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Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change

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Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change. / Humphris, Gerald Michael; Carra, Giuseppe; Frisher, Martin; Neufeind, Julia; Cecil, Joanne Elizabeth; Scherbaum, Norbert; Crome, Ilana; Baldacchino, Alexander Mario.

In: Heroin Addiction and Related Clinical Problems, Vol. 19, No. 5, 10.2017, p. 35-44.

Research output: Contribution to journalArticle

Harvard

Humphris, GM, Carra, G, Frisher, M, Neufeind, J, Cecil, JE, Scherbaum, N, Crome, I & Baldacchino, AM 2017, 'Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change' Heroin Addiction and Related Clinical Problems, vol 19, no. 5, pp. 35-44.

APA

Humphris, G. M., Carra, G., Frisher, M., Neufeind, J., Cecil, J. E., Scherbaum, N., ... Baldacchino, A. M. (2017). Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change. Heroin Addiction and Related Clinical Problems, 19(5), 35-44.

Vancouver

Humphris GM, Carra G, Frisher M, Neufeind J, Cecil JE, Scherbaum N et al. Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change. Heroin Addiction and Related Clinical Problems. 2017 Oct;19(5):35-44.

Author

Humphris, Gerald Michael; Carra, Giuseppe; Frisher, Martin; Neufeind, Julia; Cecil, Joanne Elizabeth; Scherbaum, Norbert; Crome, Ilana; Baldacchino, Alexander Mario / Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change.

In: Heroin Addiction and Related Clinical Problems, Vol. 19, No. 5, 10.2017, p. 35-44.

Research output: Contribution to journalArticle

Bibtex - Download

@article{862f874ec49c41a6846bef44da6fdd8f,
title = "Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change",
abstract = "Background: An eHealth computer-based tool named ORION was constructed to assist patients in the clinic to appreciate the factors responsible for risks of drug overdose. The aim of this study was to investigate the associations between risk perception of overdose, engagement in the ORION tool and willingness to alter overdose risk factors. Methods: 194 opioid dependent patients participated from 4 countries (UK, N=39; Germany, N=99; Italy, N=40 and Denmark, N=16).A structural equation model was fitted (AMOS version 17) to summarise the predicted associations between perceived risk and willingness to change risks of opioid overdose. The degree of engagement with the tool (time spent and number of changes to overdose risk factors) was explored. Results: A variety of models were fitted and the most parsimonious model provided a non-significant difference between the raw data and the specified model: Chi Sq = 16.87, df10, p = .077chi sq/df = 1.688. The fit indices: CFI = .991, RMSEA = .066. Pre and post self-assessments of risk towards known factors linked with overdose were highly correlated. A significant path was found between engagement in the tool and the willingness to change one or more risk factors (stand. coeff. = 0.16, p = .04). In addition, the final assessment of the risk factors was associated with engagement (stand. coeff. = 0.18, p = .02). Conclusion: The encouragement of drug users to engage in exploring changes to their overdose risk when presented on a computer screen appears to increase willingness to change risky behaviour.",
keywords = "Overdose prevention, ORION tool, Behaviour change, Structural equation modelling",
author = "Humphris, {Gerald Michael} and Giuseppe Carra and Martin Frisher and Julia Neufeind and Cecil, {Joanne Elizabeth} and Norbert Scherbaum and Ilana Crome and Baldacchino, {Alexander Mario}",
year = "2017",
month = "10",
volume = "19",
pages = "35--44",
journal = "Heroin Addiction and Related Clinical Problems",
issn = "1592-1638",
publisher = "Pacini Editore s.r.l.",
number = "5",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change

AU - Humphris,Gerald Michael

AU - Carra,Giuseppe

AU - Frisher,Martin

AU - Neufeind,Julia

AU - Cecil,Joanne Elizabeth

AU - Scherbaum,Norbert

AU - Crome,Ilana

AU - Baldacchino,Alexander Mario

PY - 2017/10

Y1 - 2017/10

N2 - Background: An eHealth computer-based tool named ORION was constructed to assist patients in the clinic to appreciate the factors responsible for risks of drug overdose. The aim of this study was to investigate the associations between risk perception of overdose, engagement in the ORION tool and willingness to alter overdose risk factors. Methods: 194 opioid dependent patients participated from 4 countries (UK, N=39; Germany, N=99; Italy, N=40 and Denmark, N=16).A structural equation model was fitted (AMOS version 17) to summarise the predicted associations between perceived risk and willingness to change risks of opioid overdose. The degree of engagement with the tool (time spent and number of changes to overdose risk factors) was explored. Results: A variety of models were fitted and the most parsimonious model provided a non-significant difference between the raw data and the specified model: Chi Sq = 16.87, df10, p = .077chi sq/df = 1.688. The fit indices: CFI = .991, RMSEA = .066. Pre and post self-assessments of risk towards known factors linked with overdose were highly correlated. A significant path was found between engagement in the tool and the willingness to change one or more risk factors (stand. coeff. = 0.16, p = .04). In addition, the final assessment of the risk factors was associated with engagement (stand. coeff. = 0.18, p = .02). Conclusion: The encouragement of drug users to engage in exploring changes to their overdose risk when presented on a computer screen appears to increase willingness to change risky behaviour.

AB - Background: An eHealth computer-based tool named ORION was constructed to assist patients in the clinic to appreciate the factors responsible for risks of drug overdose. The aim of this study was to investigate the associations between risk perception of overdose, engagement in the ORION tool and willingness to alter overdose risk factors. Methods: 194 opioid dependent patients participated from 4 countries (UK, N=39; Germany, N=99; Italy, N=40 and Denmark, N=16).A structural equation model was fitted (AMOS version 17) to summarise the predicted associations between perceived risk and willingness to change risks of opioid overdose. The degree of engagement with the tool (time spent and number of changes to overdose risk factors) was explored. Results: A variety of models were fitted and the most parsimonious model provided a non-significant difference between the raw data and the specified model: Chi Sq = 16.87, df10, p = .077chi sq/df = 1.688. The fit indices: CFI = .991, RMSEA = .066. Pre and post self-assessments of risk towards known factors linked with overdose were highly correlated. A significant path was found between engagement in the tool and the willingness to change one or more risk factors (stand. coeff. = 0.16, p = .04). In addition, the final assessment of the risk factors was associated with engagement (stand. coeff. = 0.18, p = .02). Conclusion: The encouragement of drug users to engage in exploring changes to their overdose risk when presented on a computer screen appears to increase willingness to change risky behaviour.

KW - Overdose prevention

KW - ORION tool

KW - Behaviour change

KW - Structural equation modelling

M3 - Article

VL - 19

SP - 35

EP - 44

JO - Heroin Addiction and Related Clinical Problems

T2 - Heroin Addiction and Related Clinical Problems

JF - Heroin Addiction and Related Clinical Problems

SN - 1592-1638

IS - 5

ER -

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ID: 249163531