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

Perspect Psychiatr Care. 2015 Jul;51(3):211-9. doi: 10.1111/ppc.12082. Epub 2014 Aug 27.

Abstract

Purpose: To test the effect of office-based motivational interviewing (MI) on prescription opioid adherence in older adults with chronic pain.

Design and methods: Pre- and post-design was used. Thirty chronic pain patients participated in a 4-week MI in two outpatient settings.

Findings: Participants 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 implication: MI 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.

Keywords: Adherence; chronic pain; motivational interviewing; older adults; prescription opioid.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Analgesics, Opioid / adverse effects
  • Analgesics, Opioid / therapeutic use*
  • Anxiety
  • Chronic Pain / drug therapy*
  • Chronic Pain / psychology*
  • Depression
  • Female
  • Humans
  • Male
  • Medication Adherence / statistics & numerical data*
  • Middle Aged
  • Motivational Interviewing / methods*
  • New York
  • Prescription Drug Misuse / statistics & numerical data*
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Self Efficacy
  • Surveys and Questionnaires

Substances

  • Analgesics, Opioid