Health Services Research & Development

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Research Topics


Opioids

Opioids are a broad group of pain-relieving drugs that can be both naturally derived (morphine, heroin, and others) or synthesized in a laboratory (fentanyl and others). While generally safe when taken for a short time and as prescribed by a doctor, opioids can be misused and may lead to addiction, overdose incidents, and death. HSR&D investigators study several aspects of opioid use, such as how best to manage opioid prescribing (including policy impacts and safety), and how to help Veterans' manage their chronic pain, both with and without medication.

Search results were generated based on the search term "Opioid". Results are updated weekly, as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 623 OPIOID focused publications)


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Publication Briefs

(5 of more than 49 OPIOID focused publication briefs)

  • Increase in Opioid Overdose Deaths among Veterans Attributed to Increased Overdoses from Heroin and Synthetic Opioids
    This study examined trends in VA opioid overdose rates and receipt of prescription opioids among Veterans receiving VA care who died from opioid overdose from 2010 through 2016. Findings showed that the overall rate of fatal opioid overdose among Veterans increased from 14.47 per 100,000 person years in 2010 to 21.08 per 100,000 person years in 2016. There was a decline in methadone overdose and n...
    Date: July 1, 2019
  • Strategies VA Clinicians Use to Structure Difficult Conversations Regarding Opioid Prescribing
    This study aimed to identify and describe clinicians’ strategies for managing prescription opioid misuse and aberrant behaviors among patients prescribed long-term opioid therapy (LTOT) for chronic pain. Interview results identified challenges faced by clinicians in navigating conversations about opioid management, stemming from patient dissatisfaction and clinician ambivalence about enacting guid...
    Date: July 1, 2019
  • Opioid Prescribing Safety Initiative Effective in Decreasing Rates of Opioid Prescribing for Older Veterans with Osteoarthritis
    Investigators in this study examined national trends in opioid and non-opioid analgesic prescribing before and after implementation of VA’s Opioid Safety Initiative (OSI). Findings showed that before OSI implementation, total analgesic prescriptions showed a steady rise, which abruptly decreased to a flat trajectory after the OSI was implemented. This trend was primarily due to a decrease in opioi...
    Date: June 1, 2019
  • Substantial Variation in Opioid Prescribing Rates among ED Providers in the Same VA Healthcare Facility
    The study team examined the extent to which variation in individual ED physicians’ opioid prescribing was independently associated with long-term opioid use in Veterans. Using VA data, investigators identified Veterans with an index ED visit at any VA facility in 2012 – and who were opioid naïve (without opioid prescriptions in the prior 6 months). Findings showed that there was a three-fold varia...
    Date: May 29, 2019
  • Rural and Western Region Veterans Prescribed More Opioids Than Urban, Other Regions
    This study sought to characterize regional variation in opioid prescribing across VA and examine prescribing differences between rural and urban Veterans. Findings showed substantial rural-urban variation in VA opioid prescribing, with rural Veterans receiving over 30% more opioids than their urban counterparts, with most of the difference attributable to long-term use. Utilization was lowest in t...
    Date: May 21, 2019

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Studies

( 5 of more than 43 OPIOID focused projects )

Project No.  Title  PI  Funding Start   
PPO 18-213 Adaptation of the Motivational Interviewing Skills Code to Identify Clinician and Client Language Predicting Reduced Opioid Use Risk and Increased Use of Alternative Pain Care Strategies in Veterans Borsari, Brian 2019-03-01
IIR 16-078 Effectiveness of a Rescue Medication in Preventing Opioid Overdose in Veterans Oliva, Elizabeth 2018-12-01
IIR 17-268 Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy Lovejoy, Travis 2018-11-01
IIR 17-039 Improving Veteran Health by Increasing Dental Stewardship of Antibiotics and Opioids Suda, Katie 2018-07-01
IIR 16-262 Association of Complementary and Integrative Health (CHI) Interventions with Opioid Use and Related Risks Among Veterans With Musculoskeletal Disorders (MSD) and PTSD Goulet, Joseph 2018-05-01

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HSR&D Briefs, Reports, Newsletters

5 sample "Opioid" publications displayed.

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Topic Spotlight

Read more on this topic and related topics

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Cyberseminars

The most recent "Opioid" seminars are displayed.

Date Title Presenter(s)
9/10/2019 Leveraging VA and State Data to Examine Veterans’ Injury: TBI, Opioids, and Guns Carlson, Kathleen  
6/20/2019 Development of a Patient Reported Measures Display and Implementation across VA Salt Lake City Patel, Shardool  
Butler, Jorie  
5/30/2019 Effectiveness of Opioids for Chronic Pain—the SPACE Trial in Context Krebs, Erin  
5/7/2019 The Connections between Opioid Use, Overdose, and Suicide Ilgen, Mark  
Bohnert, Amy  
4/10/2019 Opioid Use Disorder and Employment Disparities in Justice-Involved Veterans Henne, Meredith  
LePage, James  
Finlay, Andrea  

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Videos


There are currently no videos for this topic.

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Podcasts


There are currently no podcasts for this topic.

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Other Resources

  • Visit the VA’s Office of Mental Health and learn more about substance use disorders, screening tools, programs, and services.
  • Learn more about the Quality Enhancement Research Initiative’s IMPROVE project, which focuses on integrating pain support in primary care in order to decrease the number of Veterans using opioid therapy for pain management.
  • Visit the VA Office of Research & Development’s Substance Use Disorders (SUD) topic page for information about milestones in SUD research across all VA research services.

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