TY - JOUR
KW - Adult
KW - Aged
KW - Analgesics, Opioid/adverse effects
KW - Chronic Pain/drug therapy/psychology
KW - Comprehension
KW - Female
KW - Health Literacy
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Middle Aged
KW - Opioid-Related Disorders/etiology
KW - Pain Clinics
KW - Patient Selection
KW - Predictive Value of Tests
KW - Risk Assessment
KW - Risk Factors
KW - Self Report
KW - Tennessee
AU - T. Jones
AU - S. D. Passik
A1 - 
AB - Risk assessment and stratification have become important aspects for the prescription of opioids to patients with chronic pain. Recent research has shown that the Opioid Risk Tool (ORT), a widely used risk assessment tool, has poor predictive abilities when compared with other risk assessment methods. This study compares two different methods of administration of the ORT to further study this issue. Patients at a pain practice were given an ORT to complete per the usual method of administration. In addition, a separate blinded ORT was completed by a psychologist after conducting a clinical interview with the patient. The results of the patient-completed ORT (PC-ORT) and the clinician-completed ORT (CC-ORT) were compared. There were significant differences found between the two, with the psychologist usually rating the patient higher in risk. The CC-ORT demonstrated better prediction of aberrant drug-taking behavior than the PC-ORT. The items that were discrepant between the two suggest that the differences were primarily due to comprehension issues. A strategy to help maximize the usefulness of the ORT derived from this finding and clinical experience is discussed.
BT - Journal of opioid management
C5 - Opioids & Substance Use; Measures
CP - 5
CY - United States
IS - 5
JF - Journal of opioid management
N2 - Risk assessment and stratification have become important aspects for the prescription of opioids to patients with chronic pain. Recent research has shown that the Opioid Risk Tool (ORT), a widely used risk assessment tool, has poor predictive abilities when compared with other risk assessment methods. This study compares two different methods of administration of the ORT to further study this issue. Patients at a pain practice were given an ORT to complete per the usual method of administration. In addition, a separate blinded ORT was completed by a psychologist after conducting a clinical interview with the patient. The results of the patient-completed ORT (PC-ORT) and the clinician-completed ORT (CC-ORT) were compared. There were significant differences found between the two, with the psychologist usually rating the patient higher in risk. The CC-ORT demonstrated better prediction of aberrant drug-taking behavior than the PC-ORT. The items that were discrepant between the two suggest that the differences were primarily due to comprehension issues. A strategy to help maximize the usefulness of the ORT derived from this finding and clinical experience is discussed.
PP - United States
PY - 2011
SN - 1551-7489; 1551-7489
SP - 347
EP - 351
EP - 
T1 - A comparison of methods of administering the opioid risk tool
T2 - Journal of opioid management
TI - A comparison of methods of administering the opioid risk tool
U1 - Opioids & Substance Use; Measures
U2 - 22165033
VL - 7
VO - 1551-7489; 1551-7489
Y1 - 2011
ER -