Opioid reduction in chronic non-cancer pain patients Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Current participant inclusion criteria as of 07/07/2022: Patients: 1. Aged 18 years old or over 2. Diagnosed with chronic non-cancer pain 3. Taking prescribed high dose opioids (>50 mg daily MED) 4. Taking opioids for more than 3 months 5. Registered at a GP practice in Kirkby. Allied Health Professionals (AHP): 1. AHPs aged 18 years or older 2. AHP currently delivering BIOR as part of the study Previous participant inclusion criteria: Patients: 1. Aged 18 years old or over 2. Diagnosed with chronic non-cancer pain 3. Taking prescribed high dose opioids (>120mg daily MED) 4. Taking opioids for more than 3 months 5. Registered at a GP practice in Kirkby. Allied Health Professionals (AHP): 1. AHPs aged 18 years or older 2. AHP currently delivering BIOR as part of the study
Exclusion criteria
Exclusion criteria: Patients: 1. Major psychiatric co-morbidity (e.g. Schizophrenia; substance abuse) - a major physical illness. 2. Contact with a pain clinic in the past 3 years 3. Aged over 75 years Allied Health Professionals (AHP): 1. Cannot establish conversation in English.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Morphine equivalent dose (MED) of opioid intake reported by the participants at baseline, monthly for 6 months and at 12 months follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-reported questionnaire data measured at baseline, monthly for 6 months and at 12 months follow-up: 1. Pain (Brief Pain Inventory (BPI)) 2. Pain coping (Pain Coping Questionnaire (PCQ)) 3. Catastrophizing (Pain Catastrophising Scale (PCS)) 4. Stage of change (Pain Stages of Change Questionnaire (PSOCQ)) 5. Mood measured using a single item from the BPI 6. Function (Pain Self-Efficacy Questionnaire (PSEQ)) 7. Self-reported symptoms of withdrawal (Subjective Opioid Withdrawal Scale (SOWS)) | — |
Countries
England, United Kingdom