Evidence map›Paper›PMID 40931812›Full record

ArticleBritish journal of health psychology2025

Perceptions of patients and health care professionals on postoperative pain management: Key factors influencing persistent opioid use.

Neetu Bansal, Rhiannon E Hawkes, Li-Chia Chen, Darren M Ashcroft, Christopher J Armitage

Abstract read
In one paragraph

Article in British journal of health psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
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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

5 authors.

Neetu BansalCentre for Pharmacoepidemiology and Drug Safety, Drug Usage and Pharmacy Practice Group, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0002-9897-8757
Rhiannon E HawkesManchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK.ORCID 0000-0003-0479-8163
Li-Chia ChenCentre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Darren M AshcroftCentre for Pharmacoepidemiology and Drug Safety, Drug Usage and Pharmacy Practice Group, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Christopher J ArmitageManchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK.ORCID 0000-0003-2365-1765

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

objectiveThis study applied the Theoretical Domains Framework (TDF) to explore the barriers and enablers to optimizing post-operative pain management and supporting safe opioid use from the perspectives of both patients and health care professionals, applying the Theoretical Domains Framework (TDF).

designExperience-based co-design (EBCD) qualitative study.

methodsIn the initial phase of the EBCD approach, focus groups were conducted comprising 20 participants, including 8 patients and 12 health care professionals involved in post-operative care. The data were systematically analysed using framework analysis and mapped to the TDF. Intervention functions and behaviour change techniques (BCTs) targeting each TDF domain were identified.

resultsAnalysis revealed significant barriers faced by patients, including a lack of continuity in care, inadequate preoperative preparation, and insufficient guidance on opioid tapering. Health care professionals reported barriers associated with deficiencies in knowledge, skills, and environmental resources, particularly workforce constraints and ineffective communication across care settings. Notable enablers included pharmacist-led medication reviews and the adoption of digital technologies to enhance education and support tapering.

conclusionsThis study identifies critical barriers and facilitators that influence postoperative pain management and opioid use. Targeted interventions are imperative to optimize these outcomes. Key recommendations include implementing pharmacist-led medication reviews, integrating digital tapering support tools and enhancing preoperative educational efforts. Furthermore, strengthening communication pathways and addressing workforce challenges through dedicated training and resource allocation are essential. Future research should assess the efficacy of these tailored interventions across diverse clinical contexts to improve patient outcomes and refine prescribing practices.

Indexed as

Analgesics, OpioidAttitude of Health PersonnelHealth Knowledge, Attitudes, PracticeHealth PersonnelPain ManagementPostoperative PainAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedOpioid-Related DisordersQualitative ResearchAnalgesics, Opioidbehaviour change techniquesexperience‐based co‐designpersistent opioid usepost‐operative pain management

Identifiers

PMID40931812
PMCPMC12423896

What OpenQuestion holds

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LicenceCC BY
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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.