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 to assess the effectiveness of individualized cognitive behavioral therapy (CBT) and motivational interviewing for patients with opioid addiction. A systematic and strategic approach was adopted, utilizing several scholarly databases, including PubMed, CINAHL, PsycINFO, and the Cochrane Library. These databases were selected for their reliability in offering high-quality research in the healthcare and psychology domains. The search was guided by keywords and phrases relevant to the PICOT question, such as opioid addiction, cognitive behavioral therapy, motivational interviewing, client-centered treatment, and readmission rates. Boolean operators such as “AND” and “OR” were employed to combine search terms, while filters for peer-reviewed articles and recent publications were used to refine results (Hah et al., 2020). This strategy aimed to locate the most pertinent studies that assess the impact of these interventions on reducing readmission rates in patients with opioid addiction.

Literature Search Strategy

To identify relevant studies, a combination of strategies was employed. Key terms, including Medical Subject Headings (MeSH), such as Opioid-Related Disorders, Cognitive Behavioral Therapy, and Motivational Interviewing, were used to enhance search specificity. Additionally, reviewing reference lists of identified studies helped uncover supplementary resources. This comprehensive approach ensured that studies published in the last five years were included. Inclusion criteria focused on research involving adult patients with substance use disorders who received individualized CBT and motivational interviewing, with readmission rates as an outcome. Studies not in English, those involving children, and research with insufficient methodological rigor were excluded. Furthermore, gray literature, including government reports and dissertations, was considered when peer-reviewed sources were scarce (DeBar et al., 2021). Ultimately, 20 to 30 high-quality sources were selected for in-depth analysis to maintain a robust and up-to-date evidence base.

Analysis of Evidence

An analysis of the 20 selected peer-reviewed articles provided valuable insights into the effectiveness of CBT and motivational interviewing in treating opioid addiction. The studies employed various methodologies, including randomized controlled trials and systematic reviews, to evaluate outcomes such as reduced readmission rates and improved mental health. Key findings revealed that both CBT and motivational interviewing were effective in managing opioid addiction and co-occurring psychiatric conditions such as anxiety and depression (Buckner et al., 2023; McHugh et al., 2024). Despite these promising outcomes, gaps remained in understanding the long-term effects of these interventions, as well as their effectiveness across diverse demographic groups. Furthermore, research emphasized the need to consider cost-effectiveness and the delivery modality of these therapies in different healthcare settings (MacLean et al., 2024; Olmstead et al., 2020).

Literature Search and Analysis Table

References

Amin, M., Reza Davasaz Irani, F., Fattahi, P., & Pakseresht, S. (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. https://doi.org/10.1016/j.drugalcdep.2020.108001

NURS FPX 9902 Assessment 2 Literature Search

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), 90S–95S. 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

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

NURS FPX 9902 Assessment 2 Literature Search

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