Cross-validation of short forms of the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). (1st September 2017)

• Record Type: Journal Article
• Authors: Finkelman, Matthew D.; Jamison, Robert N.; Kulich, Ronald J.; Butler, Stephen F.; Jackson, William C.; Smits, Niels; Weiner, Scott G.
• Is Part Of: Drug and alcohol dependence. Volume 178(2017)
• Page Start: 94
• Page End: 100
• Publication Date: 2017-09-01
• Subjects: Chronic pain -- Opioids -- Substance abuse -- Risk stratification -- Short form -- Computer-based testing; Drug abuse -- Periodicals; Alcoholism -- Periodicals; 616.86
• DOI: 10.1016/j.drugalcdep.2017.04.016
• Languages: English
• ISSNs: 0376-8716

Abstract

Highlights: Short versions of the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) screener exhibit potential in two populations. A 12-item short form has screening properties similar to the full 24-item form. Computer-based versions that monitor assessments in progress show promise. Abstract: Background: The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item assessment designed to assist in the prediction of aberrant drug-related behavior (ADB) among patients with chronic pain. Recent work has created shorter versions of the SOAPP-R, including a static 12-item short form and two computer-based methods (curtailment and stochastic curtailment) that monitor assessments in progress. The purpose of this study was to cross-validate these shorter versions in two new populations. Methods: This retrospective study used data from patients recruited from a hospital-based pain center ( n = 84) and pain patients followed and treated at primary care centers ( n = 110). Subjects had been administered the SOAPP-R and assessed for ADB. In real-data simulation, the sensitivity, specificity, and area under the curve (AUC) of each form were calculated, as was the mean test length using curtailment and stochastic curtailment. Results: Curtailment reduced the number of items administered by 30% to 34% while maintaining sensitivity and specificity identical to those of the full-length SOAPP-R. Stochastic curtailment reduced the number of items administered by 45% to 63% while maintaining sensitivity and specificity within 0.03 of those of the full-length SOAPP-R. The AUC of the 12-item form was equal to that of the 24-item form in both populations. Conclusions: Curtailment, stochastic curtailment, and the 12-item short form have potential to enhance the efficiency of the SOAPP-R.