French-Canadian translation of a self-report questionnaire to monitor opioid therapy for chronic pain: The Opioid Compliance Checklist (OCC-FC)

Poirier, Clarice; Martel, Marc O.; Bérubé, Mélanie; Boulanger, Aline; Gélinas, Céline; Guénette, Line; Lacasse, Anaïs; Lussier, David; Tousignant-Laflamme, Yannick; Pagé, M. Gabrielle

doi:10.1080/24740527.2020.1724777

Cited by 1 publication

(1 citation statement)

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“…Patients could not use cannabis due to hospital regulations, therefore the CAST was administered when the patients returned home. All measurement tools showed adequate psychometric properties in the French language [65][66][67][68][69] except for the scales on nonpharmacological pain management strategies and opioid AEs that use a simple items listing.…”

Section: Variables and Measuresmentioning

confidence: 99%

Pain Management Strategies After Orthopaedic Trauma: A Mixed-Methods Study with a View to Optimizing Practices

Grzelak¹,

Bérubé²,

Gagnon³

et al. 2022

JPR

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To examine 1) pain management strategies within the care trajectory of orthopaedic trauma patients and patients' perception of their effectiveness, 2) adverse effects (AEs) associated with pharmacological treatments, particularly opioids and cannabis, and 3) patients' perceptions of strategies that should be applied after an orthopaedic trauma and support that they should obtain from health professionals for their use. Patients and Methods: This study was conducted with orthopaedic trauma patients in a level 1 trauma center. A convergent mixedmethods design was used. Data on pain experience, pain management strategies used and AEs were collected with self-administered questionnaires at hospital discharge (T1) and at 3 months after injury (T2). Patients' preferences about the pain management strategies used, the required support and AEs were further examined through semi-structured individual interviews at the same time measures. Descriptive statistics and thematic analyses were performed.Results: Seventy-one patients were recruited and 30 individual interviews were undertaken. Pharmacological pain management strategies used at T1 and T2 were mainly opioids (95.8%; 20.8%) and acetaminophen (91.5%; 37.5%). The most frequently applied non-pharmacological strategies were sleep (95.6%) and physical positioning (89.7%) at T1 and massage (46.3%) and relaxation (32.5%) at T2. Findings from quantitative and qualitative analyses highlighted that non-pharmacological strategies, such as comfort, massage, distraction, and physical therapy, were perceived as the most effective by participants. Most common AEs related to opioids were dry mouth (78.8%) and fatigue (66.1%) at T1 and insomnia (30.0%) and fatigue (20.0%) at T2. Dry mouth (28.6%) and drowsiness (14.3%) were the most reported AEs by patients using recreational cannabis. An important need for information at hospital discharge and for a personalized follow-up was identified by participants during interviews. Conclusion: Despite its AEs, we found that opioids are still the leading pain management strategy after an orthopaedic trauma and that more efforts are needed to implement non-pharmacological strategies. Cannabis was taken for recreational purposes but patients also used it for pain relief. Support from health professionals is needed to promote the adequate use of these strategies.

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Section: Variables and Measuresmentioning

confidence: 99%