Clinicians' attitudes and beliefs about opioids survey (CAOS): instrument development and results of a national physician survey.
| Autor: | Wilson HD; United BioSource Corporation, Outcomes Research, Chevy Case, Maryland, USA., Dansie EJ, Kim MS, Moskovitz BL, Chow W, Turk DC |
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| Jazyk: | angličtina |
| Zdroj: | The journal of pain [J Pain] 2013 Jun; Vol. 14 (6), pp. 613-27. Date of Electronic Publication: 2013 Mar 26. |
| DOI: | 10.1016/j.jpain.2013.01.769 |
| Abstrakt: | Unlabelled: Beliefs surrounding the use of opioids for chronic noncancer pain have vacillated over time. Concerns regarding long-term efficacy and adverse effects of opioids, along with increases in opioid prescribing, have contributed to many political, regulatory, and clinical responses. The present study was designed to (1) develop a reliable and valid measure (Clinicians' Attitudes about Opioids Scale [CAOS]) to assess current and evolving beliefs regarding opioids and opioid use in patients with chronic pain; and (2) survey these beliefs in a nationally representative sample of providers from multiple medical specialties throughout the United States. We developed the questionnaire in 3 phases: (1) focus groups and content development; (2) pilot testing and subsequent revisions; and (3) formal survey (N = 1,535) and assessment of stability (N = 251). The resulting 38-item measure assessed 5 domains: (1) Impediments and Concerns; (2) Perceived Effectiveness; (3) Schedule II versus III Opioids; (4) Medical Education; and (5) Tamper Resistant Formulations. No significant differences were identified among geographical regions; however, several differences were observed among medical specialties. Orthopedists were most troubled by impediments/concerns from long-term opioid use and had the least confidence in opioid efficacy, whereas Pain Medicine specialists and Physical Medicine and Rehabilitation specialists were the most confident in efficacy. Perspective: This article presents the psychometric properties of a new measure of clinicians' beliefs surrounding opioid use for chronic pain. Using this measure, beliefs and behaviors of physicians across medical specialties and geographic regions using a nationally representative sample are presented, updating findings from a similar survey conducted 20 years ago. (Copyright © 2013 American Pain Society. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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