Preliminary Data on a New Opioid Risk Assessment Measure: The Brief Risk Interview

J Opioid Manag. Jan-Feb 2013;9(1):19-27. doi: 10.5055/jom.2013.0143.

Abstract

Risk assessment and stratification have become a central issue in prescribing opioids to patients with chronic pain. Research to date on various risk screening measures has shown that a clinical interview by an experienced clinician offers superior predictive ability in identifying patients who are more likely to engage in future medication aberrant behavior. The current study represents a pilot study of an interview rating scale that is designed to replicate this clinical assessment. This study compares the predictions of medication aberrant behavior made by the Opioid Risk Tool, the Screener and Opioid Assessment for Patients with Pain-Revised, and the new interview rating scale, the Brief Risk Interview (BRI). A sample of 196 patients was assessed by each of the three risk measures and then follow-up data were gathered at 6 months post interview to determine which patients had engaged in medication aberrant behavior and had been discharged from the practice. The BRI shows superior predictive ability in identifying patients who later engage in medication aberrant behavior. Although more study in other settings is needed, these preliminary data suggest that the Brief Risk Interview could be a useful tool for any pain clinician in assessing risk through the use of information gathered in a brief interview.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Analgesics, Opioid / adverse effects*
  • Behavior, Addictive / etiology*
  • Behavior, Addictive / psychology
  • Chronic Pain / diagnosis
  • Chronic Pain / drug therapy*
  • Chronic Pain / psychology
  • Decision Support Techniques
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interview, Psychological*
  • Male
  • Middle Aged
  • Opioid-Related Disorders / etiology*
  • Opioid-Related Disorders / psychology
  • Pain Measurement
  • Patient Selection
  • Pilot Projects
  • Predictive Value of Tests
  • Prescription Drugs / adverse effects*
  • Prognosis
  • Risk Assessment
  • Risk Factors
  • Time Factors
  • Young Adult

Substances

  • Analgesics, Opioid
  • Prescription Drugs