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Opioids & SU
The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
677 Results
502
Satisfaction with methadone as a medication: psychometric properties of the Spanish version of the treatment satisfaction questionnaire for medication
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: There is a manifest lack of psychometrically sound instruments designed for specific and multidimensional assessment of satisfaction with methadone as a medication within the context of methadone maintenance treatment. Therefore, it may be worthwhile to assess the pertinence and utility of using a generic and multidimensional medication satisfaction instrument that has not been specifically developed for use in methadone maintenance treatment.The aim of this study was thus to explore the psychometric properties of the Spanish version of the Treatment Satisfaction Questionnaire for Medication (TSQM version 1.4 [Health Qual Life Outcomes. 2004;2:12]) in a sample of methadone-maintained heroin-dependent patients.Two hundred three methadone-maintained patients filled out the TSQM and other several measures related to the construct of patient satisfaction (eg, Verona Service Satisfaction Scale for methadone treatment). Dimensionality of the TSQM was assessed by means of a confirmatory factor analysis. Internal consistency was examined using the ordinal coefficient alpha. Spearman correlations were used to explore the relationship between the TSQM and the measures conceptually related to patient satisfaction.Regarding the dimensionality of the TSQM, its original factor structure adequately fitted the data (Satorra-Bentler chi58, 72.14 [P = 0.100]; root-mean-square error of approximation, 0.045; comparative fit index, 0.978). All but 1 of the 4 TSQM subscales showed acceptable to good internal consistency values (0.78-0.89). The dimensions of the TSQM were differentially and congruently correlated with related measures.The results strongly suggest the TSQM value as a brief, generic, and psychometrically sound instrument to assess satisfaction with methadone as a medication in a multidimensional manner. Notwithstanding, more research is needed not only to assess the generalizability of these findings but also to provide pieces of evidence for other psychometric properties, especially the TSQM predictive validity.
Topic(s):
Opioids & Substance Use
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, Measures
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504
Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Tools to monitor implementation progress could facilitate scale-up of effective treatments. Most treatment for depression, a common and disabling condition, is provided in primary care settings. Collaborative Care Management (CoCM) is an evidence-based model for treating common mental health conditions, including depression, in this setting; yet, it is not widely implemented. The Stages of Implementation Completion (SIC) was adapted for CoCM and piloted in eight rural primary care clinics serving adults challenged by low-income status. The CoCM-SIC accurately assessed implementation effectiveness and detected site variations in performance, suggesting key implementation activities to aid future scale-ups of CoCM for diverse populations.
Topic(s):
Healthcare Disparities
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, Measures
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Reference Links: 
View the DOI record for Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)
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View the PubMed citation for Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)505
Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Tools to monitor implementation progress could facilitate scale-up of effective treatments. Most treatment for depression, a common and disabling condition, is provided in primary care settings. Collaborative Care Management (CoCM) is an evidence-based model for treating common mental health conditions, including depression, in this setting; yet, it is not widely implemented. The Stages of Implementation Completion (SIC) was adapted for CoCM and piloted in eight rural primary care clinics serving adults challenged by low-income status. The CoCM-SIC accurately assessed implementation effectiveness and detected site variations in performance, suggesting key implementation activities to aid future scale-ups of CoCM for diverse populations.
Topic(s):
Healthcare Disparities
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, Measures
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Reference Links:
View the DOI record for Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)
View DOI Record
View the PubMed citation for Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)508
Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
Key & Foundational
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, Measures
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, Opioids & Substance Use
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Reference Links: View the PubMed citation for Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement
509
Screening and brief intervention for lower-risk drug use in primary care: A pilot randomized trial
Type: Journal Article
Year: 2020
Publication Place: Ireland
Topic(s):
Opioids & Substance Use
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, Measures
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Reference Links:
View the DOI record for Screening and brief intervention for lower-risk drug use in primary care: A pilot randomized trial
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View the PubMed citation for Screening and brief intervention for lower-risk drug use in primary care: A pilot randomized trial511
Screening emergency department patients for opioid drug use: A qualitative systematic review
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
Measures
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, Opioids & Substance Use
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Reference Links: View the PubMed citation for Screening emergency department patients for opioid drug use: A qualitative systematic review
512
Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC
Type: Journal Article
Year: 2017
Publication Place: Netherlands
Topic(s):
Measures
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Reference Links:
View the DOI record for Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC
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View the PubMed citation for Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC513
Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature
Type: Journal Article
Year: 2018
Abstract: Background: Mounting evidence indicates that early recognition and treatment of behavioral health disorders can prevent complications, improve quality of life, and help reduce health care costs. The aim of this systematic literature review was to identify and evaluate publicly available, psychometrically tested tools that primary care physicians (PCPs) can use to screen adult patients for common mental and substance use disorders such as depression, anxiety, and alcohol use disorders. Methods: We followed the Institute of Medicine (IOM) systematic review guidelines and searched PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Cumulative Index to Nursing and Allied Health Literature, and Health and Psychosocial Instruments databases to identify literature addressing tools for screening of behavioral health conditions. We gathered information on each tool�s psychometrics, applicability in primary care, and characteristics such as number of items and mode of administration. We included tools focused on adults and the most common behavioral health conditions; we excluded tools designed for children, youth, or older adults; holistic health scales; and tools screening for serious but less frequently encountered disorders, such as bipolar disorder. Results: We identified 24 screening tools that met the inclusion criteria. Fifteen tools were subscales stemming from multiple-disorder assessments or tools that assessed more than one mental disorder or more than one substance use disorder in a single instrument. Nine were ultra-short, single-disorder tools. The tools varied in psychometrics and the extent to which they had been administered and studied in primary care settings. Discussion: Tools stemming from the Patient Health Questionnaire had the most testing and application in primary care settings. However, numerous other tools could meet the needs of primary care practices. This review provides information that PCPs can use to select appropriate tools to incorporate into a screening protocol.
Topic(s):
Measures
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Reference Links:
View the DOI record for Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature
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View the PubMed citation for Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature515
Screening for depression in low-income elderly patients at the primary care level: use of the Patient Health Questionnaire-2
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: INTRODUCTION: Depression is one of the most common mental disorders and a leading cause of disability worldwide. It constitutes a serious public health problem, particularly among elderly individuals. Most depressed elderly patients are treated by primary care (PC) physicians. The "Patient Health Questionnaire" (PHQ-2) is an instrument used for the detection of depression in PC settings. OBJECTIVE: Evaluate the performance of the PHQ-2 in a low-income and uneducated elderly PC population. METHODS: A non-probabilistic population sample of 142 individuals was selected from the healthcare unit's users >== 60 years. Criterion validity was assessed by estimating the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the PHQ-2 in comparison with the structured interview using the DSM-IV. The estimates of sensitivity and specificity were obtained from varying cut-offs of the PHQ-2 score. A Receiver Operator Characteristic (ROC) curve was constructed and the area under the curve (AUC) was calculated. RESULTS: The group was predominantly female (73.9%), with low education level (mean 3 years of schooling). The mean age was 72.5 years old. The prevalence of depression was 26.1%. The best values of sensitivity (0.74), specificity (0.77), PPV (0.50) e NPV (0.90) were obtained with score equal to 1. The AUC was 0.77, indicating a modest performance of the test accuracy. CONCLUSION: The simplicity of the PHQ-2 is an advantage for its use in PC. The high NPV indicated that 90% of those who tested negative would not need additional tests. However, the low PPV indicated that the PHQ-2 is not sufficient to screen for depression. The application of the instrument could be the first step of the screening, that would include a second step to all those with positive tests formerly.
Topic(s):
Healthcare Disparities
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, Measures
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517
Screening for depression in primary care: a Rasch analysis of the PHQ-9
Type: Journal Article
Year: 2016
Publication Place: England
Abstract: Aims and method To explore the modern psychometric properties of the Patient Health Questionnaire (PHQ-9), we used the Rasch analysis in a sample of 767 primary care patients with depression. Results The analysis highlighted dependency issues between items 1 and 2 ('Little interest or pleasure in doing things' and 'Feeling down, depressed, or hopeless'), and items 3 and 4 ('Trouble falling or staying asleep, or sleeping too much' and 'Feeling tired or having little energy'). Items 1 and 2 displayed an over-discrimination, suggesting their potential redundancy within the complete item set. Clinical implications In its current format the PHQ-9 displays some problems with regard to its measurement structure among a sample of primary care patients. These problems can be addressed by removing potentially redundant items to deliver a stable screening tool. The results also lend support for the PHQ-2 to be used as a screening tool in a primary care setting.
Topic(s):
Measures
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View the PubMed citation for Screening for depression in primary care: a Rasch analysis of the PHQ-9
Reference Links:
View the DOI record for Screening for depression in primary care: a Rasch analysis of the PHQ-9
View DOI Record
View the PubMed citation for Screening for depression in primary care: a Rasch analysis of the PHQ-9518
Screening for Parental Depression in Urban Primary Care Practices: A Mixed Methods Study
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: We sought to determine feasibility and acceptability of parental depression screening in urban pediatric practices. We recruited seven practices to participate. Patient Health Questionnaire-2, a validated two-item screening tool, was used to screen for depressive symptoms at 1-3 year old well visits. We conducted semi-structured interviews with clinicians to identify barriers and facilitators to screening. Of 8,621 eligible parents, 21.1% completed screening with site-specific rates ranging from 10.1% to 48.5%. Among those screened, 8.1% screened positive for depressive symptoms with site-specific rates ranging from 1.2% to 16.9%. Electronic alerts improved screening rates from 45 / month to 170 / month. Fifteen clinicians completed interviews and endorsed screening to provide help for families, build stronger ties with parents, and improve outcomes for children. However, insufficient time, need to complete activities with higher priority, lack of mental health availability, few resources for parents with limited English proficiency, and discomfort addressing depression were thought to limit screening.
Topic(s):
Healthcare Disparities
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, Measures
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Reference Links: View the PubMed citation for Screening for Parental Depression in Urban Primary Care Practices: A Mixed Methods Study
519
Screening for substance abuse risk in cancer patients using the Opioid Risk Tool and urine drug screen
Type: Journal Article
Year: 2014
Publication Place: Germany
Abstract: PURPOSE: The use of opioids for management of cancer-related pain has increased significantly and has been associated with a substantial rise in rates of substance abuse and diversion. There is a paucity of data not only on the prevalence of substance abuse in cancer patients, but also for issues of drug use and diversion in family caregivers. This study aimed to evaluate the frequency of risk factors for substance abuse and diversion, and abnormal urine drug screens in cancer patients receiving palliative care. METHODS: A retrospective chart review was performed for patients with cancer who were seen in the University of Virginia Palliative Care Clinic during the month of September 2012. We evaluated Opioid Risk Tool variables and total scores, insurance status, and urine drug screen results. RESULTS: Of the 114 cancer patients seen in September 2012, the mean Opioid Risk Tool score was 3.79, with 43% of patients defined as medium to high risk. Age (16-45 years old, 23%) and a personal history of alcohol (23%) or illicit drugs (21%) were the most common risk factors identified. We obtained a urine drug screen on 40% of patients, noting abnormal findings in 45.65%. CONCLUSIONS: Opioids are an effective treatment for cancer-related pain, yet substantial risk for substance abuse exits in the cancer population. Screening tools, such as the Opioid Risk Tool, should be used as part of a complete patient assessment to balance risk with appropriate relief of suffering.
Topic(s):
Opioids & Substance Use
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, Measures
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Reference Links:
View the DOI record for Screening for substance abuse risk in cancer patients using the Opioid Risk Tool and urine drug screen
View DOI Record
View the PubMed citation for Screening for substance abuse risk in cancer patients using the Opioid Risk Tool and urine drug screen520
Screening for Substance Use Disorder Among Incarcerated Men with the Alcohol, Smoking, Substance Involvement Screening Test (ASSIST): A Comparative Analysis of Computer-Administered and Interviewer-Administered Modalities
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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, Measures
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