Prescribing Opioid Pain Relievers in the Emergency Department: Understanding and Optimizing the Encounter
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 278
- 试验地点
- 2
- 主要终点
- Knowledge of medication name
研究概览
简要总结
The investigators overall study objective is to improve patients knowledge and safe use of opioid pain relievers upon discharge from the Emergency Department.
详细描述
Recent studies indicate that emergency department (ED) discharge processes - including written and spoken communications - are inadequate, and patients often leave without the knowledge necessary to properly care for themselves. In the context of opioid pain relievers, this lack of knowledge is potentially dangerous, as patients may not possess the requisite knowledge for safe use of their medication or an awareness of the dangers of medication misuse.
The aim of this study was to evaluate the impact of an opioid information sheet and spoken counseling on patient knowledge about opioids and safe use behaviors. The investigators conducted a randomized controlled pilot test of a dual-modality educational intervention (written information sheet and spoken counseling about opioids) to assess if the intervention can increase patient knowledge about opioid pain relievers. These activities were intended to guide future modification of educational interventions and the future development of best practices for emergency physician spoken counseling about opioid pain relievers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •prescribed an opioid pain reliever
- •English Speaking
排除标准
- •Non-English Speaking
- •Clinically unstable, psychologically impaired or intoxicated as judged by the research staff member.
- •Chronic opioid use, defined as daily or near daily use of opioid pain relievers for the past 90 days.
- •admitted to hospital
- •unable to complete follow up phone interview in 4 - 7 days.
研究组 & 干预措施
Control
Patients in this arm are discharged from the Northwestern Emergency Department with standard communication about their prescribed opioid pain medication from their care providers. They are called for a follow up survey 4-7 days after their visit.
Dual Modality Educational Intervention
Patients in this arm are discharged from the ED with an additional information sheet about their prescribed opioid pain medication, via the intervention titled "Additional Opioid Information". The sheet is read aloud to them by a research assistant. They are called 4-7 days later for a follow up survey.
干预措施: Additional Opioid Information (Behavioral)
结局指标
主要结局
Knowledge of medication name
时间窗: 4-7 days
The primary outcome was the patients ability to identify the medication name of their prescribed opioid pain reliever upon follow-up.
次要结局
- Knowledge and counseling recall outcomes(4-7 days)
- Actual Use outcomes(4-7 days)
- Response to the intervention(4-7 days)
研究者
Danielle McCarthy
Assistant Professor of Emergency Medicine
Northwestern University