https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Development of a brief tool for monitoring aberrant behaviours among patients receiving long-term opioid therapy: the Opioid-Related Behaviours In Treatment (ORBIT) scale https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:24335 3 months (222 pain patients and 204 opioid substitution therapy (OST) patients). We employed item and scale psychometrics (exploratory factor analyses, confirmatory factor analyses and item-response theory statistics) to refine items to a brief scale. Results: Following removal of problematic items (poor retest-reliability or wording, semantic redundancy, differential item functioning, collinearity or rarity) iterative factor analytic procedures identified a 10-item unifactorial scale with good model fit in the total sample (N= 426; CFI = 0.981, TLI = 0.975, RMSEA = 0.057), and among pain (CFI = 0.969, TLI = 0.960, RMSEA = 0.062) and OST subgroups (CFI = 0.989, TFI = 0.986, RMSEA = 0.051). The 10 items provided good discrimination between groups, demonstrated acceptable test-retest reliability (ICC 0.80, 95% CI 0.60-0.89; Cronbach's alpha = 0.89), were moderately correlated with related constructs, including opioid dependence (SDS), depression and stress (DASS subscales) and Social Relationships and Environment domains of the WHO-QoL, and had strong face validity among advising clinicians. Conclusions: The Opioid-Related Behaviours In Treatment (ORBIT) scale is brief, reliable and validated for use in diverse patient groups receiving opioids. The ORBIT has potential applications as a checklist to prompt clinical discussions and as a tool to quantify aberrant behaviour and assess change over time.]]> Wed 24 Nov 2021 15:52:02 AEDT ]]> Context matters: using an Evidence to Decision (EtD) framework to develop and encourage uptake of opioid deprescribing guideline recommendations at the point-of-care https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:53973 Wed 24 Jan 2024 15:55:51 AEDT ]]> Does brief chronic pain management education change opioid prescribing rates? A pragmatic trial in Australian early-career general practitioners https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:30684 P value 0.19). This brief training package failed to increase overall opioid cessation. The inconsistency of these actual prescribing results with “hypothetical” prescribing behavior suggests that reducing opioid prescribing in chronic noncancer pain requires more than changing knowledge and attitudes.]]> Sat 24 Mar 2018 07:23:47 AEDT ]]> General practitioner attitudes towards systems-level opioid prescribing interventions: a pooled secondary qualitative analysis https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:39204 Fri 27 May 2022 09:45:33 AEST ]]> Opioid analgesics for nociceptive cancer pain: A comprehensive review https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:55344 Fri 17 May 2024 15:50:55 AEST ]]>