Table 2.

Summary of Major Themes and Subthemes

Major theme	Subthemes
Changes to the patient–clinician relationship	Negative feelings Erosion of the relationship Abandonment Greater trust, strong alliance
Lack of patient agency and access in pain management	Diminished patient power or voice in treatment decisions Lack of satisfactory treatment options More barriers to prescription access, inconvenience
Ambivalence and anxiety about existing opioid treatment/use	Anxiety, concern Addiction, overmedication
Concerns about future use	Uncertainty about future access to opioids Discomfort with potential need for higher doses of opioids Discomfort with potential need to initiate opioid treatment