Evidence map›Paper›PMID 26176496›Full record

ArticlePain medicine (Malden, Mass.)2015

Shortening the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R): A Proof-of-Principle Study for Customized Computer-Based Testing.

Matthew D Finkelman, Ronald J Kulich, Kevin L Zacharoff, Niels Smits, Britta E Magnuson, Jinghui Dong, Stephen F Butler

Abstract readComparative Study
In one paragraph

Article in Pain medicine (Malden, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Matthew D FinkelmanDepartment of Public Health and Community Service, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
Ronald J KulichCraniofacial Pain and Headache Division, Department of Diagnostic Sciences, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
Kevin L ZacharoffMedical Affairs, Inc., Newton, Massachusetts, USA.
Niels SmitsDepartment of Methods, Faculty of Psychology and Education, VU University, Amsterdam, The Netherlands.
Britta E MagnusonDepartment of Oral and Maxillofacial Pathology, Oral Medicine, and Craniofacial Pain, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
Jinghui DongSackler School of Graduate Biomedical Sciences, Boston, Massachusetts, USA.
Stephen F ButlerInflexxion, Inc., Health Analytics Department, Newton, Massachusetts, USA.

Funding

Screening for Addiction Risk in Chronic Opioid TherapyR44DA015617 · NIDA · INFLEXXION, INC. · PI BUTLER, STEPHEN F · 2004 to 2005
$888k
Shortening the SOAPP-R: Computer-based opioid risk assessmentR03DA036683 · NIDA · TUFTS UNIVERSITY BOSTON · PI FINKELMAN, MATTHEW · 2014 to 2015
$159k
Screening for Addiction Risk in Chronic Opioid TherapyR43DA015617 · NIDA · INFLEXXION, INC. · PI BUTLER, STEPHEN F · 2003 to 2003
$120k
NIDA NIH HHS R03 DA036683NIDA NIH HHS R03DA036683NIDA NIH HHS R43 DA015617NIDA NIH HHS R44 DA015617
6 · The paper itself

Abstract

backgroundThe Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item self-report instrument that was developed to aid providers in predicting aberrant medication-related behaviors among chronic pain patients. Although the SOAPP-R has garnered widespread use, certain patients may be dissuaded from taking it because of its length. Administrative barriers associated with lengthy questionnaires further limit its utility.

objectiveTo investigate the extent to which two techniques for computer-based administration (curtailment and stochastic curtailment) reduce the average test length of the SOAPP-R without unduly affecting sensitivity and specificity.

designRetrospective study.

settingPain management centers. SUBJECTS: Four hundred and twenty-eight chronic non-cancer pain patients.

methodsSubjects had taken the full-length SOAPP-R and been classified by the Aberrant Drug Behavior Index (ADBI) as having engaged or not engaged in aberrant medication-related behavior. Curtailment and stochastic curtailment were applied to the data in post-hoc simulation. Sensitivity and specificity with respect to the ADBI, as well as average test length, were computed for the full-length test, curtailment, and stochastic curtailment.

resultsThe full-length SOAPP-R exhibited a sensitivity of 0.745 and a specificity of 0.671 for predicting the ADBI. Curtailment reduced the average test length by 26% while exhibiting the same sensitivity and specificity as the full-length test. Stochastic curtailment reduced the average test length by as much as 65% while always exhibiting sensitivity and specificity for the ADBI within 0.035 of those of the full-length test.

conclusionsCurtailment and stochastic curtailment have potential to improve the SOAPP-R's efficiency in computer-based administrations.

Indexed as

Analgesics, OpioidBostonChronic PainClinical Decision-MakingDiagnosis, Computer-AssistedFeasibility StudiesFemaleHumansMaleMass ScreeningMiddle AgedOpioid-Related DisordersPilot ProjectsReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityAnalgesics, OpioidChronic PainOpioidsRespondent BurdenRisk StratificationSOAPP-RSubstance Abuse

Identifiers

PMID26176496
PMCPMC4706778

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.