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The Effect of Motivational Interviewing on Prescription Opioid Adherence Among Older Adults With Chronic Pain
Author(s) -
Chang YuPing,
Compton Peggy,
Almeter Pamela,
Fox Chester H.
Publication year - 2015
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12082
Subject(s) - motivational interviewing , medicine , medical prescription , chronic pain , opioid , depression (economics) , outpatient clinic , test (biology) , psychiatry , randomized controlled trial , nursing , paleontology , receptor , biology , economics , macroeconomics
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.