Patient selection: chronic pain patient prescribed opioids
How often/Have?
(1) moods swings
(2) smoke a cigarette within an hour of waking up
(3) family member with a problem with alcohol or drugs
(4) close friends with a problem with alcohol or drugs
(5) others suggested that you had an alcohol or drug problem
(6) attended an NA or AA meeting
(7) taken a medication in a way other than how prescribed
(8) treated for a drug or alcohol problem
(9) medications been lost or stolen
(10) others expressed concern over your use of medication
(11) felt a craving for medication
(12) asked to give urine to screen for substance abuse
(13) used illegal drugs in the past 5 years
(14) legal problems or been arrested over lifetime
Cluster:
psychiatric: 1
substance abuse history: 2, 3, 4, 5, 6, 8, 13
medication-related behaviors: 7, 9, 10
neurobiological need for medicine: 11
doctor/patient relationship: 12
antisocial behaviors: 14
|
Response
|
Points
|
|
never
|
0
|
|
rarely
|
1
|
|
sometimes
|
2
|
|
often
|
3
|
|
very often
|
4
|
total score =
= SUM(points for all 14 items)
Interpretation:
• minimum score: 0
• maximum score: 56
• The higher the score the greater the risk.
|
Score
|
Sensitivity
|
Specificity
|
Positive LR
|
Negative LR
|
|
>= 7
|
0.91
|
0.69
|
2.9
|
0.13
|
|
>= 8
|
0.86
|
0.73
|
3.2
|
0.19
|
|
>= 9
|
0.77
|
0.80
|
3.9
|
0.28
|
