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

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.