Todd M. Moore|Ted Jones|Joe H. Browder|Susan Daffron|Steven D. Passik
A Comparison of Common Screening Methods for Predicting Aberrant Drug-Related Behavior among Patients Receiving Opioids for Chronic Pain Management
University of Tennessee at Knoxville|Institute for Behavioral Medicine|Memorial Sloan Kettering Cancer Center
ability predict risk violating opioid medication policies known aberrant drugrelated behavior critical providing optimal treatment many pain management centers measure risk using one several partially validated measures screener opioid assessment patients pain soapp diagnosis intractability risk efficacy inventory dire andor opioid risk tool ort however little known measures compare predicting aberrant drugrelated behavior discontinuance opioid pain medications current study aimed address research questionparticipants 48 patients attended pain management center tennessee later discontinued opioids aberrant drugrelated behavior patients referred opioid medication pain management participated semistructured clinical interview staff psychologist completed aforementioned measures patients generally returned pain clinic monthly basis medication management results analyses compared sensitivity selfreport measure clinical interview predicting discontinuance aberrant drugrelated behaviorshowed highest sensitivity clinical interview 077 soapp 072 followed ort 045 dire 017 combining clinical interview soapp increased sensitivity 090among patients discontinued opioids aberrant drugrelated behaviors clinical interview soapp effective predicting risk baseline implications future research clinical practice discussed