Literature DB >> 22611608

Prescription opioid use and misuse: piloting an educational strategy for rural primary care physicians.

Anita Srivastava1, Meldon Kahan, Ashifa Jiwa.   

Abstract

OBJECTIVE: To evaluate the feasibility and effectiveness of a multifaceted educational intervention to improve the opioid prescribing practices of rural family physicians in a remote First Nations community.
DESIGN: Prospective cohort study.
SETTING: Sioux Lookout, Ont. PARTICIPANTS: Family physicians.
INTERVENTIONS: Eighteen family physicians participated in a 1-year study of a series of educational interventions on safe opioid prescribing. Interventions included a main workshop with a lecture and interactive case discussions, an online chat room, video case conferencing, and consultant support. MAIN OUTCOME MEASURES: Responses to questionnaires at baseline and after 1 year on knowledge, attitudes, and practices related to opioid prescribing.
RESULTS: The main workshop was feasible and was well received by primary care physicians in remote communities. At 1 year, physicians were less concerned about getting patients addicted to opioids and more comfortable with opioid dosing.
CONCLUSION: Multifaceted education and consultant support might play an important role in improving family physician comfort with opioid prescribing, and could improve the treatment of chronic pain while minimizing the risk of addiction.

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Year:  2012        PMID: 22611608      PMCID: PMC3325473     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  30 in total

1.  Witnessing heroin-related overdoses: the experiences of young injectors in San Francisco.

Authors:  Peter J Davidson; Kristen C Ochoa; Judith A Hahn; Jennifer L Evans; Andrew R Moss
Journal:  Addiction       Date:  2002-12       Impact factor: 6.526

2.  A comparison of buprenorphine treatment in clinic and primary care settings: a randomised trial.

Authors:  John R M Caplehorn
Journal:  Med J Aust       Date:  2003-11-17       Impact factor: 7.738

3.  Differences between general practitioner- and addiction centre-prescribed buprenorphine substitution therapy in France. Preliminary results.

Authors:  J Vignau; E Brunelle
Journal:  Eur Addict Res       Date:  1998       Impact factor: 3.015

4.  The use of telemedicine for delivering continuing medical education in rural communities.

Authors:  Michael A Ricci; Michael P Caputo; Peter W Callas; Mary Gagne
Journal:  Telemed J E Health       Date:  2005-04       Impact factor: 3.536

Review 5.  Safety and health policy considerations related to the use of buprenorphine/naloxone as an office-based treatment for opiate dependence.

Authors:  T Peter Bridge; Paul J Fudala; Susan Herbert; Deborah B Leiderman
Journal:  Drug Alcohol Depend       Date:  2003-05-21       Impact factor: 4.492

6.  The response of primary care physicians to problem drinkers.

Authors:  M E Rohman; P D Cleary; M Warburg; T L Delbanco; M D Aronson
Journal:  Am J Drug Alcohol Abuse       Date:  1987       Impact factor: 3.829

7.  Physicians' knowledge of alcohol, tobacco and folic acid in pregnancy.

Authors:  L G Lefebvre; A Ordean; D Midmer; M Kahan; G Tolomiczenko
Journal:  Subst Abus       Date:  2007-03       Impact factor: 3.716

8.  Patient characteristics and risks factors for development of dependence on hydrocodone and oxycodone.

Authors:  Norman S Miller; Andrea Greenfeld
Journal:  Am J Ther       Date:  2004 Jan-Feb       Impact factor: 2.688

9.  Veterans affairs primary care clinicians' attitudes toward chronic pain and correlates of opioid prescribing rates.

Authors:  Steven K Dobscha; Kathryn Corson; Jennifer A Flores; Erin C Tansill; Martha S Gerrity
Journal:  Pain Med       Date:  2008 Jul-Aug       Impact factor: 3.750

10.  Specialist versus general practitioner treatment of problem drinkers.

Authors:  D C Drummond; B Thom; C Brown; G Edwards; M J Mullan
Journal:  Lancet       Date:  1990-10-13       Impact factor: 79.321

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  4 in total

Review 1.  What we know, and don't know, about the impact of state policy and systems-level interventions on prescription drug overdose.

Authors:  Tamara M Haegerich; Leonard J Paulozzi; Brian J Manns; Christopher M Jones
Journal:  Drug Alcohol Depend       Date:  2014-10-14       Impact factor: 4.492

2.  Five-weekend care of the elderly certificate course: continuing professional development activity for family physicians.

Authors:  Robert Lam; Linda Lee; Bachir Tazkarji; Joyce Lee; Amy Freedman; Soumia Meiyappan
Journal:  Can Fam Physician       Date:  2015-03       Impact factor: 3.275

Review 3.  A systematic review of strategies to improve appropriate use of opioids and to reduce opioid use disorder and deaths from prescription opioids.

Authors:  Andrea D Furlan; Nancy Carnide; Emma Irvin; Dwayne Van Eerd; Claire Munhall; Jaemin Kim; Cathy Meng Fei Li; Abdul Hamad; Quenby Mahood; Sara MacDonald
Journal:  Can J Pain       Date:  2018-07-31

4.  The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care.

Authors:  Harald Breivik; Elon Eisenberg; Tony O'Brien
Journal:  BMC Public Health       Date:  2013-12-24       Impact factor: 3.295

  4 in total

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