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-6bc0e631166b4b1fabf3ac8bba7647cc2024-01-01T19:20:08ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-075246Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative studyEllen S Koster0Marcel L Bouvy1Lisa Eveline Maria Davies2Katinka FM Damen3Harmen Beurmanjer4Vivienne WT van Dam5Arnt FA Schellekens6Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, The NetherlandsDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, The NetherlandsDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, The NetherlandsNovadic-Kentron, Vught, The NetherlandsNovadic-Kentron, Vught, The NetherlandsDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, The NetherlandsDepartment of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The NetherlandsObjectives Approximately 10% of chronic pain patients who receive opioids develop an opioid use disorder (OUD). Tapering programmes for these patients show high drop-out rates. Insight into chronic pain patients’ experiences with tapering programmes for prescription OUD could help improve such programmes. Therefore, we investigated the perspectives of chronic pain patients with prescription OUD to identify facilitators and barriers to initiate and complete a specialised OUD tapering programme.Design A qualitative study using semi-structured interviews on experiences with initiation and completion of opioid tapering was audio recorded, transcribed and subject to directed content analysis.Setting This study was conducted in two facilities with specialised opioid tapering programmes in the Netherlands.Participants Twenty-five adults with chronic pain undergoing treatment for prescription OUD participated.Results Participants indicated that tapering is a personal process, where willingness and motivation to taper, perceived (medical) support and pain coping strategies have an impact on the tapering outcome. The opportunity to join a medical-assisted tapering programme, shared decision-making regarding tapering pace, tapering location, and receiving medical and psychological support facilitated completion of an opioid tapering programme.Conclusions According to patients, a successful treatment of prescription OUD requires a patient-centred approach that combines personal treatment goals with shared decision-making on opioid tapering. Referral to a specialised tapering programme that incorporates opioid rotation, non-judgmental attitudes, and psychological support can create a safe and supportive environment, fostering successful tapering and recovery.https://bmjopen.bmj.com/content/13/12/e075246.full |
| spellingShingle | Ellen S Koster Marcel L Bouvy Lisa Eveline Maria Davies Katinka FM Damen Harmen Beurmanjer Vivienne WT van Dam Arnt FA Schellekens Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study BMJ Open |
| title | Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study |
| title_full | Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study |
| title_fullStr | Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study |
| title_full_unstemmed | Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study |
| title_short | Patients’ perspectives on tapering programmes for prescription opioid use disorder: a qualitative study |
| title_sort | patients perspectives on tapering programmes for prescription opioid use disorder a qualitative study |
| url | https://bmjopen.bmj.com/content/13/12/e075246.full |
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