Primary care provider attitudes regarding physical therapists addressing opioid use and opioid misuse: a qualitative study.
John S Magel, Elizabeth Siantz, Michael A Incze and 9 others
PMID 41761771WHAT IT FOUND
Primary care providers welcomed physical therapists screening for opioid misuse, educating patients about opioid risks, and suggesting dose reductions, but most wanted to hear from the therapist first and wanted positive screens sent back to them.
Key findings
01Primary care providers were generally positive about physical therapists addressing prescription opioid use and misuse in patients they co-manage.
02Many endorsed physical therapists screening patients for opioid misuse; when a screen was positive most preferred the patient be referred back to the prescribing primary care provider, though some endorsed referral to an addiction specialist.
03Communication between the physical therapist and the primary care provider was considered important, especially after a positive screen or a dose-reduction recommendation, and providers were generally supportive of physical therapists educating patients about opioid-related risks.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
All participants were licensed in Utah. Opioid prescribing habits and access to physical therapy differ between regions, so these views may not represent primary care providers elsewhere. Every participant had referred patients to physical therapy within the past 6 months. Providers who do not refer, or who are sceptical about physical therapists taking on opioid-related work, were not interviewed, so the views here are likely more favourable than average. Participants may have had a particular interest in opioids, which the authors note could bias the results. Transcripts were not returned to participants to check, so the team's reading of what people meant was not verified with them. The rapid content analysis used here is a streamlined method; a slower, more resource-intensive approach might have produced different themes. This study reports attitudes only. No patients were followed and no opioid-related outcomes were measured, so it says nothing about whether physical therapist screening or education actually reduces misuse or harm.
Declared interests
The authors state that the funders played no role in the design, conduct or reporting of the study; the source of that funding is not named in the text supplied. Participants were paid $100. The investigators include physical therapists and the senior author is an addiction medicine physician, and the authors note that having physical therapists on a team interviewing providers who refer to physical therapy may have shaped how the data were interpreted.
The easy way to misread this
Do not read this as evidence that physical therapist screening or education reduces opioid misuse. No patients were followed and no outcomes were measured. These are the opinions of 22 primary care providers in Utah about what they would welcome, and the participants all already referred patients to physical therapy.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →