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

Dados Bibliográficos

ID9098577
AutoresElizabeth S Goldsmith (0000-0002-7480-3880, Minneapolis VA Health Care System, autor correspondente), 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 correspondente), Barbara Clothier (0000-0002-9932-4245, Minneapolis VA Health Care System, autor correspondente), Siamak Noorbaloochi (0000-0002-9094-1036, Minneapolis VA Health Care System, autor correspondente), Brian C Martinson (0000-0002-4255-5595, Minneapolis VA Health Care System, autor correspondente), 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 correspondente)
Ano2020
Volume58
PáginasS116-S124
Data de publicação2020-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001333
PMID32826781
OpenAlexW3080848595
IdiomaEN
Citações recebidas3
Referências 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