Evidence map›Paper›PMID 30552013›Full record

Observational studyPatient education and counseling2019

Patient and provider characteristics associated with communication about opioids: An observational study.

Cleveland G Shields, Lindsay N Fuzzell, Sharon L Christ, Marianne S Matthias

Abstract readObservational Study
In one paragraph

Observational study in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Communication between patients and health care professionals about opioid medications.Exploratory research in clinical and social pharmacy · 2021
    Article
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

4 authors.

Cleveland G ShieldsPurdue University, Department of Human Development & Family Studies, Regenstrief Center for Healthcare Engineering, Purdue University, Purdue Center for Cancer Research, West Lafayette, IN, USA. Electronic address: cgshields@purdue.edu.
Lindsay N FuzzellDivision of Public Health Sciences, Department of Surgery, School of Medicine, Washington University in St. Louis, St. Louis, MO USA.
Sharon L ChristPurdue University, Department of Human Development & Family Studies, Regenstrief Center for Healthcare Engineering, Purdue University, Purdue Center for Cancer Research, West Lafayette, IN, USA; Purdue University, Department of Statistics, West Lafayette, IN, 47906, USA.
Marianne S MatthiasDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA; Regenstrief Institute, Inc., Indianapolis, IN, USA; Department of Communication Studies, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA; Center for Health Information and Communication, Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA.

Funding

Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
Identifying Communicative Factors Affecting Opioid Management for Chronic PainR21DA037384 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI MATTHIAS, MARIANNE, SHIELDS, CLEVELAND GEORGE · 2015 to 2016
$324k
NCI NIH HHS T32 CA190194NIDA NIH HHS R21 DA037384
6 · The paper itself

Abstract

objectiveOur objective is to examine the relationship of patient and provider characteristics and communication with chronic non-cancer pain and opioid management in primary care.

methodWe conducted an observational study using audio-recorded primary care appointments (up to 3/patient) and self-reported assessments of primary care providers (PCPs) and patients. We coded visit transcripts for 1) opioid and pain management talk and 2) mental health and opioid safety talk.

resultsEight PCPs and 30 patients had complete data for 78 clinic visits. PCPs and patients engaged in more opioid and pain management talk when patients reported greater pain catastrophizing and PCPs reported higher psychosocial orientation. PCPs and patients engaged in talk about mental health and opioid safety when patients reported greater anxiety, higher working alliance with their PCP, and when PCPs reported higher burnout. PCPs' negative attitudes about opioids were associated with fewer discussions about mental health and opioid safety.

conclusionsOur results should facilitate design of interventions that improve communication and, ultimately, pain outcomes for patients. PRACTICE IMPLICATIONS: Clinicians can use our results to increase patient engagement in discussions about opioid use and pain management or mental health and safety discussions.

Indexed as

Physician-Patient RelationsAdolescentAdultAnalgesics, OpioidAttitude of Health PersonnelChronic PainCommunicationFemaleHealth PersonnelHumansLongitudinal StudiesMaleMiddle AgedPatient ParticipationPatientsPractice Patterns, Physicians'Analgesics, OpioidCommunicationOpioidsPainProvider-patient relationship

Identifiers

PMID30552013
PMCPMC6491239

What OpenQuestion holds

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Registered trials

None linked

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.