Faculty Articles

Title

Development and Validation of an Eight-Item Brief Form of the SOAPP-R (SOAPP-8).

Document Type

Article

Publication Date

10-1-2018

Keywords

Adult, Aged, Aged, 80 and over, Analgesics, Opioid, Area Under Curve, Chronic Pain, Female, Humans, Male, Mass Screening, Middle Aged, Opioid-Related Disorders, Pain Clinics, ROC Curve, Reproducibility of Results, Retrospective Studies, Risk Assessment, Young Adult

Publication Title

Pain medicine (Malden, Mass.)

ISSN

1526-4637

Volume

19

Issue/No.

10

Abstract

Objective: Although the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) has become a widely used screener for aberrant opioid-related behavior in adults, the length of the instrument may limit its utility. The purpose of the current study was to develop a short form of the SOAPP-R by retaining as few items as possible while maximizing predictive accuracy.

Methods: Participants (N = 555), recruited from pain clinics, completed the 24-item SOAPP-R and participated in a five-month follow-up visit to evaluate aberrant drug-related behaviors. Opioid aberrant-related behavior was determined through self-report, physician report, and urine toxicology screen. The optimal subset of SOAPP-R items to predict aberrant opioid-related behavior was identified empirically by employing the LASSO selection method and the leave-one-out cross-validation (LOOCV) method offered in the GLMSELECT procedure in SAS 9.4 in conjunction with content expertise.

Results: Eight items were identified before the selection method stopped. The receiver operating characteristic curve generated from the predicted probabilities from the model produced an area under the curve (AUC) value greater than the AUC value produced by the 24-item SOAPP-R total score and yielded a sensitivity of 0.74 and a specificity of 0.66.

Conclusions: These results provide strong preliminary support for the SOAPP-8 as a brief screening tool of aberrant opioid-related behavior in chronic pain patients.

DOI

10.1093/pm/pnx194

Peer Reviewed

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