Overview
To explore the barriers and fears related to use of opioids among a population of adult outpatients with advanced cancer who continue to experience pain after receiving a prescription for opioid analgesia and hypothesized associations among opiophobia, anxiety, depression, pain intensity, pain interference, and opioid medication adherence.
Description
Primary Objective:
To explore the barriers and fears related to use of opioids among a population of adult outpatients with advanced cancer who continue to experience pain after receiving a prescription for opioid analgesia.
Secondary Objective:
To examine associations among opiophobia, anxiety, depression, pain intensity, pain interference, and opioid medication adherence among adults with advanced cancer who report undermanaged pain during the first week after receiving a prescription for an opioid analgesic.
Eligibility
Inclusion Criteria:
- Adult patients with advanced cancer (defined as cancer that is unlikely to be cured and is locally advanced or distantly metastasized
- Pain is the documented reason for the Supportive Care consultation
- Have a prescription for an opioid analgesic
- Able to read, speak, and consent in English.
Exclusion Criteria:
- Age less than 18 years
- Do not have a prescription for an opioid analgesic
- Individuals for whom there is documentation of inability to provide consent in the medical record
- Women who are pregnant
- Patients with a substance use disorder (including alcohol use disorder and excluding tobacco use disorder) documented in the electronic health record under History of Present Illness or in the Medical History.