{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:13:34Z","timestamp":1783433614654,"version":"3.54.6"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study applied the Theoretical Domains Framework (TDF) to explore the barriers and enablers to optimizing post\u2010operative pain management and supporting safe opioid use from the perspectives of both patients and health care professionals, applying the Theoretical Domains Framework (TDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Experience\u2010based co\u2010design (EBCD) qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In the initial phase of the EBCD approach, focus groups were conducted comprising 20 participants, including 8 patients and 12 health care professionals involved in post\u2010operative care. The data were systematically analysed using framework analysis and mapped to the TDF. Intervention functions and behaviour change techniques (BCTs) targeting each TDF domain were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis revealed significant barriers faced by patients, including a lack of continuity in care, inadequate preoperative preparation, and insufficient guidance on opioid tapering. Health care professionals reported barriers associated with deficiencies in knowledge, skills, and environmental resources, particularly workforce constraints and ineffective communication across care settings. Notable enablers included pharmacist\u2010led medication reviews and the adoption of digital technologies to enhance education and support tapering.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identifies critical barriers and facilitators that influence postoperative pain management and opioid use. Targeted interventions are imperative to optimize these outcomes. Key recommendations include implementing pharmacist\u2010led medication reviews, integrating digital tapering support tools and enhancing preoperative educational efforts. Furthermore, strengthening communication pathways and addressing workforce challenges through dedicated training and resource allocation are essential. Future research should assess the efficacy of these tailored interventions across diverse clinical contexts to improve patient outcomes and refine prescribing practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70021","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T08:31:22Z","timestamp":1757579482000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perceptions of patients and health care professionals on postoperative pain management: Key factors influencing persistent opioid use"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9897-8757","authenticated-orcid":false,"given":"Neetu","family":"Bansal","sequence":"first","affiliation":[{"name":"Centre for Pharmacoepidemiology and Drug Safety, Drug Usage and Pharmacy Practice Group, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health University of Manchester, Manchester Academic Health Science Centre  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0479-8163","authenticated-orcid":false,"given":"Rhiannon E.","family":"Hawkes","sequence":"additional","affiliation":[{"name":"Manchester Centre for Health Psychology, School of Health Sciences University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Chia","family":"Chen","sequence":"additional","affiliation":[{"name":"Centre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health University of Manchester, Manchester Academic Health Science Centre  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren M.","family":"Ashcroft","sequence":"additional","affiliation":[{"name":"Centre for Pharmacoepidemiology and Drug 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