Table 2.

Patients Prescribed Opioids and Exposure to Opioid Educational Information by Health Care Provider Group

Type of Health Care Provider Group
PCPsSPsPAsNPs
Patients prescribed opioids for chronic pain during past 3 months (%)*,
    None24.569.450.052.6
    1–5 patients25.516.424.426.0
    6–10 patients19.05.58.55.6
    11–20 patients13.73.06.26.4
    21 or more patients15.64.39.08.2
    Don't know/not sure1.61.41.81.2
Patients prescribed opioids past 3 months versus 12 months (%)*,
    Less43.824.526.126.5
    Same54.274.570.870.6
    More2.11.03.22.9
Sources for opioid educational information (%)*
    Hospital or conference presentations41.7a33.8c27.0d40.9b
    Online presentations or webinars42.5b33.2d39.3d51.8a
    Sponsored event7.35.05.47.6
    Medical journals59.9a40.9b53.4a58.8a
    Prescribing information/REMS materials24.5a15.2b18.825.1a
    Promotional materials8.95.4b8.811.6a
    Other information sources6.52.65.55.5
Exposure to opioid educational information during the past 12 months#
    Mean**1.91a1.36c1.58b2.01a
    95% CI1.80–2.021.04–1.491.45–1.721.88–2.16
    %exposed **89.8a71.9c78.8b85.5a
Recall of opioid promotions††
    Mean**1.64b1.16c1.63b1.82a
    95% CI1.53–1.751.04−1.281.51–1.751.71–1.93
ADF knowledge score‡‡
    Mean**1.91a1.23c1.49b1.48b
    95% CI1.78–2.041.09–1.371.34–1.641.34–1.63
  • ADF, abuse-deterrent formulations; BH, Benjamini-Hochberg procedure; CI, confidence interval; NPs, nurse practitioners; PAs, physician assistants; PCPs, primary care physicians; REMS, Risk Evaluation and Mitigation Strategy; SPs, specialists.

  • * χ2 tests using the Agresti logit uniform association model were first conducted across the 4 groups, followed by pairwise comparisons using the BH procedure.

  • PCPs were significantly different from NPs, PAs, and SPs, BH P < .01.

  • a > c > d and b > d, BH adjusted, P < .05.

  • a > b > d and a > c, BH adjusted, P < .05.

  • a > b, BH adjusted P < .05.

  • # A global measure of exposure to opioid educational information was created by summing the “yes” responses for each source of opioid educational information. Means represent the average exposure per group. “% exposed” represents the percentage of respondents in each health care provider group that read at least 1 opioid educational material or attended 1 opioid educational event.

  • ** a > b > c, BH adjusted, P < .05.

  • †† “Yes” responses to questions about seeing prescription drug promotions in the last 6 months related non-opioid analgesics, medication-assisted treatment for opioid deterrence, and opioid reversal agents were combined to create an overall recall measure of prescription drug promotions.

  • ‡‡ Correct responses to 5 ADF questions were summed to create a total ADF knowledge score.