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      Validation of the revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R).

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          Abstract

          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.

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          Author and article information

          Journal
          J Pain
          The journal of pain
          Elsevier BV
          1526-5900
          1526-5900
          Apr 2008
          : 9
          : 4
          Affiliations
          [1 ] Inflexxion, Inc., Newton, Massachusetts 02464, USA. sfbutler@inflexxion.com
          Article
          S1526-5900(07)01025-5 NIHMS46286
          10.1016/j.jpain.2007.11.014
          2359825
          18203666
          53e0c07c-6b00-4388-b956-b2fa97871405
          History

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