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

Suzanne Nielsen; Louisa Picco; Gabrielle Campbell; Nicholas Lintzeris; Briony Larance; Michael Farrell; Louisa Degenhardt; Raimondo Bruno

doi:10.1093/pm/pnz213

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

Journal article

Peer reviewed

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

Suzanne Nielsen, Louisa Picco, Gabrielle Campbell, Nicholas Lintzeris, Briony Larance, Michael Farrell, Louisa Degenhardt and Raimondo Bruno

Pain Medicine, Vol.21(2), pp.e79-e88

2020

DOI: https://doi.org/10.1093/pm/pnz213

PMID: 31591644

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Abstract

Opioid Dependence

Opioid Use Disorder

Chronic Pain

Screening

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. Cross-sectional analysis (N = 1,134) from the two-year time point of the Pain and Opioids IN Treatment (POINT) cohort was used in the scale development. 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. 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. 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. 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.

Details

Title: Development of a Brief Patient-Administered Screening Tool for Prescription Opioid Dependence for Primary Care Settings
Authors: Suzanne Nielsen (Corresponding Author) - UNSW Australia
Louisa Picco (Author) - Monash University
Gabrielle Campbell (Author) - UNSW Australia
Nicholas Lintzeris (Author) - University of Sydney
Briony Larance (Author) - UNSW Australia
Michael Farrell (Author) - UNSW Australia
Louisa Degenhardt (Author) - UNSW Australia
Raimondo Bruno (Author) - University of Tasmania
Publication details: Pain Medicine, Vol.21(2), pp.e79-e88
Publisher: Oxford University Press
DOI: 10.1093/pm/pnz213
ISSN: 1526-4637
PMID: 31591644
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99587508202621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Anesthesiology

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