Evidence map›Paper›PMID 28799863›Full record

ArticleSubstance abuse2018

Interprofessional prescription opioid abuse communication among prescribers and pharmacists: A qualitative analysis.

Nicholas E Hagemeier, Fred Tudiver, Scott Brewster, Elizabeth J Hagy, Brittany Ratliff, Angela Hagaman, Robert P Pack

Abstract read
In one paragraph

Article in Substance abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Nicholas E Hagemeiera Department of Pharmacy Practice , East Tennessee State University Gatton College of Pharmacy , Johnson City , Tennessee , USA.
Fred Tudiverb Department of Family Medicine , East Tennessee State University Quillen College of Medicine , Johnson City , Tennessee , USA.
Scott Brewsterc Department of Pharmacy Practice , East Tennessee State University Gatton College of Pharmacy , Johnson City , Tennessee , USA.
Elizabeth J Hagyc Department of Pharmacy Practice , East Tennessee State University Gatton College of Pharmacy , Johnson City , Tennessee , USA.
Brittany Ratliffc Department of Pharmacy Practice , East Tennessee State University Gatton College of Pharmacy , Johnson City , Tennessee , USA.
Angela Hagamand Department of Community and Behavioral Health , East Tennessee State University College of Public Health , Johnson City , Tennessee , USA.
Robert P Packe Department of Community and Behavioral Health , East Tennessee State University College of Public Health , Johnson City , Tennessee , USA.
East Tennessee State University · US

Funding

Inter-professional Communication to Prevent Prescription Drug Abuse in AppalachiaR24DA036409 · NIDA · EAST TENNESSEE STATE UNIVERSITY · PI PACK, ROBERT P · 2013 to 2017
$2.2M
NIDA NIH HHS R24 DA036409
6 · The paper itself

Abstract

backgroundPrescribers and community pharmacists commonly perceive prescription opioid abuse to be a problem in their practice settings and communities. Both cohorts have expressed support for interventions that improve interprofessional communication and reduce prescription opioid abuse. The objective of this study was to describe prescription opioid abuse-related communication among and between prescribers and community pharmacists in South Central Appalachia.

methodsThe investigators conducted five focus groups with 35 Appalachian Research Network practice-based research network providers between February and October, 2014. Two prescriber-specific, two pharmacist-specific, and one interprofessional (prescribers and pharmacists) focus groups were conducted, recorded, and transcribed. Data collection and analysis occurred iteratively. Emerging themes were inductively derived and refined. Five member-checking interviews were conducted to validate themes.

resultsProviders noted several factors that influence intraprofessional and interprofessional communication, including level of trust, role perceptions, conflict history and avoidance, personal relationships, and prescription monitoring program use. Indirect communication approaches via patients, office staff, and voicemail systems were common. Direct pharmacist to prescriber and prescriber to pharmacist communication was described as rare and often perceived to be ineffective. Prescriber to pharmacist communication was reported by prescribers to have decreased after implementation of state prescription monitoring programs. Difficult or uncomfortable conversations were often avoided by providers.

conclusionsInterprofessional and intraprofessional prescription opioid abuse communication is situational and influenced by multiple factors. Indirect communication and communication avoidance are common. Themes identified in this study can inform development of interventions that improve providers' intra- and interprofessional communication skills.

Indexed as

Attitude of Health PersonnelInterdisciplinary CommunicationOpioid-Related DisordersSubstance-Related DisordersAdultFemaleFocus GroupsHumansMaleMiddle AgedNursesPharmacistsPhysiciansQualitative ResearchCommunicationopioidpharmacistprescriber

Identifiers

PMID28799863
PMCPMC6094945
OpenAlexW2743492109

What OpenQuestion holds

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Registered trials

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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.