Current Opioid Misuse Measure (COMM) Assessment
Identifies and helps with monitoring opioid-related behaviors in chronic pain patients treated with opioids.
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Steps on how to print your input & results:
1. Fill in the calculator/tool with your values and/or your answer choices and press Calculate.
2. Then you can click on the Print button to open a PDF in a separate window with the inputs and results. You can further save the PDF or print it.
Please note that once you have closed the PDF you need to click on the Calculate button before you try opening it again, otherwise the input and/or results may not appear in the pdf.
The Current Opioid Misuse Measure (COMM) is a self-report measure of risk for aberrant opioid-related behavior. It is addressed to chronic pain patients under long term opioid therapies and helps healthcare professionals identify and monitor concurrent misuse.
COMM consists of 17 items that regard key issues associated with aberrant medication related behaviors, as follows:
- Signs & Symptoms of Intoxication;
- Emotional Volatility;
- Evidence of Poor Response to Medications;
- Addiction-Healthcare Use Patterns;
- Problematic Medication Behavior.
Benefits of the COMM include its ease of delivery being self-administered, quickness as it can be completed in less than 10 minutes and the fact that it is easy to score. Healthcare professionals may then establish whether a particular patient’s treatment plan needs adjustments. However, please note that the questionnaire relies on patients not misrepresenting their symptoms and behaviors.
Each of the 17 questions may be answered by the following:
- Never (0 points)
- Seldom (1 point)
- Sometimes (2 points)
- Often (3 points)
- Very Often (4 points)
To score the COMM the points awarded to each of the 17 answers are summed. A cut-off value of 9 is proposed with scores of 9 or higher being considered positive for opioid misuse. Such a low score has been proposed as cut-off to ensure over-identification of misuse rather than missing out on cases that may be borderline.