NURS FPX 9902 Assessment 2 Literature Search

NURS FPX 9902 Assessment 2 Literature Search

Name

Capella University

NURS-FPX 9902 Nursing Doctoral Project 2

Prof. Name

Date

Literature Search

The approach for conducting the literature search for this project, which aims to provide individualized cognitive behavioral therapy (CBT) lessons and motivational questioning for patients struggling with opioid addiction, includes several key components. A thorough search will be performed across multiple databases, specifically PubMed, CINAHL, PsycINFO, and the Cochrane Library.

The terminology pertinent to the PICOT question will encompass opioid addiction, cognitive behavioral therapy, motivational interviewing, client-centered treatment, and readmission rates. In order to efficiently locate relevant articles, Boolean search operators such as “AND” and “OR” will be utilized, along with filters for publication year and article type, particularly focusing on peer-reviewed studies (Hah et al., 2020). The primary goal of the literature search is to identify the most pertinent and scientifically valid studies that examine the effectiveness of the proposed interventions in reducing readmission rates within the target population.

Literature Search Strategy

A variety of search strategies will be implemented to gather the necessary literature for the project concerning individualized CBT sessions and motivational interviewing for patients with opioid addiction. The selected databases are crucial for this endeavor. Search terms may include opioid addiction, cognitive behavioral therapy, motivational interviewing, individualized treatment, and readmission rates, along with other relevant keywords. Medical Subject Headings (MeSH) terms such as Opioid-Related Disorders, Cognitive Behavioral Therapy, and Motivational Interviewing will be employed to refine the search to articles most relevant to the study.

To further narrow the search results, Boolean operators like “AND” and “OR” will be applied, along with filters for publication date and peer-reviewed status. MacLean et al. (2024) emphasize the importance of additionally manually reviewing the reference lists of the included studies and systematic reviews to uncover other related literature. This approach will ensure that only the most recent information is included, sourcing materials from the last five years. All prior sources deemed significant, influential, and related to the project will be integrated into the review.

The initial search is anticipated to yield numerous potential sources. The inclusion criteria will focus on studies involving adult substance abusers that utilize individualized CBT and motivational interviewing, while outcomes such as readmission rates will be assessed. Articles not published in English, studies involving children, or those lacking robust scientific quality will be excluded from consideration.

In addition to peer-reviewed articles, the search strategy will encompass systematic reviews, government reports, and, if necessary, dissertations and thesis reports, collectively referred to as “gray literature” (DeBar et al., 2021). Ultimately, 20 to 30 high-quality and relevant sources will be retained for the literature summary, following the application of inclusion and exclusion criteria. These sources will be analyzed and compiled to provide valuable information that will inform the planning, implementation, and evaluation of the project, ensuring that the methodology is based on the most accurate and up-to-date information available.

Analysis of Evidence

The analysis revealed that 20 peer-reviewed articles were utilized in this study. These articles were selected for their relevance to the PICOT question and their strong methodological quality. The studies employed various research designs, including randomized controlled trials, systematic reviews, and qualitative analyses.

The research primarily focused on identifying key outcomes and trends while evaluating the quality and robustness of the evidence. Based on these 20 articles, it can be inferred that there is substantial knowledge regarding the efficacy of CBT and motivational interviewing in addressing substance use disorders and chronic pain management. Thus, the current findings support several conclusions and allow for recommendations regarding practice and future research directions.

Organization of Literature

From the literature reviewed in relation to the PICOT question, several themes emerged. Firstly, research by DeBar et al. (2021), Gazzola et al. (2022), and Lent et al. (2021) indicates that both CBT and motivational interviewing are effective interventions for individuals experiencing opioid addiction or chronic pain. Additionally, studies have demonstrated the effectiveness of these therapies in managing pain, mental health, and substance use issues (Amin et al., 2023; Zamboni et al., 2021).

Secondly, the findings suggest that careful consideration should be given to the modality of these interventions and their associated costs within various healthcare settings, including primary care, hospital, and specialist care (MacLean et al., 2024; Olmstead et al., 2020; Zerden et al., 2020). Thus, the cost implications of implementing CBT should not be overlooked in organizational planning.

Finally, anxiety and depression are the most commonly studied co-occurring issues. Thirdly, both CBT and motivational interviewing appear to be effective in treating individuals with opioid use disorder who also present with psychiatric disorders such as depression and anxiety (Buckner et al., 2023; McHugh et al., 2024). However, notable knowledge gaps remain regarding the long-term effects of these treatments and the potential differences in outcomes across diverse demographic groups or conditions.

Conclusion

The selected 20 articles, characterized by their relevance and methodological rigor, have unveiled several prominent trends. The research highlights the necessity of considering both the administration of these interventions and their cost-effectiveness within various hospital environments.

Literature Search and Analysis Table

References

Amin, M., Reza Davasaz Irani, Fattahi, P., & Sirus Pakseresht. (2023). Effects of brief cognitive behavioral therapy on mental health in substance-related disorder: A randomized controlled trial. BMC Psychiatry, 23(1).https://doi.org/10.1186/s12888-023-05413-4

Bertholet, N., Meli, S., Palfai, T. P., Cheng, D. M., Alford, D. P., Bernstein, J., Samet, J. H., Lloyd-Travaglini, C., & Saitz, R. (2020). Screening and brief intervention for lower-risk drug use in primary care: A pilot randomized trial. Drug and Alcohol Dependence, 213, 108001.ttps://doi.org/10.1016/j.drugalcdep.2020.108001

Borsari, B., Li, Y., Tighe, J., Manuel, J. K., Gökbayrak, N. S., Delucchi, K., Morasco, B. J., Abadjian, L., Cohen, B. E., Baxley, C., & Seal, K. H. (2021). A pilot trial of collaborative care with motivational interviewing to reduce opioid risk and improve chronic pain management. Addiction, 116(9).https://doi.org/10.1111/add.15401

Buckner, J. D., Scherzer, C. R., Crapanzano, K. A., & Morris, P. E. (2023). Group cognitive behavioral therapy for substance use disorders among psychiatric inpatients in a medically underserved area: An intervention for opioid misuse. Public Health Reports, 138(1_suppl), 90S95S.https://doi.org/10.1177/00333549231170219

Buckner, J. D., Walukevich-Dienst, K., Crapanzano, K. A., Tucker, R. P., & Tynes, L. L. (2021). Brief motivational interviewing–based interventions for opioid misuse in hospital settings. Translational Issues in Psychological Science, 7(2), 114–129.https://doi.org/10.1037/tps0000280

NURS FPX 9902 Assessment 2 Literature Search

Darnall, B. D., Mackey, S. C., Lorig, K., Kao, M.-C., Mardian, A., Stieg, R., Porter, J., DeBruyne, K., Murphy, J., Perez, L., Okvat, H., Tian, L., Flood, P., McGovern, M., Colloca, L., King, H., Van Dorsten, B., Pun, T., & Cheung, M. (2019). Comparative effectiveness of cognitive behavioral therapy for chronic pain and chronic pain self-management within the context of voluntary patient-centered prescription opioid tapering: The EMPOWER study protocol. Pain Medicine, 21(8).https://doi.org/10.1093/pm/pnz285

DeBar, L., Mayhew, M., Benes, L., Bonifay, A., Deyo, R. A., Elder, C. R., Keefe, F. J., Leo, M. C., McMullen, C., Owen-Smith, A., Smith, D. H., Trinacty, C. M., & Vollmer, W. M. (2021). A primary care–based cognitive behavioral therapy intervention for long-term opioid users with chronic pain. Annals of Internal Medicine, 175(1).https://doi.org/10.7326/m21-1436

Gazzola, M. G., Beitel, M., Cutter, C. J., & Barry, D. T. (2022). Cognitive behavioral therapy for chronic pain and opioid use disorder. Elsevier EBooks, 235–246.https://doi.org/10.1016/b978-0-12-820237-1.00022-3

Hah, J. M., Trafton, J. A., Narasimhan, B., Krishnamurthy, P., Hilmoe, H., Sharifzadeh, Y., Huddleston, J. I., Amanatullah, D., Maloney, W. J., Goodman, S., Carroll, I., & Mackey, S. C. (2020). Efficacy of motivational-interviewing and guided opioid tapering support for patients undergoing orthopedic surgery (MI-Opioid Taper): A prospective, assessor-blind, randomized controlled pilot trial. EClinicalMedicine, 28.https://doi.org/10.1016/j.eclinm.2020.100596

NURS FPX 9902 Assessment 2 Literature Search

Lent, M. R., Callahan, H. R., Womer, P., Mullen, P. M., Shook, C. B., DiTomasso, R. A., Felgoise, S. H., & Festinger, D. S. (2021). A mental health professional survey of cognitive‐behavioral therapy for the treatment of opioid use disorder. Journal of Clinical Psychology, 77(7), 1607–1613.https://doi.org/10.1002/jclp.23170

MacLean, R. R., Ankawi, B., Driscoll, M. A., Gordon, M. A., Frankforter, T. L., Nich, C., Szollosy, S. K., Loya, J. M., Brito, L., Ribeiro, M. I. P., Edmond, S. N., Becker, W. C., Martino, S., Sofuoglu, M., & Heapy, A. A. (2024). Efficacy of integrating the management of pain and addiction via collaborative treatment (impact) in individuals with chronic pain and opioid use disorder: Protocol for a randomized clinical trial of a digital cognitive behavioral treatment. JMIR Research Protocols, 13(1), e54342.https://doi.org/10.2196/54342

McHugh, R. K., Fitzmaurice, G. M., Votaw, V. R., Geyer, R. B., Ragnini, K., Greenfield, S. F., & Weiss, R. D. (2024). Cognitive behavioral therapy for anxiety and opioid use disorder: Development and pilot testing. Journal of Substance Use and Addiction Treatment, 160, 209296.https://doi.org/10.1016/j.josat.2024.209296

McMorrow, M. C., & Chang, Y.-P. (2021). Motivational interviewing training for advanced practice nursing students to address prescription opioid use disorder. Journal of Addictions Nursing, 32(2), 141–151.https://doi.org/10.1097/jan.0000000000000401

Olmstead, T. A., Yonkers, K. A., Forray, A., Zimbrean, P., Gilstad-Hayden, K., & Martino, S. (2020). Cost and cost-effectiveness of three strategies for implementing motivational interviewing for substance misuse on medical inpatient units. Drug and Alcohol Dependence, 214, 108156.https://doi.org/10.1016/j.drugalcdep.2020.108156

Silverstein, S. M., Daniulaityte, R., Miller, S. C., Martins, S. S., & Carlson, R. G. (2020). On my own terms: Motivations for self-treating opioid-use disorder with non-prescribed buprenorphine. Drug and Alcohol Dependence, 210, 107958.https://doi.org/10.1016/j.drugalcdep.2020.107958

NURS FPX 9902 Assessment 2 Literature Search

Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011). Motivational interviewing for substance abuse. Campbell Systematic Reviews, 7(1), 1–126.https://doi.org/10.4073/csr.2011.6

Wachholtz, A., Robinson, D., & Epstein, E. (2022). Developing a novel treatment for patients with chronic pain and Opioid User Disorder. Substance Abuse Treatment, Prevention, and Policy, 17(1).https://doi.org/10.1186/s13011-022-00464-4

Zamboni, L., Centoni, F., Fusina, F., Mantovani, E., Rubino, F., Lugoboni, F., & Federico, A. (2021). The effectiveness of cognitive behavioral therapy techniques for the treatment of substance use disorders: A narrative review of evidence. The Journal of Nervous and Mental Disease, 209(11), 835–845.https://doi.org/10.1097/NMD.0000000000001381

Zerden, L. de S., Guan, T., Lombardi, B. M., Sharma, A., & Garcia-Rico, Y. (2020). Psychosocial interventions in office-based opioid treatment: A systematic review. Journal of the Society for Social Work and Research, 11(1), 103–131.https://doi.org/10.1086/708369

NURS FPX 9902 Assessment 2 Literature Search

Zgierska, A. E., Burzinski, C. A., Garland, E. L., Lennon, R. P., Jamison, R., Nakamura, Y., Barrett, B., Sehgal, N., Mirgain, S. A., Singles, J. M., Cowan, P., Woods, D., & Edwards, R. R. (2021). Mindfulness-based therapy compared to cognitive behavioral therapy for opioid-treated chronic low back pain: Protocol for a pragmatic randomized controlled trial. Contemporary Clinical Trials, 110, 106548.https://doi.org/10.1016/j.cct.2021.10654