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

Nielsen, S, Picco, L, Campbell, G, Lintzeris, N, Larance, B, Farrell, M, Degenhardt, L and Bruno, R ORCID: 0000-0001-6673-833X 2020 , 'Development of a Brief Patient-Administered Screening Tool for Prescription Opioid Dependence for Primary Care Settings' , Pain Medicine, vol. 21, no. 2 , e79-e88 , doi: 10.1093/pm/pnz213.

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Objective: To develop a short, patient-administered screening tool that will allow for earlier assessment of prescriptionopioid dependence (often referred to as addiction) in primary care settings. Design and Setting: Cross-sectional analysis(N¼ 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 studythat followed people with chronic noncancer pain over a five-year period, and who were prescribed strong opioids fora minimum of six weeks at baseline. Methods: An advisory committee provided advice on wording and content forscreening 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 shareda 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 identifiedtwo possible four-item combinations, with the final combination chosen based on greater item endorsement and theresults of goodness-of-fit indices. Conclusions: Addressing prescription opioid dependence is an important part of theglobal 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 Type: Article
Authors/Creators:Nielsen, S and Picco, L and Campbell, G and Lintzeris, N and Larance, B and Farrell, M and Degenhardt, L and Bruno, R
Keywords: opioid dependence, opioid use disorder, chronic pain, screening
Journal or Publication Title: Pain Medicine
Publisher: Blackwell Publishing Inc
ISSN: 1526-2375
DOI / ID Number: 10.1093/pm/pnz213
Copyright Information:

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

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