ASPO Abstracts
Fear of Addiction Among Cancer Survivors: The Perceptions of Pain Medication Management
Category: Behavioral Science & Health Communication
Conference Year: 2019
Abstract Body:
Purpose of the study: The purpose of this study was to explore the perceptions of opioid use and misuse among cancer survivors who experience cancer-related pain as a side effect from their treatment. Methods: Cancer survivors (n=26) who were less than five years’ post-treatment and had been prescribed an opioid medication at some point during their cancer treatment or after treatment completed a semi-structured telephone or in-person interview. Open-ended questions concerning their cancer diagnosis, pain experience, treatment and their perceptions of pain medication management and opioid use and misuse were included. Interviews were audio-recorded, transcribed, coded and analyzed using applied thematic analysis techniques. Results (adequate to support conclusion): Participants were aware of the need for pain medication to help with pain management. However, the majority expressed concerns about the negative rhetoric surrounding medications such as opioids. Many participants voiced the fear that the use of opioid analgesics contributes to the development of tolerance and addiction. Participants who were on long-term opioid use and on high doses, shared they often face stigma and are perceived as being an addict from their health care provider as well as family and friends. These beliefs and perceptions are often shaped by the media, family, and friends who may ultimately affect their quality of life. Conclusions: Fear of addiction related to opioids may lead cancer survivors to reject pain medications and act as a barrier to effective pain management. Improvements in provider, patient, and family education can help ensure cancer survivors make a well-informed decision regarding their pain management plan and enhance their quality of life.
Keywords: Cancer survivors, pain management, opioid use, addiction