Patient Education to Improve Pain Management in Older Adults With Acute Musculoskeletal Pain: A Pilot Randomized Trial
- Conditions
- Musculoskeletal Pain
- Interventions
- Behavioral: VideoBehavioral: Phone follow-up
- Registration Number
- NCT02438384
- Lead Sponsor
- University of North Carolina, Chapel Hill
- Brief Summary
This is a three arm pilot randomized trial. Patients will be assigned to:
1. Usual care
2. Video education in the Emergency Department (ED)
3. Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain \>=4/10
- Detailed Description
This is a three arm pilot randomized trial. Patients will be assigned to:
1. Usual care
2. Video education in the ED (10 minute interactive video)
3. Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain \>=4/10
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 75
- Age 50 and older; ED visit for acute musculoskeletal pain
- Cognitively impaired; chronic pain (daily opioid use prior to onset of pain or pain symptoms more than one month); prison; injury or pain condition requiring hospital admission.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Video Video Patients will watch 10 minute educational video Video plus Phone Follow-up Video Patients will watch 10 minute educational video and receive phone call follow-up at 3 days to assess pain symptoms. Patients with a pain score of 4 or more will receive another call with advice from a geriatric pain specialist. Video plus Phone Follow-up Phone follow-up Patients will watch 10 minute educational video and receive phone call follow-up at 3 days to assess pain symptoms. Patients with a pain score of 4 or more will receive another call with advice from a geriatric pain specialist.
- Primary Outcome Measures
Name Time Method Change in Pain Score ED visit and 30 days post-ED visit Change in Pain from emergency department (ED) visit to 30 day follow-up phone call will be measured by calculating the difference between the maximum pain score in the ED and the patient reported average overall pain severity in the past week using the 0-10 numeric rating scale for both measures.Change in pain will be reported as a negative number if the pain decreases (i.e., 10 to 8 = -2). Higher scores indicate a worse outcome.
- Secondary Outcome Measures
Name Time Method Average Overall Pain at One Month 30 days after ED visit Determined using 0-10 numerical rating scale to answer the question "What is the average amount of pain you have experienced over the last week on a scale of 0-10. where 0 means no pain and 10 means pain as severe as it could possibly be.
Mean Physical Function Scores 30 days after ED visit Using a measure of higher-level physical function based on walking, climbing stairs, and carrying bags - scores range from 0 to 12 with higher score indicating higher function.
Number of Participants Experiencing Medication Side Effects 30 days after ED visit Patients were asked if they experienced any of the following side effects: fatigue, drowsiness, trouble sleeping, trouble thinking, dizziness, unsteadiness, nausea, vomiting, constipation, abdominal pain, black or bloody stool, trouble urinating, loss of appetite, itching or shortness of breath. Patients were also queried about any other side effects they had that were not on the list.
Participants reporting at least one side effect were included.
Trial Locations
- Locations (1)
UNC Hospitals Emergency Department
🇺🇸Chapel Hill, North Carolina, United States