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Development of a Brief Patient-Administered Screening Tool for Prescription Opioid Dependence for Primary Care Settings


Nielsen, S and Picco, L and Campbell, G and Lintzeris, N and Larance, B and Farrell, M and Degenhardt, L and Bruno, R, Development of a Brief Patient-Administered Screening Tool for Prescription Opioid Dependence for Primary Care Settings, Pain Medicine, 21, (2) pp. e79-e88. ISSN 1526-2375 (2020) [Refereed Article]

Copyright Statement

Copyright 2019 American Academy of Pain Medicine. All rights reserved.

DOI: doi:10.1093/pm/pnz213


Objective: To develop a short, patient-administered screening tool that will allow for earlier assessment of prescription opioid dependence (often referred to as addiction) in primary care settings.

Design and Setting: Cross-sectional analysis (Nž 1,134) from the two-year time point of the Pain and Opioids IN Treatment (POINT) cohort was used in the scale development. Subjects. Participants who completed two-year interviews in the POINT study, a prospective cohort study that followed people with chronic noncancer pain over a five-year period, and who were prescribed strong opioids for a minimum of six weeks at baseline.

Methods: An advisory committee provided advice on wording and content for screening in primary care settings. Univariate logistic regression identified individual items that were significantly associated with meeting ICD-11 criteria for prescription opioid dependence. Exploratory and confirmatory factor analysis (EFA and CFA) were conducted, and items were reduced to identify a small item set that were discriminative and shared a simple underlying structure.

Results: Sixty-four variables associated with ICD-11 criteria for prescription opioid dependence were initially identified. Four rounds of EFA were performed, resulting in five items remaining. CFA identified two possible four-item combinations, with the final combination chosen based on greater item endorsement and the results of goodness-of-fit indices.

Conclusions: Addressing prescription opioid dependence is an important part of the global public health challenge surrounding rising opioid-related harm. This study addresses an important initial requisite step to develop a brief screening tool. Further studies are required to validate the tool in clinical settings.

Item Details

Item Type:Refereed Article
Keywords:opioid dependence, opioid use disorder, chronic pain, screening
Research Division:Psychology
Research Group:Biological psychology
Research Field:Behavioural neuroscience
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Public health (excl. specific population health) not elsewhere classified
UTAS Author:Bruno, R (Associate Professor Raimondo Bruno)
ID Code:140717
Year Published:2020
Web of Science® Times Cited:4
Deposited By:Psychology
Deposited On:2020-09-02
Last Modified:2021-01-20

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