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

被引：33

作者：

Chang, Yu-Ping ^{[1
]}

Compton, Peggy ^{[2
]}

Almeter, Pamela ^{[1
]}

Fox, Chester H. ^{[3
]}

机构：

[1] SUNY Buffalo, Sch Nursing, Buffalo, NY 14260 USA

[2] Georgetown Univ, Sch Nursing & Hlth Studies, Acad Affairs, Washington, DC USA

[3] SUNY Buffalo, Dept Family Med, Buffalo, NY USA

来源：

PERSPECTIVES IN PSYCHIATRIC CARE | 2015年 / 51卷 / 03期

关键词：

Adherence; chronic pain; motivational interviewing; older adults; prescription opioid; RISKY SEXUAL-BEHAVIOR; USE DISORDERS; SOCIAL SUPPORT; PHARMACOLOGICAL MANAGEMENT; NONCANCER PAIN; SELF-EFFICACY; PRIMARY-CARE; INTERVENTION; SCALE; LONELINESS;

D O I：

10.1111/ppc.12082

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

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.

引用

页码：211 / 219

页数：9

共 59 条

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