The Implementation of a Post-operative Communication App to Improve Pain Control and Opioid Use
- Conditions
- Acute Pain
- Registration Number
- NCT06124079
- Lead Sponsor
- University of Minnesota
- Brief Summary
Digital communication tools are becoming ubiquitous in healthcare, though their impact on patient/provider communication, healthcare utilization, and outcomes remains poorly established. M Health Fairview (MHFV) in collaboration with the Center for Learning Health System Sciences (CLHSS) Rapid Eval team will be evaluating one such communication application: OPY, which leverages the Epic-Care Companion functionality to remove barriers in communicating with the patient's care team. This project will evaluate the effectiveness of a digital, post-operative patient engagement tool (Epic-Care Companion made available through MyChart), OPY, which has the goal of preventing patients from becoming addicted to opioids or to suffer from opioid misuse or diversion. In the proposed pragmatic trial, standard care with education available in MyChart and the patient after visit summary will be augmented by OPY. OPY is available to patients starting the same day they go home from surgery with a new opioid prescription. OPY provides a daily interactive experience that collects patient pain and side-effect information, provides advice for pain management, and uses behavioral "nudges" to encourage timely weaning and responsible disposal of opioid medications. The primary goal of this project is to evaluate the effect of two versions of OPY on measures of opiate use relative to the standard of care in a pragmatic randomized controlled trial.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 3500
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Surgery at The M Health Fairview Clinics and Surgery Center - Maple Grove (Maple Grove) or M Health Fairview Clinics and Surgery Center - Minneapolis (CSC)
▪ Currently, only outpatient surgeries are performed at CSC and Maple Grove
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Active opioid prescription (prescribed between 30 days prior to surgery, until day of surgery)
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Patient class (outpatient or same day surgery)
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Never previously randomized or exposed to OPY
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Age < 18
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Chronic opiate use defined as:
- Patients aged 18 and older and
- 3 or more opioid dispensing events, in the last 12 months with at least 1 of these events in the last 6 months.
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Any long acting opioid prescription in the last 6 months
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Interpreter needed - YES selected (EPT840)
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Patient has a Health Proxy (Legal Guardian) designated in Epic
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Patients who have opted out of clinical research
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Patients with an active palliative care referral
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Opiate use at 14 days 14 days Opiate use at 14 days is defined as any active opioid script on day 14 post surgery. This information will be collected from the electronic health record.
- Secondary Outcome Measures
Name Time Method Daily pain scores 24 months Number of Phone notes 30 days post-op 90-day Hospitalization Rates 90 days Opiate use rates 90 and 120 days OPY utilization 1,3,7, 14, and 30 days Hospital length of stay 24 months Number of days between initiation of opioid therapy and opioid-free pain control 24 months Number and cause of patient initiated outreach events 24 months from the care companion app
Repeat Surgery Rates 24 months Outpatient encounter Rates 24 months completion of referral of pain management rates 24 months all-cause mortality 90 days Interval time between opioid doses 24 months Number of MyChart messages 30 days post-op Referral rates 24 months
Trial Locations
- Locations (1)
University of Minnesota
🇺🇸Minneapolis, Minnesota, United States
University of Minnesota🇺🇸Minneapolis, Minnesota, United StatesGenevieve Melton-MeauxContact