Work

Development of the barriers to opioid access scale among individuals with chronic pain

Year: 2025

Type: article

Abstract: Measurement of accessibility is a crucial pillar in assessing equity of access to pain treatment, particularly in the context of reducing opioid prescribing in response to rising overdose deaths in the United States. The aim of this study was to develop an instrument to measure barriers to prescription opioid access among individuals with chronic pain and test its psychometric properties. This study used a cross-sectional online survey of a convenience sample of adults (>18 years) who reported any type of pain for at least 45 days or more in the previous 3 months. The survey captured demographic characteristics, self-reported medication use characteristics, and measures such as the Brief Pain Inventory-Short Form and the PROMIS Global Health measure, along with an item pool of potential questions that measure barriers to opioid access. Respondents ( N = 200) were 89 % women, 86 % White, averaging 45.32 years old (SD:11.79), and reported poor quality life. Two subscales, Access to Care and Patient Concerns, were identified for the Barriers to Opioid Access Scale with good internal consistency reliability (α = 0.909 and 0.835, respectively). In multivariable analyses, the Access to Care subscale was associated with the PROMIS mental health score (−2.44; 95 % CI: −3.77, −1.11), and the Patient Concerns subscale was associated with self-reported frequency of opioid use (−0.70; 95 % CI: −0.99, −0.40). The newly developed BOAS has the potential to serve as a tool for capturing quality of pain treatment as well as measuring the impact of policy changes on the quality of treatment provided to patients with chronic pain. • This study developed the Barriers to Opioid Access Scale (BOAS) for chronic pain. • The BOAS includes two subscales: Access to Care and Patient Concerns. • BOAS captures significant barriers and shows satisfactory psychometric properties. • Access to Care was associated with mental health after adjusting for confounders. • BOAS was not associated with physical health after adjusting for confounders.

Source: Exploratory Research in Clinical and Social Pharmacy

DOI: 10.1016/j.rcsop.2025.100580

Authors: Sujith Ramachandran, Stefan Kertesz, Emily Gravlee, Prachi Prajapati, John P. Bentley, Yi Yang

Institutions: University of Mississippi, University of Alabama at Birmingham

Language: English

Topic: Opioid Use Disorder Treatment

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: gold

Estimated APC paid: $2,140