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 literature search for this project, aimed at exploring the effectiveness of individualized cognitive behavioral therapy (CBT) and motivational interviewing for patients with opioid addiction, followed a systematic and strategic approach. The search was conducted across several scholarly databases, including PubMed, CINAHL, PsycINFO, and the Cochrane Library. These databases were chosen for their relevance and reliability in providing high-quality research in the fields of healthcare and psychology.
Keywords and phrases central to the PICOT question were utilized to ensure specificity and relevance during the search process. These terms included opioid addiction, cognitive behavioral therapy, motivational interviewing, client-centered treatment, and readmission rates. Boolean operators, such as “AND” and “OR,” were applied to combine search terms effectively, while filters for peer-reviewed articles and recent publication years were used to refine the results (Hah et al., 2020). This structured methodology aimed to identify the most pertinent and scientifically valid studies that examine the impact of the proposed interventions on reducing readmission rates within the target population.
Literature Search Strategy
To identify relevant literature, several strategies were employed, including the use of Medical Subject Headings (MeSH) terms like Opioid-Related Disorders, Cognitive Behavioral Therapy, and Motivational Interviewing. Additional techniques included reviewing reference lists of identified studies to uncover supplementary resources. This multi-faceted approach ensured comprehensiveness and the inclusion of relevant studies published within the last five years.
Inclusion criteria encompassed studies focused on adults with substance use disorders who underwent individualized CBT and motivational interviewing interventions, with a focus on readmission rates as an outcome. Exclusion criteria included non-English studies, research involving children, and studies lacking robust methodological quality. To broaden the scope, “gray literature,” including government reports and dissertations, was also considered, particularly when peer-reviewed studies were insufficient (DeBar et al., 2021). Ultimately, 20 to 30 high-quality sources were selected for further analysis, ensuring the evidence base was both comprehensive and current.
Analysis of Evidence
An analysis of the 20 selected peer-reviewed articles revealed valuable insights into the effectiveness of CBT and motivational interviewing for individuals with opioid addiction. The studies utilized diverse methodologies, including randomized controlled trials and systematic reviews, to evaluate outcomes such as reduced readmission rates and improved mental health.
Key findings from the analysis indicated that both CBT and motivational interviewing are effective in managing opioid addiction and associated psychiatric conditions like anxiety and depression (Buckner et al., 2023; McHugh et al., 2024). However, gaps in knowledge persist, particularly regarding the long-term effects of these interventions and their effectiveness across diverse demographic groups. Additionally, the research underscored the importance of considering cost-effectiveness and the modality of delivering these therapies in various healthcare settings (MacLean et al., 2024; Olmstead et al., 2020).
Literature Search and Analysis Table
| Section | Details |
|---|---|
| Literature Search | Databases: PubMed, CINAHL, PsycINFO, Cochrane Library. |
| Search terms: Opioid addiction, CBT, motivational interviewing, readmission rates. | |
| Use Boolean operators (AND/OR) and filter by publication date and peer-reviewed articles. | |
| Inclusion Criteria | Studies on adult patients with substance use disorders, focusing on CBT and motivational interviewing interventions. |
| Outcomes include reduced readmission rates. | |
| Exclusion Criteria | Non-English studies, research on children, and articles with poor methodological quality. |
| Sources and Analysis | Peer-reviewed studies, systematic reviews, gray literature (government reports, dissertations). |
| 20 peer-reviewed articles were analyzed for relevance and methodological rigor. | |
| Identified gaps in long-term treatment outcomes and demographic-specific findings. |
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