NURS FPX 9902 Assessment 2 Literature Search

Name

Capella university

NURS-FPX 9902 Nursing Doctoral Project 2

Prof. Name

Date

Literature Search

To explore the impact of individualized cognitive behavioral therapy (CBT) and motivational interviewing on patients with opioid addiction, a targeted literature search was conducted. A structured and methodical approach guided the search across several established academic databases, including PubMed, PsycINFO, CINAHL, and the Cochrane Library. These databases were chosen due to their comprehensive coverage of research within the medical and psychological sciences. The search was framed around keywords that aligned with the PICOT question—terms such as “opioid addiction,” “motivational interviewing,” “cognitive behavioral therapy,” “client-centered care,” and “readmission rates.” Boolean operators like “AND” and “OR” were applied to combine terms effectively, while filters limited the results to peer-reviewed and recently published studies. This approach enabled the identification of high-quality literature focusing on the relationship between therapeutic interventions and readmission outcomes in opioid-dependent populations (Hah et al., 2020).

Literature Search Strategy

To ensure thoroughness, the search strategy incorporated both keyword combinations and Medical Subject Headings (MeSH) to increase search precision. Search terms such as “Opioid-Related Disorders,” “Cognitive Behavioral Therapy,” and “Motivational Interviewing” helped refine the results. The reference lists of selected articles were also examined to discover additional sources that may have been missed in the initial search.

Studies published within the last five years were prioritized to maintain the timeliness of the evidence. Inclusion criteria focused on research involving adults diagnosed with substance use disorders who had received individualized CBT and motivational interviewing, with a specific emphasis on readmission rates as an outcome measure. Studies were excluded if they involved pediatric populations, were published in languages other than English, or lacked methodological rigor. In instances where peer-reviewed studies were limited, gray literature such as dissertations and official reports were also reviewed to fill in the gaps (DeBar et al., 2021). Approximately 20 to 30 sources met these criteria and were selected for further analysis.

Analysis of Evidence

Upon analyzing the selected literature, substantial evidence emerged supporting the effectiveness of CBT and motivational interviewing in managing opioid addiction. The studies incorporated a range of methodologies, including randomized controlled trials and meta-analyses, to evaluate therapy outcomes. Findings consistently demonstrated reductions in hospital readmissions, as well as improved psychological well-being among patients receiving these interventions.

Moreover, several studies highlighted additional benefits, such as decreased levels of anxiety and depression when CBT was integrated with motivational interviewing (Buckner et al., 2023; McHugh et al., 2024). Despite these promising results, notable gaps persisted in the research—particularly in evaluating the long-term efficacy of these therapies and their adaptability across different demographic groups. Cost-related implications and implementation logistics in diverse healthcare settings were also areas that require further exploration (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