ArticlePatient education and counseling2015
A mixed methods study of patient-provider communication about opioid analgesics.
Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Information visualizations of symptom information for patients and providers: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Taking opioids in times of crisis: Institutional oversight, chronic pain and suffering in an integrated healthcare delivery system in the U.S.The International journal on drug policy · 2019Trial
- Development of the Chronic Pain Coding System (CPCS) for Characterizing Patient-Clinician Discussions About Chronic Pain and Opioids.Pain medicine (Malden, Mass.) · 2016Trial
- The Role of Satisfaction, Trust, and Shared Decision-Making in Opioid Misuse Risk After Unmet Analgesic Preferences for Acute Pain.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Patient-centered Engagement as a Mediator in the Associations of Healthcare Discrimination, Pain Care Denial, and Later Substance Use Among a Sample of Predominately African Americans Living with HIV.AIDS and behavior · 2024Article
- A qualitative interview study of GPs' experiences of prescribing opioid medication for chronic pain.BJGP open · 2022Article
- Long-term, high-dose opioid prescription for chronic non-cancer pain in primary care: an observational study.BJGP open · 2022Article
- Patient Perspectives on Improving Patient-Provider Relationships and Provider Communication During Opioid Tapering.Journal of general internal medicine · 2022Article
- Communication between patients and health care professionals about opioid medications.Exploratory research in clinical and social pharmacy · 2021Article
- Mixed Methods Study of Patient and Primary Care Provider Perceptions of Chronic Pain Treatment.Patient education and counseling · 2021Article
- Prescribed Opioid Use in Wisconsin 2008-2016: Findings From the Survey of the Health of Wisconsin.WMJ : official publication of the State Medical Society of Wisconsin · 2020Article
- Let's talk about pain and opioids: Low pitch and creak in medical consultations.Discourse studies · 2020Article
- Women's Perspectives On Provider Education Regarding Opioid Use.Journal of pain research · 2020Article
- Confronting challenges to opioid risk mitigation in the U.S. health system: Recommendations from a panel of national experts.PloS one · 2020Article
- Use of Immersive Learning and Simulation Techniques to Teach and Research Opioid Prescribing Practices.Pain medicine (Malden, Mass.) · 2019Article
- Patient-Clinician Communication About Pain: A Conceptual Model and Narrative Review.Pain medicine (Malden, Mass.) · 2018Review
- "I'm Not Gonna Pull the Rug out From Under You": Patient-Provider Communication About Opioid Tapering.The journal of pain · 2017Article
- Goals of Chronic Pain Management: Do Patients and Primary Care Physicians Agree and Does it Matter?The Clinical journal of pain · 2017Article
- Patient-Provider Engagement and Chronic Pain in Drug-Using, Primarily African American Persons Living with HIV/AIDS.AIDS and behavior · 2017Article
- Pain Symptoms Associated with Opioid Use among Vulnerable Persons with HIV: An exploratory study with implications for palliative care and opioid abuse prevention.Journal of palliative care · 2015Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo describe patient-provider communication about opioid pain medicine and explore how these discussions affect provider attitudes toward patients.
methodsWe audio-recorded 45 HIV providers and 423 patients in routine outpatient encounters at four sites across the country. Providers completed post-visit questionnaires assessing their attitudes toward patients. We identified discussions about opioid pain management and analyzed them qualitatively. We used logistic regression to assess the association between opioid discussion and providers' attitudes toward patients.
results48 encounters (11% of the total sample) contained substantive discussion of opioid-related pain management. Most conversations were initiated by patients (n=28, 58%) and ended by the providers (n=36, 75%). Twelve encounters (25%) contained dialog suggesting a difference of opinion or conflict. Providers more often agreed than disagreed to give the prescription (50% vs. 23%), sometimes reluctantly; in 27% (n=13) of encounters, no decision was made. Fewer than half of providers (n=20, 42%) acknowledged the patient's experience of pain. Providers had a lower odds of positive regard for the patient (adjusted OR=0.51, 95% CI: 0.27-0.95) when opioids were discussed.
conclusionsPain management discussions are common in routine outpatient HIV encounters and providers may regard patients less favorably if opioids are discussed during visits. The sometimes-adversarial nature of these discussions may negatively affect provider attitudes toward patients. PRACTICE IMPLICATIONS: Empathy and pain acknowledgment are tools that clinicians can use to facilitate productive discussions of pain management.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.