Title

The Effect of Motivational Interviewing on Prescription Opioid Adherence Among Older Adults With Chronic Pain.

Authors

Chang, Yu‐Ping; Compton, Peggy; Almeter, Pamela; Fox, Chester H.

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.

Subjects

SUBSTANCE abuse prevention; THERAPEUTIC use of narcotics; ANALGESICS; CHRONIC pain; PATIENT satisfaction; RESEARCH funding; STATISTICAL sampling; MOTIVATIONAL interviewing; PRE-tests & post-tests; REPEATED measures design; DATA analysis software; DESCRIPTIVE statistics; ONE-way analysis of variance; OLD age

Publication

Perspectives in Psychiatric Care, 2015, Vol 51, Issue 3, p211

ISSN

0031-5990

Publication type

Academic Journal

DOI

10.1111/ppc.12082