Doing Mindfulness-Oriented Recovery Enhancement (MORE) With MORE: A Systematic Search and Review of MORE for Opioid Misuse.

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Název: Doing Mindfulness-Oriented Recovery Enhancement (MORE) With MORE: A Systematic Search and Review of MORE for Opioid Misuse.
Autoři: Hira, Nainika, Keferl, Joseph E., Huber, Mary
Zdroj: Journal of Applied Rehabilitation Counseling; 2024, Vol. 55 Issue 4, p250-277, 28p
Témata: MINDFULNESS, DESCRIPTIVE statistics, SYSTEMATIC reviews, CONVALESCENCE, OPIOID analgesics, ANALYSIS of variance
Abstrakt: There is evidence that Mindfulness-Oriented Recovery Enhancement (MORE) can be an effective intervention for individuals with chronic pain who are misusing opioids. A recent meta-analysis reported effect sizes ranging from small to moderate in the reduction of addictive behavior, craving, opioid dosage, pain, and psychiatric symptoms with subjects who had chronic pain and opioid misuse. However, there are no studies objectively evaluating the research methodology behind these studies. This study used a "systematic search and review" approach, to objectively evaluate the research methodology in opioid-related MORE studies. A comprehensive search was conducted encompassing four databases and the references from the retrieved articles. Seventy-five articles were identified, of which 12 met the review criteria. Among the 12 articles, data were extracted related to the studies' methodological rigor using evaluation scores by three raters. The results support high levels of statistical conclusion validity. Suggestions are offered addressing both clinical and research implications including examining client populations that may benefit most from MORE, investigating the most suitable settings for MORE, and the need for more large-scale randomized controlled trials. [ABSTRACT FROM AUTHOR]
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Databáze: Complementary Index
Popis
Abstrakt:There is evidence that Mindfulness-Oriented Recovery Enhancement (MORE) can be an effective intervention for individuals with chronic pain who are misusing opioids. A recent meta-analysis reported effect sizes ranging from small to moderate in the reduction of addictive behavior, craving, opioid dosage, pain, and psychiatric symptoms with subjects who had chronic pain and opioid misuse. However, there are no studies objectively evaluating the research methodology behind these studies. This study used a "systematic search and review" approach, to objectively evaluate the research methodology in opioid-related MORE studies. A comprehensive search was conducted encompassing four databases and the references from the retrieved articles. Seventy-five articles were identified, of which 12 met the review criteria. Among the 12 articles, data were extracted related to the studies' methodological rigor using evaluation scores by three raters. The results support high levels of statistical conclusion validity. Suggestions are offered addressing both clinical and research implications including examining client populations that may benefit most from MORE, investigating the most suitable settings for MORE, and the need for more large-scale randomized controlled trials. [ABSTRACT FROM AUTHOR]
ISSN:00472220
DOI:10.1891/JARC-2024-0016