Opioid Use Disorder Treatment with CBT Research Paper

Pages: 18 (5421 words)  ·  Style: APA  ·  Bibliography Sources: 9  ·  File: .docx  ·  Level: Doctorate  ·  Topic: Psychiatry  ·  Written: October 16, 2019

SAMPLE EXCERPT . . .
To ensure internal validity of this data collection instrument, the questionnaire was reviewed by two doctorate level professors and two experienced primary care physicians at Opioid Rehabilitation Center. The researcher made some changes to the questions based on the input of these professionals.

Data Collection

At the beginning of the study, the researcher worked with a trained personnel at Opioid Rehabilitation Center to administer the Structured Clinical Interview for DSM-IV-TR (SCID). This semi-structured questionnaire was administered to the sample size of 278 patients diagnosed with primary opioid use disorder. It established diagnosis for this disorder among the selected sample size. SCID showed that 65.1% of these patients (n = 181) engaged in illicit opioid use in the 90 days before enrolment at the facility or prior to commencement of the data collection process. These patients reported illicit use of opioid because of their addiction and dependence on the drug for their day-to-day functioning. These patients had received opioid prescription for pain management at the facility, but engaged in illicit. This data collection instrument also showed that the remaining 34.9% (n = 97) had opioid dependence based on the diagnostic criteria established in DSM-IV. While these individuals had not engaged in illicit opioid use within 90 days prior to the data collection process, they showed signs and symptoms of primary opioid use disorder.

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Following establishment of opioid use disorder using SCID, study participants were randomly divided into two groups i.e. treatment group (n = 167) and a control group (n = 111). The control group has similar items to the treatment group i.e. diagnosis of primary opioid use disorder, co-occurring mental illnesses, and illicit use of opioids. Once the representative sample was divided into two, baseline data was collected using SCID. Baseline (pre-test) data was collected on illicit use of opioids and remission prior to the treatment.

Research Paper on Opioid Use Disorder Treatment with CBT Assignment

The control group then received one cognitive behavior therapy session within a 12 week period while the treatment group received at least two cognitive behavior therapy sessions on a monthly basis within a 12 week period. Physician Management with Cognitive Behavior Therapy (PM-CBT) sessions lasted for approximately 30 minutes and was provided by primary care physicians. For the treatment group, the physician reviewed the patient’s attendance at self-help groups and recent drug use during each therapy session. The physician also provided brief advice and support on techniques the patient can use to achieve or maintain abstinence from illicit opioid use and how to sustain remission. For the control group, the primary care physician provided advice and support once during the therapy session and did not conduct any reviews or follow-up on the patient until after 12 weeks. The therapy sessions for both groups included a 50-minute manual-guided session.

In collaboration with the primary care physicians, the researcher administered the self-made questionnaire at the end of 12 weeks. The questionnaire was administered to both the control and treatment group to collect post-test data on abstinence from illicit use of opioids and sustained remission. However, some patients in the treatment group were withdrawn from the study at this stage and were not requested to complete the questionnaire. Participants in the treatment group (n = 21) were withdrawn from the study for mission more than 3 Physician Management with Cognitive Behavior Therapy (PM-CBT) sessions. The researcher defined completion of the research as remaining and participating in all the therapy sessions. Failure to participate in all sessions could have had substantial impacts on the study’s results and contributed to incorrect findings and conclusions. As a result, participants who missed at least three therapy sessions were withdrawn from the study. Therefore, the final sample who completed the research was 257 i.e. treatment group (n = 146) and control group (n = 111).

Variables

The data collection process will include the use of different variables, which will help in answering the research questions. One of the variables that will be used in the study is treatment process variables. These variables are critical because the data collection process will take place during the treatment process for the patient’s primary diagnosis of opioid use disorder and co-occurring mental illnesses. Treatment process variables include the number of physician visits, number of therapy sessions, and the length on the CBT session. These treatment process variables will provide information relating to the patient’s progress and outcomes during treatment. Their incorporation in the study is crucial because they help determine the effectiveness of the number of therapy sessions in enhancing abstinence from illicit opioid use and sustain remission in adult patients diagnosed with opioid use disorder and co-occurring mental illnesses.

The second set of variables that will be used in this study is retention variables, which primarily refers to the study completion. As previously indicated, study completion for this research is defined as participating in all PM-CBT therapy sessions for the 12-week period. Retention variables i.e. remaining in the study and participating in all therapy sessions are critical toward determining the overall effectiveness of the therapy sessions in treatment of opioid use disorder. These variables help to indicate whether there are differences in patients’ outcomes in relation to abstinence from illicit opioid use and sustain remission. The use of these variable is important to ensure that valid and credible results are generated and relevant conclusions drawn. Project Design

As shown in the data collection process, the design of this project is a quantitative experimental pretest-posttest research. According to Dimitrov & Rumrill Jr. (2003), pretest-posttest research designs are commonly used in behavioral research. The primary objective of using this research design is to compare groups and/or measure change emerging from experimental treatments. The evaluation of intervention programs or treatments usually require the use of two waves of data i.e. pretest and posttest data (Alessandri, Zuffiano & Perinelli, 2017). However, when a treatment… [END OF PREVIEW] . . . READ MORE

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