Patient Education to Improve Pain Management in Older Adults With Acute Musculoskeletal Pain: A Pilot Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Change in Pain Score
研究概览
简要总结
This is a three arm pilot randomized trial. Patients will be assigned to:
- Usual care
- Video education in the Emergency Department (ED)
- Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain >=4/10
详细描述
This is a three arm pilot randomized trial. Patients will be assigned to:
- Usual care
- Video education in the ED (10 minute interactive video)
- Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain >=4/10
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 50 and older; ED visit for acute musculoskeletal pain
排除标准
- •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.
研究组 & 干预措施
Usual care
Pts will receive education and follow-up based on judgment of emergency provider.
Video
Patients will watch 10 minute educational video
干预措施: Video (Behavioral)
Video plus 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.
干预措施: Video (Behavioral)
Video plus 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.
干预措施: Phone follow-up (Behavioral)
结局指标
主要结局
Change in Pain Score
时间窗: 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.
次要结局
- Average Overall Pain at One Month(30 days after ED visit)
- Mean Physical Function Scores(30 days after ED visit)
- Number of Participants Experiencing Medication Side Effects(30 days after ED visit)