PainRelief.com Interview with: Leon Timmerman, PhD St Antonius Hospital, Department of Anesthesiology Intensive Care and Pain Medicine The Netherlands
PainRelief.com: What is the
background for this study? What are the
Response: Chronic pain is commonly treated
with pain medication. However, the results of pharmacological treatment are
often poor. One of the reasons might be that half of the patients do not use
their medication as prescribed. Underuse as well as overuse are common and have
been described to result in reduced treatment effect, health care risks and
unnecessary treatment changes. The are many risks factors described for
The way people think about their pain medication have been shown to be related to
the way they use their medication. With this study, we confirmed this relation
with a prospective study. Baseline beliefs about pain medication, measured by
‘Pain Medication Attitudes Questionnaire’, were found to be related to
underuse of pain medication, the occurrence of side effects and patient
satisfaction after three months.
PainRelief.com Interview with: Daniel P. Alford, MD, MPH Professor of Medicine Associate Dean, Continuing Medical Education Director, Clinical Addiction Research and Education (CARE) Unit Director, Safe and Competent Opioid Prescribing Education (SCOPE of Pain) Program Boston University School of Medicine Boston Medical Center, Boston MA 02118
PainRelief.com: What is the background for this study?
Response: Boston University School of Medicine’s Safe and Competent Opioid Prescribing Education (SCOPE of Pain) is the longest-running safer opioid prescribing educational program under the FDA’s opioid Risk Evaluation and Mitigation Strategy (REMS).
This study analyzed clinicians’, who were registering to attend a SCOPE of Pain training, self-report of performing five opioid prescribing risk-mitigation practices with patients prescribed opioids for chronic pain including:
Use of patient-prescriber agreements,
2) Informing patients about taking opioids exactly as prescribed,
3) Discussing safe opioid storage and disposal,
4) Discussing risks of opioid-associated respiratory depression and overdose, and
5) Monitoring for misuse including urine drug test and/or pill counts, prior to participating in the training.
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