Video-Based, Patient-Focused Opioid Education in the Perioperative Period Increases Self-Perceived Opioid-Related Knowledge: A Pilot Study

Abstract

Johnathan H Goree,1 Nivetha Srinivasan,2 Michael A Cucciare,3– 5 Nickolas Zaller,6 Lauren Byers,1 Beatrice Boateng,7 Corey J Hayes4,8 1Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 2College of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA; 3Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 4Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, AR, USA; 5Veterans Affairs South Central Mental Illness Research, Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA; 6Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 7Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 8Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USACorrespondence: Johnathan H GoreeUniversity of Arkansas for Medical Sciences, Department of Anesthesiology, 4301 West Markham Street, Box 515, Little Rock, AR, 72205, USATel [phone]Fax [phone]Email [email protected]: The aim of this study was to evaluate whether a video-based, patient-focused opioid education tool delivered in the perioperative period would decrease acute and chronic post-operative opioid prescription dispensations and increase self-rated knowledge about opioids.Methods: We enrolled 110 patients with no reported opioid use in the previous 30 days, undergoing ambulatory surgery for breast, orthopedic, gynecologic, or other outpatient procedures for which opioids would be prescribed. Patients were randomized to receive either post-operative opioid education by the surgical team (control arm) or pre-operative education via a novel 5-minute video plus post-operative education by the surgical team (intervention arm). All patients received follow-up phone calls on post-operative day (POD) 7 to assess self-rated knowledge of opioids on a scale of 1 to 10, 10 being most informed, and self-reported opioid use (primary outcome). Arkansas Prescription Drug Monitoring Program (AR PDMP) data were obtained to assess opioid dispensations at POD 90– 150 days.Results: Seventy-seven percent of participants completed POD7 survey. Participants in the intervention arm rated their knowledge of opioids after surgery significantly higher than those in the control arm (p=0.013). Data from the AR PDMP reveal trends (non-significant) that show increased use of opioids in the control group when compared to the video intervention group at POD 30 (88.7% vs 76%) and POD 90– 150 (22.6% vs 10%).Conclusion: Video-based, patient-focused opioid education can be effectively implemented in a large university hospital during the perioperative period and is effective for increasing a patient’s perception of opioid-related knowledge. A fully powered, randomized control trial is needed to further explore observed trends and determine if this novel tool can decrease chronic post-operative opioid dispensations.Keywords: opioids, perioperative, video education, acute pain, chronic pain, ambulatory surgery

Keywords

• opioids
• perioperative
• video education
• acute pain
• chronic pain
• ambulatory surgery