Complementary, Integrative, and Nondrug Therapy Use for Pain Among US Military Veterans on Long-term Opioids

Datos Bibliográficos

ID9098577
AutoresElizabeth S Goldsmith (0000-0002-7480-3880, Minneapolis VA Health Care System, autor de correspondencia), Richard F Maclehose (0000-0003-2041-3710, Division of Epidemiology, University of Minnesota School of Public Health), Agnes C Jensen (Minneapolis VA Health Care System), Agnes Jensen (0000-0001-5428-7316, Minneapolis VA Health Care System, autor de correspondencia), Barbara Clothier (0000-0002-9932-4245, Minneapolis VA Health Care System, autor de correspondencia), Siamak Noorbaloochi (0000-0002-9094-1036, Minneapolis VA Health Care System, autor de correspondencia), Brian C Martinson (0000-0002-4255-5595, Minneapolis VA Health Care System, autor de correspondencia), Melvin T Donaldson (0000-0001-9240-101X, Department of Medicine, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN), Erin E Krebs (0000-0003-0843-7410, Minneapolis VA Health Care System, autor de correspondencia)
Año2020
Volumen58
PáginasS116-S124
Fecha de publicación2020-09-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001333
PMID32826781
OpenAlexW3080848595
IdiomaEN
Citas recibidas3
Referencias citadas34

BACKGROUND: Long-term opioid therapy for chronic pain arose amid limited availability and awareness of other pain therapies. Although many complementary and integrative health (CIH) and nondrug therapies are effective for chronic pain, little is known about CIH/nondrug therapy use patterns among people prescribed opioid analgesics. OBJECTIVE: The objective of this study was to estimate patterns and predictors of self-reported CIH/nondrug therapy use for chronic pain within a representative national sample of US military veterans prescribed long-term opioids for chronic pain. RESEARCH DESIGN: National two-stage stratified random sample survey combined with electronic medical record data. Data were analyzed using logistic regressions and latent class analysis. SUBJECTS: US military veterans in Veterans Affairs (VA) primary care who received ≥6 months of opioid analgesics. MEASURES: Self-reported use of each of 10 CIH/nondrug therapies to treat or cope with chronic pain in the past year: meditation/mindfulness, relaxation, psychotherapy, yoga, t'ai chi, aerobic exercise, stretching/strengthening, acupuncture, chiropractic, massage; Brief Pain Inventory-Interference (BPI-I) scale as a measure of pain-related function. RESULTS: In total, 8891 (65%) of 13,660 invitees completed the questionnaire. Eighty percent of veterans reported past-year use of at least 1 nondrug therapy for pain. Younger age and female sex were associated with the use of most nondrug therapies. Higher pain interference was associated with lower use of exercise/movement therapies. Nondrug therapy use patterns reflected functional categories (psychological/behavioral, exercise/movement, manual). CONCLUSIONS: Use of CIH/nondrug therapies for pain was common among patients receiving long-term opioids. Future analyses will examine nondrug therapy use in relation to pain and quality of life outcomes over time

Acupuncture · Alternative medicine · Brief Pain Inventory · Chiropractic · Chronic pain · Manual therapy · Massage · Mindfulness · Opioid · Physical therapy · Veterans Affairs · Clinical Psychology · Complementary and Alternative Medicine Studies · Internal Medicine · Medicine · Mindfulness and Compassion Interventions · Musculoskeletal pain and rehabilitation