Opioid Deprescribing: Qualitative Insights into Reducing Motivation for Unhealthy Substance Use
2024

Understanding Why Older Adults Might Use Substances When Reducing Opioids

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): LaRowe Lisa, Stone Sarah, Granados Heily Chavez, Ritchie Christine

Primary Institution: Massachusetts General Hospital

Hypothesis

What factors influence older adults' motivation to use substances during opioid deprescribing?

Conclusion

Older adults may turn to non-prescribed substances during opioid deprescribing due to factors like intolerable pain and lack of access to alternative treatments.

Supporting Evidence

  • 38% of older adults in the U.S. have chronic pain.
  • Opioids are frequently used for chronic pain management in older adults.
  • Participants identified factors that increase motivation to use substances during opioid deprescribing.

Takeaway

When older people stop taking opioids for pain, some might start using other substances instead, especially if they still feel pain and don't have other options.

Methodology

Three focus groups were conducted with older adults prescribed opioids to explore their perspectives.

Participant Demographics

Older adults aged 65-92 years with chronic pain who were prescribed opioids.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4358

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