What are the research priorities for optimising the safe and effective use of opioids in Australian general practice?


Journal

Drug and alcohol review
ISSN: 1465-3362
Titre abrégé: Drug Alcohol Rev
Pays: Australia
ID NLM: 9015440

Informations de publication

Date de publication:
03 2023
Historique:
revised: 02 07 2022
received: 20 01 2022
accepted: 12 08 2022
pubmed: 7 9 2022
medline: 23 3 2023
entrez: 6 9 2022
Statut: ppublish

Résumé

Persistent high rates of prescription opioid use and harms remain a concern in Australia, Europe and North America. Research priority setting can inform the research agenda, strategic responses and evidence-based interventions. The objective of this study was to establish research priorities related to the safe and effective use of prescription opioids in general practice. Consumers, clinicians and policy makers were invited to participate in a structured consensus workshop in May 2021. A modified nominal group technique was used to explore research priorities for the safe and effective use of opioids in Australian general practice. Research priorities were identified, consolidated and prioritised using a structured process. Seventeen consumer, medical, pharmacy, nursing, allied health and policy participants generated 26 consolidated priorities across three domains: (i) consumer-focused priorities; (ii) clinician and practice-focused priorities; and (iii) system and policy-focused priorities. The highest ranked research priorities in each of the domains were consumer characteristics that influence opioid prescribing and outcomes, opioid deprescribing strategies, and system-level barriers to prescribing alternatives to opioids, in the consumer, clinician and practice, and system and policy domains, respectively. The priorities reflect opportunities for research priority setting within Australian general practice. The priorities provide a map for future qualitative and quantitative research that will inform safe and effective opioid prescribing.

Identifiants

pubmed: 36065154
doi: 10.1111/dar.13539
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

604-613

Subventions

Organisme : SN in the recipient of an National Health and Medical Research Council Research Fellowship
ID : 1163961
Organisme : SB is the recipient of an National Health and Medical Research Council Dementia Leadership Fellowship
ID : 1140298

Informations de copyright

© 2022 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.

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Auteurs

Monica Jung (M)

Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.

Helena Cangadis-Douglass (H)

Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.

Suzanne Nielsen (S)

Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.

Samanta Lalic (S)

Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.
Pharmacy Department, Monash Health, Melbourne, Australia.

Malcolm Dobbin (M)

Department of Forensic Medicine, Monash University, Melbourne, Australia.

Grant Russell (G)

Department of General Practice, Monash University, Melbourne, Australia.

Pallavi Prathivadi (P)

Department of General Practice, Monash University, Melbourne, Australia.

Pene Wood (P)

Department of Pharmacy and Biomedical Science, La Trobe University, Bendigo, Australia.

Elizabeth Manias (E)

School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Melbourne, Australia.
Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
Department of Medicine, Royal Melbourne Hospital, Melbourne, Australia.

Cik Y Lee (CY)

Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.
Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, Australia.

Carolyn Arnold (C)

Caulfield Pain Management and Research Centre, Alfred Health, Melbourne, Australia.
Department of Anaesthesiology and Perioperative Medicine, Central Clinical School, Monash University, Melbourne, Australia.

Megan Kuleas (M)

Painaustralia, Canberra, Australia.

Jennifer L Schumann (JL)

Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Department of Forensic Medicine, Monash University, Melbourne, Australia.
Drug Intelligence Unit, Victorian Institute of Forensic Medicine, Melbourne, Australia.

Jenni Ilomäki (J)

Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

J Simon Bell (JS)

Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

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