2024
Identifying provider, patient and practice factors that shape long-term opioid prescribing for cancer pain: a qualitative study of American and Australian providers
Fereydooni S, Lorenz K, Azarfar A, Luckett T, Phillips J, Becker W, Giannitrapani K. Identifying provider, patient and practice factors that shape long-term opioid prescribing for cancer pain: a qualitative study of American and Australian providers. BMJ Open 2024, 14: e082033. PMID: 38514141, PMCID: PMC10961503, DOI: 10.1136/bmjopen-2023-082033.Peer-Reviewed Original ResearchConceptsPractice-related factorsLong-term opioid prescribingPrescribed long-term opioid therapyQualitative studyOpioid prescribingQuality of careProvider-related factorsLong-term prescribingPatient’s social contextLong-term opioid therapyAlternative pain therapiesCancer-related painConcurrent qualitative studyDisadvantaged patientsHealthcare interventionsExacerbate disparitiesIdentified providersAustralian providersOpioid practicesSocioeconomic statusSecondary analysisPrescribed opioidsCancer painProvidersPrescribingPain Care at Home to Amplify Function: Protocol Article.
Black A, Edmond S, Frank J, Abelleira A, Snow J, Wesolowicz D, Becker W. Pain Care at Home to Amplify Function: Protocol Article. Substance Use & Addiction Journal 2024, 29767342241236032. PMID: 38469833, DOI: 10.1177/29767342241236032.Peer-Reviewed Original ResearchPrimary care providersVeterans Health AdministrationPromote self-management strategiesImplementation facilitation strategyEffectiveness-implementation trialChronic painSelf-management strategiesGuideline-concordant practicesMedication management supportOpioid medication safetyIntervention cost-effectivenessOutcomes of alcohol useLong-term opioid therapyManagement of chronic painCognitive behavioral therapy techniquesNational Institutes of HealthPain carePain interferenceCare providersMedication safetyHealthcare providersInstitutes of HealthSelf-managementAddiction Long-termHealth Administration
2023
Are opioids effective analgesics and is physiological opioid dependence benign? Revising current assumptions to effectively manage long‐term opioid therapy and its deprescribing
Manhapra A, MacLean R, Rosenheck R, Becker W. Are opioids effective analgesics and is physiological opioid dependence benign? Revising current assumptions to effectively manage long‐term opioid therapy and its deprescribing. British Journal Of Clinical Pharmacology 2023, 90: 2962-2976. PMID: 37990580, PMCID: PMC11563311, DOI: 10.1111/bcp.15972.Peer-Reviewed Original ResearchLong-term opioid therapyOpioid therapyFunctional gainsChronic pain syndromeMaximum functional recoveryOngoing opioid crisisParadoxical worseningAnalgesic benefitAnalgesic therapyPain reliefPain syndromeEffective analgesicMost patientsAntinociceptive effectAntinociceptive systemChronic painFunctional recoveryOpioid actionOpioid dependenceMedical instabilityFunctional improvementPlacebo effectClinical principlesOpioid crisisTherapeutic induction
2017
Group Visits for Overdose Education and Naloxone Distribution in Primary Care: A Pilot Quality Improvement Initiative
Spelman JF, Peglow S, Schwartz AR, Burgo-Black L, McNamara K, Becker WC. Group Visits for Overdose Education and Naloxone Distribution in Primary Care: A Pilot Quality Improvement Initiative. Pain Medicine 2017, 18: 2325-2330. PMID: 29045696, DOI: 10.1093/pm/pnx243.Peer-Reviewed Original ResearchConceptsHigh-risk patientsGroup visitsUsual carePrimary careNaloxone distributionOverdose educationLong-term opioid therapyMorphine equivalent daily dosePilot quality improvement initiativeQuality improvement pilot studyPrimary care clinicsChronic pain populationsPatient satisfaction scoresVeterans Health AdministrationQuality improvement interventionsQuality improvement initiativesPrescription of naloxoneOpioid therapyDaily doseCare clinicsChronic painPain populationNaloxone prescriptionsOpioid overdoseOverdose deaths
2016
Initial development of patient-reported instrument assessing harm, efficacy, and misuse of long-term opioid therapy
Becker WC, Fiellin DA, Black AC, Kostovich CT, Kerns RD, Fraenkel L. Initial development of patient-reported instrument assessing harm, efficacy, and misuse of long-term opioid therapy. The Journal Of Rehabilitation Research And Development 2016, 53: 127-136. PMID: 27006339, PMCID: PMC4806533, DOI: 10.1682/jrrd.2014.11.0285.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyPatient-reported instrumentOpioid therapyFurther item reductionIneffective medicationsClinical outcomesPrimary careFrequent reassessmentPatient comprehensionItem reductionGold standardEfficacyTherapyInterdisciplinary teamLevel checksCognitive interviewsMisuseHarmMedicationsPatients