Initial Development of a Patient-Reported Instrument Assessing Harm, Efficacy, and Misuse of Long-Term Opioid Therapy
Journal of Rehabilitation Research and Development
Guidelines on long-term opioid therapy recommend frequent reassessment of harm, efficacy, and misuse of these potentially harmful and sometimes ineffective medications. In primary care, there is a need for a brief, patient-reported instrument. This report details the initial steps in the development of such an instrument. An interdisciplinary team of clinician-scientists performed four discrete steps in this study: (1) conceptualization of the purpose and function of the instrument, (2) assembly of an item pool, (3) expert rating on which items were most important to include in the instrument, and (4) modification of expert-selected items based on a reading level check and cognitive interviews with patients. A diverse panel of 47 subject matter experts was presented with 69 items to rate on a 1–9 scale in terms of importance for inclusion in the instrument. The panel highly rated 37 items: 8 related to harm, 4 related to efficacy, and 25 related to misuse. These 37 items were then tested for patient comprehension and modified as needed. Next steps in development will include further item reduction, testing against a gold standard, and assessment of the instrument’s effect on clinical outcomes.
Becker, William C.; Fiellin, David A.; Black, Anne C.; Kostovich, Carol T.; Kerns, Robert D.; and Fraenkel, Liana. Initial Development of a Patient-Reported Instrument Assessing Harm, Efficacy, and Misuse of Long-Term Opioid Therapy. Journal of Rehabilitation Research and Development, 53, 1: 127-135, 2016. Retrieved from Loyola eCommons, Nursing: School of Nursing Faculty Publications and Other Works,
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Author Posting. © The Authors 2016. This article is posted here for personal use, not for redistribution. The article was published in the Journal of Rehabilitation Research and Development, 2016, http://dx.doi.org/10.1682/JRRD.2014.11.0285