title: The Effect of Motivational Interviewing on Prescription Opioid Adherence Among Older Adults With Chronic Pain.
abstract: OBJECTIVE
  To test the effect of office-based motivational interviewing (MI) on prescription opioid adherence in older adults with chronic pain.
  
  
  METHODS
  Pre- and post-design was used. Thirty chronic pain patients participated in a 4-week MI in two outpatient settings.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Nursing, University at Buffalo, The State University of New York, Buffalo, New York, USA.
authors.forename: Yu-Ping
authors.initials: YP
authors.lastname: Chang
authors.affiliation: School of Nursing and Health Studies, Georgetown University, Washington DC, USA.
authors.forename: Peggy
authors.initials: P
authors.lastname: Compton
authors.affiliation: School of Nursing, University at Buffalo, The State University of New York, Buffalo, New York, USA.
authors.forename: Pamela
authors.initials: P
authors.lastname: Almeter
authors.affiliation: Department of Family Medicine, University at Buffalo, The State University of New York, New York, New York, USA.
authors.forename: Chester H
authors.initials: CH
authors.lastname: Fox
mesh_terms: D000368:Aged; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D001007:Anxiety; D059350:Chronic Pain / Q000188:drug therapy* / Q000523:psychology*; D003863:Depression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D009518:New York; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016903:Drug Monitoring
chemical_list: D000701:Analgesics, Opioid
keywords: Adherence; chronic pain; motivational interviewing; older adults; prescription opioid