Yu-Ping Chang1, Peggy Compton2, Pamela Almeter1, Chester H Fox3. 1. School of Nursing, University at Buffalo, The State University of New York, Buffalo, New York, USA. 2. School of Nursing and Health Studies, Georgetown University, Washington DC, USA. 3. Department of Family Medicine, University at Buffalo, The State University of New York, New York, New York, USA.
Abstract
PURPOSE: To test the effect of office-based motivational interviewing (MI) on prescription opioid adherence in older adults with chronic pain. DESIGN AND METHODS: Pre- and post-design was used. Thirty chronic pain patients participated in a 4-week MI in two outpatient settings. FINDINGS: Participants demonstrated a significantly reduced risk of prescription opioid misuse, decreased substance use, increased self-efficacy, increased motivation to change, and decreased depression at both the post-test and 1-month follow-up. PRACTICE IMPLICATION: MI can be effectively delivered in outpatient settings for older adults who are at risk for opioid misuse. Clinicians could incorporate MI techniques to enhance prescription opioid adherence.
PURPOSE: To test the effect of office-based motivational interviewing (MI) on prescription opioid adherence in older adults with chronic pain. DESIGN AND METHODS: Pre- and post-design was used. Thirty chronic painpatients participated in a 4-week MI in two outpatient settings. FINDINGS:Participants demonstrated a significantly reduced risk of prescription opioid misuse, decreased substance use, increased self-efficacy, increased motivation to change, and decreased depression at both the post-test and 1-month follow-up. PRACTICE IMPLICATION: MI can be effectively delivered in outpatient settings for older adults who are at risk for opioid misuse. Clinicians could incorporate MI techniques to enhance prescription opioid adherence.
Authors: Christine M Gunn; Ariel Maschke; Miriam Harris; Samantha F Schoenberger; Spoorthi Sampath; Alexander Y Walley; Sarah M Bagley Journal: Addiction Date: 2020-11-26 Impact factor: 6.526