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2026-03-05
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Copyright (c) 2026 Cheyenne Reyes, Carrie Lawrence, Tessa Nalven
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Reducing Harm
Exploring Perceptions of Chronic Pain and Opioid Misuse in Healthcare Settings
Cheyenne Reyes
University of Rhode Island
Carrie Lawrence
Indiana University
Tessa Nalven
University of Rhode Island
Abstract
Background: Opioid misuse has increased significantly in the U.S.,
with mortality rates tripling within the past decade and a half.
Purpose: The purpose of this study is to explore healthcare
providers’ perceptions of how the opioid epidemic has impacted
their day-to-day patient interactions and practice.
Method: Semi-structured phone interviews were conducted among
healthcare providers (n=6), recorded, and transcribed verbatim. An
interpretive phenomenological analysis framework was then used
to evaluate these data, with two independent coders analyzing these
data for common themes.
Results: Major themes emerging from the data include: (1)
skepticism and apprehension in medical decision-making, (2)
increased awareness of and focus on patients’ chronic pain and
opioid use, and (3) influences of the financial market on medical
practice, access, and care.
Discussion/Conclusion: This study provides insight on how
evolving policy and professional standards impact providers’
everyday practice. Integrating in-depth training and continuing
education on treating patients who misuse opioids may build
provider self-efficacy and lead to more informed and effective
treatment.
