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

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

Perspect Psychiatr Care. 2014 Aug 27;

Authors: Chang YP, Compton P, Almeter P, Fox CH

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.

PMID: 25159493 [PubMed - as supplied by publisher]