Cited by 471Opioid Use Disorder TreatmentPain Management and Opioid UseSubstance Abuse Treatment and Outcomes

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Validation of the Revised Screener and Opioid Assessment for Patients With Pain (SOAPP-R)

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Butler, Stephen F., Fernandez, Kathrine, Benoit, Christine, Budman, Simon H., Jamison, Robert N.·2008·The Journal of Pain

DOI 10.1016/j.jpain.2007.11.014PMC PMC2359825

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Abstract

Unlabelled The original Screener and Opioid Assessment for Patients with Pain (SOAPP) is a conceptually derived self-report questionnaire designed to predict aberrant medication-related behaviors among chronic pain patients considered for long-term opioid therapy. The purpose of this study was to develop and validate an empirically derived version of the SOAPP (SOAPP-R) that addresses some limitations of the original SOAPP. In successive steps, items were reduced from an initial pool of 142 to a 97-item beta version. The beta version was administered to 283 chronic pain patients receiving long-term opioid therapy. Items were evaluated based on data collected at follow-up, including correlation with the Aberrant Drug Behavior Index (ADBI), derived from interview data, physician ratings, and urine toxicology screens. Twenty-four items were retained and comprise the final SOAPP-R. Coefficient alpha was .88, and receiver operating characteristics curve analysis yielded an area under the curve of .81 (P < .001). A cutoff score of 18 showed adequate sensitivity (.81) and specificity (.68). The obtained psychometrics, along with the use of a predictive criterion that goes beyond self-report, suggest that the SOAPP-R is an improvement over the original version in screening risk potential for aberrant medication-related behavior among persons with chronic pain.Perspective There is a need for a screener for abuse risk in patients prescribed opioids for pain. This study presents a revised version of the SOAPP-R that is empirically derived with good reliability and validity but is less susceptible to overt deception than the original SOAPP version 1.

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Authors: Butler, S. F., Fernandez, K., Benoit, C., Budman, S. H., & Jamison, R. N.
Affiliations: Inflexxion (United States) (US)
Brigham and Women's Hospital (US)
Corresponding author: Butler, Stephen F.
ORCID: Butler, Stephen F.
Jamison, Robert N.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2008-04
Volume: 9
Issue: 4
Pages: 360-372
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2007.11.014
PMC: PMC2359825
OpenAlex: W1972589489
Cited by: 471
References: 40
Citations by year: 2026: 12 · 2025: 14 · 2024: 8 · 2023: 15 · 2022: 28 · 2021: 27 · 2020: 28 · 2019: 38 · 2018: 37 · 2017: 39 · 2016: 41 · 2015: 29 · 2014: 29 · 2013: 29 · 2012: 33
FWCI: 20.78
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 5641 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Brigham and Women's Hospital
National Institutes of Health
National Institute on Drug Abuse (DA015617, R43DA015617, R44DA015617)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: chronic pain, long-term opioid therapy, opioid abuse risk, self-report questionnaire, urine toxicology, psychometric validation
MeSH terms: Adult, Aged, Aged, 80 and over, Analgesics, Opioid, Attitude to Health, Chronic Disease, Female, Humans, Male, Mass Screening, Middle Aged, Opioid-Related Disorders, Intractable Pain, Predictive Value of Tests, Psychometrics, Surveys and Questionnaires, Risk Factors, ROC Curve, Reproducibility of Results, Risk Assessment

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Validation of the Revised Screener and Opioid Assessment for Patients With Pain (SOAPP-R)

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