A comparison of methods of administering the Opioid Risk Tool

2011 ◽  
Vol 7 (5) ◽  
pp. 347-351 ◽  
Author(s):  
Ted Jones, PhD ◽  
Steven D. Passik, PhD
Keyword(s):  
Risk Assessment ◽  
Chronic Pain ◽  
Clinical Experience ◽  
Assessment Tool ◽  
Clinical Interview ◽  
Usual Method ◽  
Assessment Methods ◽  
Risk Assessment Tool ◽  
Comparison Of Methods

Risk assessment and stratification have become important aspects for the prescription of opioids to patients with chronic pain. Recent research has shown that the Opioid Risk Tool (ORT), a widely used risk assessment tool, has poor predictive abilities when compared with other risk assessment methods. This study compares two different methods of administration of the ORT to further study this issue. Patients at a pain practice were given an ORT to complete per the usual method of administration. In addition, a separate blinded ORT was completed by a psychologist after conducting a clinical interview with the patient. The results of the patient-completed ORT (PC-ORT) and the clinician-completed ORT (CC-ORT) were compared. There were significant differences found between the two, with the psychologist usually rating the patient higher in risk. The CC-ORT demonstrated better prediction of aberrant drug-taking behavior than the PC-ORT. The items that were discrepant between the two suggest that the differences were primarily due to comprehension issues. A strategy to help maximize the usefulness of the ORT derived from this finding and clinical experience is discussed.

Further validation of an opioid risk assessment tool: The Brief Risk Interview

2014 ◽  
Vol 10 (5) ◽  
pp. 353 ◽  
Author(s):  
Ted Jones, PhD ◽  
Samantha Lookatch, MA ◽  
Patricia Grant, MS, ANP-C ◽  
Janice McIntyre, MS, ANP-C ◽  
Todd Moore, PhD
Keyword(s):  
Risk Assessment ◽  
Chronic Pain ◽  
Assessment Tool ◽  
Predictive Accuracy ◽  
Training Session ◽  
Predictive Ability ◽  
Standard Of Care ◽  
Assessment Tools ◽  
Risk Assessment Tool ◽  
Aberrant Behavior

Opioids remain a common method of treating chronic pain conditions despite some controversy. In an effort to address some of the risks of opioid medications, opioid risk assessment has become a standard of care when opioids are used to treat a chronic pain condition. Research to date has found that clinical interviews may be superior to currently available patient-completed written questionnaires in identifying patients likely to engage in medication aberrant behavior. The Brief Risk Interview (BRI) has been developed as a risk assessment tool that has the sensitivity of a clinical interview while eliminating the need for the lengthy process of an interview. The current study compared the predictive ability of the BRI with two commonly used patient-completed risk assessment tools: the Opioid Risk Tool (ORT) and the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). After clinical staff at a pain practice underwent a 1-hour training program, 124 consecutive new patients were evaluated using the BRI, ORT, and SOAPP-R. Follow-up data found that the BRI was a good predictor of medication aberrant behavior and offered better sensitivity and better overall predictive accuracy than the ORT or the SOAPP-R. Overall, it appears that the BRI is a valid risk assessment tool that, after a brief training session, can be used effectively by pain clinicians. Further study is needed in other practice settings and with larger sample sizes.

Validation of a new risk assessment tool: The Brief Risk Questionnaire

2015 ◽  
Vol 11 (2) ◽  
pp. 171 ◽  
Author(s):  
Ted Jones, PhD ◽  
Samantha Lookatch, MA ◽  
Todd Moore, PhD
Keyword(s):  
Risk Assessment ◽  
Chronic Pain ◽  
Assessment Tool ◽  
Risk Measures ◽  
Standard Of Care ◽  
Clinical Interview ◽  
Assessment Tools ◽  
Pain Clinic ◽  
Aberrant Behavior ◽  
Chronic Pain Conditions

Opioids remain a common method of treating chronic pain conditions despite some controversy. In an effort to address some of the risks of opioid medications, opioid risk assessment has become a standard of care when opioids are used to treat a chronic pain condition. Research to date has found that many currently available patient-completed written questionnaires are relatively poor at identifying which patients will engage in medication aberrant behavior in the future. Clinical interview techniques have been found to provide better prediction, but practitioners often prefer the convenience of patient-completed tools. In this study, a new brief patient-completed risk tool, the Brief Risk Questionnaire (BRQ), was created and compared with a structured clinical interview and two commonly used patient-completed risk assessment tools: the Opioid Risk Tool (ORT) and Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). The different risk assessment measures were administered to 454 patients at a pain clinic and their prediction of medication aberrant behavior at 6-month follow-up was compared. Results found that the BRQ was able to predict future medication aberrant behavior better than the other two patient-completed risk measures and almost as well overall as a structured clinical interview rating system. This study indicates that the BRQ could be a useful new tool for clinicians in conducting opioid risk assessment.

scholarly journals Problems of the model of managing the integrated risk assessment for humans and environment in construction activities

2019 ◽  
Vol 265 ◽  
pp. 07003 ◽  
Author(s):  
Vladislav Uskov ◽  
Irina Reshetnikova
Keyword(s):  
Risk Assessment ◽  
Assessment Tool ◽  
Threat Assessment ◽  
Assessment Methods ◽  
Risk Assessment Tool ◽  
Integrated Risk Assessment ◽  
Integrated Risk

The article discusses the risk assessment methods, the influence of safety threats on the occurrence and likelihood of risks, the difficulties encountered before risk assessment, raises issues of planning and extent of the construction entity's influence on risk assessment and construction protection. Particular attention is paid to the processing of results and analysis of threat assessment. An assumption is made that planning can be used as a risk assessment tool, and a way of using this tool to protect against emerging threats is suggested.

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