Patient-centered approach to evaluating the role of medical cannabis in the treatment of chronic pain.

Chronic pain negatively impacts quality of life and remains largely undertreated. Significant safety and efficacy concerns exist with common treatment options. Medical cannabis (MC) is a non-opioid alternative for chronic pain. Lack of consistent research has limited the incorporation of MC into sta...

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Publicado en:Complementary Therapies in Clinical Practice Vol. 60
Autores principales: Liang, Connie, Basappa, Sapna, Tucker, Shannon, Pincus, Kathleen J.
Formato: research Journal Article
Publicado: Churchill Livingstone, Inc. Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
      vid: 60
      pid: 1242
      pub: Churchill Livingstone, Inc.
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        10.1016/j.ctcp.2025.101996
        186495299
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        atl: Patient-centered approach to evaluating the role of medical cannabis in the treatment of chronic pain.
      aug:
        au:
          Liang, Connie
          Basappa, Sapna
          Tucker, Shannon
          Pincus, Kathleen J.
        affil: New York City Health and Hospitals, New York, USA
      sug:
        subj:
          Patient Centered Care
          Medical Marijuana Therapeutic Use
          Chronic Pain Drug Therapy
          Patient Attitudes Evaluation
          Consumer Attitudes Evaluation
          Health Beliefs
          Community Health Services
          Human
          Qualitative Studies
          Descriptive Research
          Focus Groups
          Semi-Structured Interview
          Questionnaires
          Audiorecording
          Coding
          Data Analysis Software
          Thematic Analysis
          Patient Safety
          Health Care Costs
          Physician-Patient Relations
          Government
          Drug Efficacy
          Chemistry, Pharmaceutical
          Medical Marijuana Administration and Dosage
          Stigma
          Professional Knowledge
      ab: Chronic pain negatively impacts quality of life and remains largely undertreated. Significant safety and efficacy concerns exist with common treatment options. Medical cannabis (MC) is a non-opioid alternative for chronic pain. Lack of consistent research has limited the incorporation of MC into standards of care for pain management. Patient engagement in informing additional research is needed to ensure patients, providers and policy makers can make informed decisions on MC use. This study aims to describe patients' and community members' experiences, perspectives, beliefs, and concerns regarding utilizing MC to manage chronic pain and develop patient-centered research questions. This is a qualitative, descriptive, focus-group study of participants with chronic pain who had used MC, with chronic pain who had not used MC, and without chronic pain regardless of use of MC for other conditions utilizing an investigator-developed semi-structured facilitator questionnaire. Interviews were audio recorded, transcribed, and coded using NVivo 12 software. Thematic analysis using open and pattern coding was used to analyze responses. Twenty-eight individuals participated in this study. Key emerging themes included efficacy, safety, stigma, cost, convenience, government and legal considerations, and interactions with healthcare providers. Themes were similar among groups, but emphasis varied. A list of research questions was derived from identified themes. Those choosing to use or not to use MC for treatment of their chronic pain continue to have unanswered questions about the efficacy, formulation and dosing selection, safety, cost, convenience, stigma and knowledge of their healthcare providers. • Medical cannabis (MC) is a treatment option for chronic pain, but more research is needed to establish role in therapy. • This study engaged patients and community members to identify potential research questions on the use of MC in chronic pain. • Most participants thought MC may be effective, but had questions about safety, dosing and access. • Participants voiced concerns about stigma from employers, friends and family members, and healthcare providers.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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