‘They say you can get addicted’: Exploring factors that fuel the fear of addiction to prescription opioids among cancer survivors
Funding information: National Institutes of Health, Grant/Award Number: 3P30 CA076292-19
Abstract
Objectives
To explore misconceptions regarding addiction potential of prescription opioids among cancer survivors.
Methods
A qualitative study using semi-structured interviews were conducted with a purposive sample of cancer survivors (N = 25) treated with prescription opioids for pain management. Interviews were audio recorded, transcribed and coded using Atlas.ti version 8. Inductive applied thematic analysis techniques were employed to identify emergent themes.
Results
The majority of participants were breast cancer survivors (88%) who underwent a combination of surgery, chemotherapy and radiation (72%). Thematic analysis revealed that (1) cancer survivors view opioids as an illicit drug, (2) media narrative of the opioid epidemic increased negative perception of opioid use for cancer-related pain, (3) perceptions of opioids were also informed by experiences of friends and family with an opioid use disorder, (4) poor understanding of terminology resulted in misconceptions of opioid use and addiction and (5) fear of opioid addiction resulted in unrelieved cancer pain and poor quality of life.
Conclusion
Our findings support previously identified concerns among cancer patients about fear of addiction to opioids, a barrier to effective pain management. It highlights the importance for health care providers caring for cancer survivors to continue to address misconceptions about prescribed opioids.
CONFLICT OF INTEREST
The authors have no funding conflicts of interest to disclose.
Open Research
DATA AVAILABILITY STATEMENT
The data support the findings of this study are available on request from the corresponding author.