TY - JOUR
KW - Analgesics, Opioid/administration & dosage/adverse effects
KW - Boston
KW - Chronic Pain
KW - Chronic Pain/diagnosis/drug therapy
KW - Clinical Decision-Making/methods
KW - Diagnosis, Computer-Assisted/methods
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Male
KW - Mass Screening/methods
KW - Middle Aged
KW - Opioid-Related Disorders/diagnosis/prevention & control
KW - Opioids
KW - Pilot Projects
KW - Reproducibility of Results
KW - Respondent burden
KW - Retrospective Studies
KW - Risk Stratification
KW - Sensitivity and Specificity
KW - SOAPP-R
KW - Software
KW - Software Validation
KW - Substance Abuse
KW - Surveys and Questionnaires
AU - M. D. Finkelman
AU - R. J. Kulich
AU - K. L. Zacharoff
AU - N. Smits
AU - B. E. Magnuson
AU - J. Dong
AU - S. F. Butler
A1 - 
AB - BACKGROUND: The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item self-report instrument that was developed to aid providers in predicting aberrant medication-related behaviors among chronic pain patients. Although the SOAPP-R has garnered widespread use, certain patients may be dissuaded from taking it because of its length. Administrative barriers associated with lengthy questionnaires further limit its utility. OBJECTIVE: To investigate the extent to which two techniques for computer-based administration (curtailment and stochastic curtailment) reduce the average test length of the SOAPP-R without unduly affecting sensitivity and specificity. DESIGN: Retrospective study. SETTING: Pain management centers. SUBJECTS: Four hundred and twenty-eight chronic non-cancer pain patients. METHODS: Subjects had taken the full-length SOAPP-R and been classified by the Aberrant Drug Behavior Index (ADBI) as having engaged or not engaged in aberrant medication-related behavior. Curtailment and stochastic curtailment were applied to the data in post-hoc simulation. Sensitivity and specificity with respect to the ADBI, as well as average test length, were computed for the full-length test, curtailment, and stochastic curtailment. RESULTS: The full-length SOAPP-R exhibited a sensitivity of 0.745 and a specificity of 0.671 for predicting the ADBI. Curtailment reduced the average test length by 26% while exhibiting the same sensitivity and specificity as the full-length test. Stochastic curtailment reduced the average test length by as much as 65% while always exhibiting sensitivity and specificity for the ADBI within 0.035 of those of the full-length test. CONCLUSIONS: Curtailment and stochastic curtailment have potential to improve the SOAPP-R's efficiency in computer-based administrations.
BT - Pain medicine (Malden, Mass.)
C5 - Opioids & Substance Use; Measures
CP - 12
CY - England
DO - 10.1111/pme.12864
IS - 12
JF - Pain medicine (Malden, Mass.)
N2 - BACKGROUND: The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item self-report instrument that was developed to aid providers in predicting aberrant medication-related behaviors among chronic pain patients. Although the SOAPP-R has garnered widespread use, certain patients may be dissuaded from taking it because of its length. Administrative barriers associated with lengthy questionnaires further limit its utility. OBJECTIVE: To investigate the extent to which two techniques for computer-based administration (curtailment and stochastic curtailment) reduce the average test length of the SOAPP-R without unduly affecting sensitivity and specificity. DESIGN: Retrospective study. SETTING: Pain management centers. SUBJECTS: Four hundred and twenty-eight chronic non-cancer pain patients. METHODS: Subjects had taken the full-length SOAPP-R and been classified by the Aberrant Drug Behavior Index (ADBI) as having engaged or not engaged in aberrant medication-related behavior. Curtailment and stochastic curtailment were applied to the data in post-hoc simulation. Sensitivity and specificity with respect to the ADBI, as well as average test length, were computed for the full-length test, curtailment, and stochastic curtailment. RESULTS: The full-length SOAPP-R exhibited a sensitivity of 0.745 and a specificity of 0.671 for predicting the ADBI. Curtailment reduced the average test length by 26% while exhibiting the same sensitivity and specificity as the full-length test. Stochastic curtailment reduced the average test length by as much as 65% while always exhibiting sensitivity and specificity for the ADBI within 0.035 of those of the full-length test. CONCLUSIONS: Curtailment and stochastic curtailment have potential to improve the SOAPP-R's efficiency in computer-based administrations.
PP - England
PY - 2015
SN - 1526-4637; 1526-2375
SP - 2344
EP - 2356
EP - 
T1 - Shortening the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R): A Proof-of-Principle Study for Customized Computer-Based Testing
T2 - Pain medicine (Malden, Mass.)
TI - Shortening the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R): A Proof-of-Principle Study for Customized Computer-Based Testing
U1 - Opioids & Substance Use; Measures
U2 - 26176496
U3 - 10.1111/pme.12864
VL - 16
VO - 1526-4637; 1526-2375
Y1 - 2015
ER -