eCite Digital Repository
Development of a Brief Patient-Administered Screening Tool for Prescription Opioid Dependence for Primary Care Settings
Citation
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.
Abstract
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 |
Downloads: | 0 |
Repository Staff Only: item control page