comm_opioid_misuse_measure: Current Opioid Misuse Measure (COMM)

In cliot: Clinical Indices and Outcomes Tools

Current Opioid Misuse Measure (COMM)

Description

Calculates the COMM score, a 17-item patient self-report questionnaire designed to identify current aberrant drug-related behavior in chronic pain patients prescribed opioids. Each item assesses the frequency of a specific behavior or symptom over the past 30 days.

Usage

comm_opioid_misuse_measure(q1, q2, q3, q4, q5, q6, q7, q8, q9, q10, q11, q12,
                           q13, q14, q15, q16, q17)

Arguments

q1	Numeric (0-4). Trouble thinking clearly or had memory problems?
q2	Numeric (0-4). People complain that your speech is slurred or that you look sedated?
q3	Numeric (0-4). Felt that your pain medication is not working or complained about it?
q4	Numeric (0-4). Spent time thinking about your medication or when you will take the next dose?
q5	Numeric (0-4). Taken your medication more often than prescribed?
q6	Numeric (0-4). Needed to take pain medication at a higher dose than prescribed?
q7	Numeric (0-4). Borrowed pain medication from someone else?
q8	Numeric (0-4). Used pain medication for symptoms other than pain (e.g., sleep, mood)?
q9	Numeric (0-4). Medications interfered with ability to do your job or schoolwork?
q10	Numeric (0-4). Family/friends worried about your medication use?
q11	Numeric (0-4). Felt angry or irritable?
q12	Numeric (0-4). Had mood swings?
q13	Numeric (0-4). Doctor worried about your medication use or wanted to monitor you closely?
q14	Numeric (0-4). Seen other doctors to get more medication?
q15	Numeric (0-4). Lied or exaggerated pain to get a prescription?
q16	Numeric (0-4). Had medications lost or stolen?
q17	Numeric (0-4). Had trouble with the law or driving offenses?

Details

Scoring Key (Last 30 Days): 0 = Never 1 = Seldom 2 = Sometimes 3 = Often 4 = Very Often

Value

A list containing:

COMM_Score	The total calculated score (Range 0-68).
Result	"Positive Screen" if Score >= 9, otherwise "Negative Screen".
Interpretation	Clinical guidance regarding the likelihood of misuse.

References

Butler SF, Budman SH, Fernandez KC, et al. Development and validation of the Current Opioid Misuse Measure. Pain. 2007;130(1-2):144-156. doi:10.1016/j.pain.2007.01.014

Examples

# Example 1: Positive Screen
# Frequent anger (3), Mood swings (3), Thinking about meds (3)
# Score = 9
comm_opioid_misuse_measure(0, 0, 0, 3, 0, 0, 0, 0, 0, 0, 3, 3, 0, 0, 0, 0, 0)

# Example 2: Negative Screen
# All Never (0)
comm_opioid_misuse_measure(0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.