IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i6p794-d1417138.html
   My bibliography  Save this article

The Impact of Nonpharmacological Interventions on Opioid Use for Chronic Noncancer Pain: A Scoping Review

Author

Listed:
  • Zhanette Coffee

    (College of Nursing, University of Arizona, Tucson, AZ 85721, USA)

  • Kevin Cheng

    (College of Medicine, University of Arizona, Tucson, AZ 85721, USA)

  • Maribeth Slebodnik

    (Health Sciences Library, University of Arizona, Tucson, AZ 85721, USA)

  • Kimberly Mulligan

    (Veterans Health Administration, Central California, Fresno, CA 93706, USA)

  • Chong Ho Yu

    (Department of Mathematics, Hawaii Pacific University, Honolulu, HI 96813, USA)

  • Todd W. Vanderah

    (Department of Pharmacology, Comprehensive Center for Pain and Addiction, University of Arizona, Tucson, AZ 85721, USA)

  • Judith S. Gordon

    (College of Nursing, University of Arizona, Tucson, AZ 85721, USA)

Abstract

Despite the lack of evidence, opioids are still routinely used as a solution to long-term management for chronic noncancer pain (CNCP). Given the significant risks associated with long-term opioid use, including the increased number of unregulated opioid pills at large in the opioid ecosystem, opioid cessation or reduction may be the desired goal of the patient and clinician. Viable nonpharmacological interventions (NPIs) to complement and/or replace opioids for CNCP are needed. Comprehensive reviews that address the impact of NPIs to help adults with CNCP reduce opioid use safely are lacking. We conducted a literature search in PubMed, CINAHL, Embase, PsycINFO, and Scopus for studies published in English. The initial search was conducted in April 2021, and updated in January 2024. The literature search yielded 19,190 relevant articles. Thirty-nine studies met the eligibility criteria and underwent data extraction. Of these, nineteen (49%) were randomized controlled trials, eighteen (46%) were observational studies, and two (5%) were secondary analyses. Among adults with CNCP who use opioids for pain management, studies on mindfulness, yoga, educational programs, certain devices or digital technology, chiropractic, and combination NPIs suggest that they might be an effective approach for reducing both pain intensity and opioid use, but other NPIs did not show a significant effect (e.g., hypnosis, virtual reality). This review revealed there is a small to moderate body of literature demonstrating that some NPIs might be an effective and safe approach for reducing pain and opioid use, concurrently.

Suggested Citation

  • Zhanette Coffee & Kevin Cheng & Maribeth Slebodnik & Kimberly Mulligan & Chong Ho Yu & Todd W. Vanderah & Judith S. Gordon, 2024. "The Impact of Nonpharmacological Interventions on Opioid Use for Chronic Noncancer Pain: A Scoping Review," IJERPH, MDPI, vol. 21(6), pages 1-33, June.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:794-:d:1417138
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/6/794/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/6/794/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jing Liu & Albert Yeung & Tao Xiao & Xiaopei Tian & Zhaowei Kong & Liye Zou & Xueqiang Wang, 2019. "Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial," IJERPH, MDPI, vol. 16(3), pages 1-9, February.
    2. Anna Spångeus & Catrin Willerton & Paul Enthoven & Ann-Charlotte Grahn Kronhed, 2023. "Patient Education Improves Pain and Health-Related Quality of Life in Patients with Established Spinal Osteoporosis in Primary Care—A Pilot Study of Short- and Long-Term Effects," IJERPH, MDPI, vol. 20(6), pages 1-18, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Liye Zou & Yangjie Zhang & Jeffer Eidi Sasaki & Albert S. Yeung & Lin Yang & Paul D. Loprinzi & Jian Sun & Shijie Liu & Jane Jie Yu & Shengyan Sun & Yuqiang Mai, 2019. "Wuqinxi Qigong as an Alternative Exercise for Improving Risk Factors Associated with Metabolic Syndrome: A Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 16(8), pages 1-15, April.
    2. Lijuan Guo & Zhaowei Kong & Yanjie Zhang, 2019. "Qigong-Based Therapy for Treating Adults with Major Depressive Disorder: A Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 16(5), pages 1-11, March.
    3. Shengwen Zhou & Yanjie Zhang & Zhaowei Kong & Paul D. Loprinzi & Yang Hu & Jiajie Ye & Shijie Liu & Jane Jie Yu & Liye Zou, 2019. "The Effects of Tai Chi on Markers of Atherosclerosis, Lower-limb Physical Function, and Cognitive Ability in Adults Aged Over 60: A Randomized Controlled Trial," IJERPH, MDPI, vol. 16(5), pages 1-12, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:794-:d:1417138. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.