Primary care opioid prescribing for patients with chronic non-cancer pain has increased over the last 20 years, even with a lack of evidence for effectiveness and concerns about long-term safety. High dose opioid prescribing may be more likely in high deprivation areas and long term use of prescription opioids is associated with dependence, addiction, and opioid-related deaths. Primary care patients with chronic non-cancer pain have responded favorably to low intensity interventions promoting non-medication treatment (Kanzler, Robinson, McGeary, Mintz, Potter, et al., 2018; Kesten, Thomas, Scott, Bache, Hickman, et al., 2020). This presentation introduces participants to a low intensity intervention from Acceptance and Commitment Therapy, The Quality of Life Matrix. This approach encourages sustained support of non-medication treatment for patients with chronic pain and continuity among members of the inter-professional team.
- Discuss primary care patient interest in learning about non-medication treatment for chronic pain
- Promote patient focus on quality of life versus pain elimination
- Use The Quality of Life Matrix to talk with patients with chronic, non-cancer pain about who and what matters in their lives, identify internal and external behaviors that interfere with pursuit of a higher quality of life, and commit to small behavior changes to enhance day-to-day pursuit of greater meaning in life