Journal
PERSPECTIVES IN PSYCHIATRIC CARE
Volume 51, Issue 3, Pages 211-219Publisher
WILEY
DOI: 10.1111/ppc.12082
Keywords
Adherence; chronic pain; motivational interviewing; older adults; prescription opioid
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Funding
- Patricia H. Garman Behavioral Health Nursing Endowment Fund Award, The State University of New York
- University at Buffalo School of Nursing
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PurposeTo test the effect of office-based motivational interviewing (MI) on prescription opioid adherence in older adults with chronic pain. Design and MethodsPre- and post-design was used. Thirty chronic pain patients participated in a 4-week MI in two outpatient settings. FindingsParticipants 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 ImplicationMI 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.
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