Impacting the Disposal of Unused Opioid

Not Applicable

Completed

• Conditions: Opioid Use and Disposal
• Interventions: Other: Pamphlet education; Other: Pamphlet education + texts

• Registration Number: NCT04044105
• Lead Sponsor: Rush University Medical Center

Brief Summary

The purpose of this study is to compare the rates of proper opioid disposal in patients receiving an educational brochure compared to an automated text message delivered directly to patients' cell phones alongside the brochure, compared to no education on the subject.

Detailed Description

Opioids are used to treat acute pain after surgery, but can lead to misuse and abuse. Very few patients properly dispose of unused opioids and the majority of opioids are stored in the home in unlocked containers as opposed to being properly disposed of. Improper disposal of opioid medications is a concern due to the potential for nonmedical use and has the potential to cause injury or death for patients and their family members that can access the medications. The purpose of this study is to compare the rates of proper opioid disposal in patients receiving an educational brochure compared to an automated text message delivered directly to patients' cell phones alongside the brochure, compared to no education on the subject. There is evidence that an educational brochure significantly increases proper disposal rates, albeit only to about 25%. The goal of this study is to evaluate the impact of an educational pamphlet on proper opioid disposal in the total joint arthoplasty population, and to see if the addition of a text messaging system can increase further increase proper disposal rates.

Study Timeline

• Study Start: 2018-08-01
• Primary Completion: 2019-06-03
• Study First Submitted: 2019-08-01
• Study First Submitted QC: 2019-08-01
• Study First Posted: 2019-08-05
• Study Completion: 2019-12-31
• Status Verified: 2021-08
• Last Update Submitted: 2021-08-27
• Last Update Posted: 2021-08-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 563

Inclusion Criteria

• Any patient undergoing primary total hip or knee arthroplasty
• Age ≥18 years old

Exclusion Criteria

• Patients allergic to oxycodone
• Patients consuming opioids during the 4 weeks prior to surgery
• Patients with a history of opioid dependence
• Patients undergoing revision total knee or hip arthroplasty
• Non-English speaking patients
• Age <18 years old

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pamphlet education	Pamphlet education	Patients receive an educational pamphlet only, to be given at the preoperative teaching class, prior to their standard 3-week postoperative clinic appointment, and prior to their standard 6-week postoperative clinic appointment.
Pamphlet education + texts	Pamphlet education + texts	Patients receive an educational pamphlet, to be given at the preoperative teaching class, prior to their standard 3-week postoperative clinic appointment, and prior to their standard 6-week postoperative clinic appointment. In addition, 3 automated text messages sent at those same time points.

Primary Outcome Measures

Name	Time	Method
Disposal rates	6 weeks after surgery	The rate of an arm's disposal is calculated by comparing the number that properly disposed of their excess medication to the number that did not

Secondary Outcome Measures

Name	Time	Method
Continued taking opiate rate	6 weeks after surgery	We will also look at whether the education affects the number of patients that continue taking opiates

Trial Locations

Locations (1)

Rush University Medical Center; 🇺🇸 Chicago, Illinois, United States