{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:54:31Z","timestamp":1787068471598,"version":"build-2736575974"},"reference-count":26,"publisher":"National Institute for Health and Care Research","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009130","name":"Programme Development Grants","doi-asserted-by":"publisher","award":["208337"],"award-info":[{"award-number":["208337"]}],"id":[{"id":"10.13039\/501100009130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["openresearch.nihr.ac.uk"],"crossmark-restriction":false},"short-container-title":["NIHR Open Res"],"abstract":"<ns5:p>Background Pain in the older population is often poorly identified and subsequently poorly managed. Many myths and misconceptions exist amongst both older adults and healthcare professionals, including fear of using other methods of pain management and failure to monitor the impact of current approaches. This leads to underreporting of pain by the older adult population, overprescribing of pain medication, and failure to monitor the impact of prescribed drugs until major health crises such as falls or other serious complications occur, which can result in hospitalisation. Methods The aim of this study was to explore chronic pain prescribing in older adults, both in terms of the population itself and in terms of individual perceptions, experiences and overall needs. As such, two work packages were employed, firstly to explore the wider prescribing patterns using the CPRD database (quantitative work package), and secondly to explore individual experiences using qualitative interviews (qualitative work package). The mixed methods methodology included an epidemiological approach along with qualitative methodology and a discrete choice experiment. Ultimately, the final outcomes of this investigation will lead to adopting a codesigned intervention which will be evaluated in a later research programme. This protocol focuses on both the qualitative work package and the wider project, including a brief outline of the quantitative work package. A more detailed technical protocol for the quantitative work package is available in a linked publication.<\/ns5:p>","DOI":"10.3310\/nihropenres.14177.1","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:49:05Z","timestamp":1785329345000},"page":"110","update-policy":"https:\/\/doi.org\/10.3310\/nihropenres.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["HOPE-AO overprescribing in older adults with chronic pain: a protocol for qualitative interviews with patients and healthcare professionals"],"prefix":"10.3310","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4242-754X","authenticated-orcid":false,"given":"Pat","family":"Schofield","sequence":"first","affiliation":[{"name":"Plymouth England University of Plymouth School of Nursing and Midwifery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7585-8886","authenticated-orcid":false,"given":"Stuart","family":"G. Spicer","sequence":"additional","affiliation":[{"name":"PENARC Plymouth Devon PL4 8AA University of Plymouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Byng","sequence":"additional","affiliation":[{"name":"PENARC Plymouth Devon PL4 8AA University of Plymouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupert","family":"A Payne","sequence":"additional","affiliation":[{"name":"Exeter England University of Exeter Primary Care Research Group"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4152-9704","authenticated-orcid":false,"given":"Ian","family":"Maidment","sequence":"additional","affiliation":[{"name":"Birmingham Aston University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3852-6158","authenticated-orcid":false,"given":"Phyo Kyaw","family":"Myint","sequence":"additional","affiliation":[{"name":"Aberdeen Scotland University of Aberdeen School of Medicine Medical Sciences and Nutrition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"McNamee","sequence":"additional","affiliation":[{"name":"Aberdeen Scotland University of Aberdeen School of Medicine Medical Sciences and Nutrition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Stewart","sequence":"additional","affiliation":[{"name":"Aberdeen Scotland University of Aberdeen School of Medicine Medical Sciences and Nutrition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Horowitz","sequence":"additional","affiliation":[{"name":"London England North East London NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3953-8040","authenticated-orcid":false,"given":"Victoria","family":"Abbott-Flemming","sequence":"additional","affiliation":[{"name":"Plymouth England University of Plymouth School of Nursing and Midwifery"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6221","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"i1-i22","DOI":"10.1093\/ageing\/afx192","article-title":"The Assessment of Pain in Older People: UK National Guidelines.","volume":"47","author":"P Schofield","year":"2018","journal-title":"Age Ageing."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"i1-i57","DOI":"10.1093\/ageing\/afs200","article-title":"Guidance on the management of pain in older people.","volume":"42","author":"A Abdulla","year":"2013","journal-title":"Age Ageing."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1216-1227","DOI":"10.1016\/S1474-4422(14)70103-6","article-title":"Pain assessment in elderly adults with dementia.","volume":"13","author":"T Hadjistavropoulos","year":"2014","journal-title":"The Lancet Neurology."},{"key":"ref5","article-title":"Nonoperative Treatment of Osteoporotic Compression Fractures: Overview, Treatment Assessment, Nonoperative Therapies.","author":"G Cooper","year":"2023"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"287-333","DOI":"10.1016\/j.ejpain.2005.06.009","article-title":"Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment.","volume":"10","author":"H Breivik","year":"2006","journal-title":"Eur. 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Research Governance is covered by University of Plymouth. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}