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    A Clinical Trial of a Video Intervention Targeting Opioid Disposal After General Surgery: A Feasibility Study

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    Authors
    Lewis, Joanne
    Crawford, Sybil L.
    Sullivan-Bolyai, Susan L
    Poza, Ricardo
    UMass Chan Affiliations
    Graduate School of Nursing
    Document Type
    Journal Article
    Publication Date
    2021-01-30
    Keywords
    General surgery
    Opioid disposal
    Opioids
    Video education
    Nursing
    Patient Safety
    Public Health Education and Promotion
    Surgery
    
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    Link to Full Text
    https://doi.org/10.1016/j.jss.2020.12.010
    Abstract
    BACKGROUND: The opioid epidemic continues and although some initiatives have shown promise in reducing the number of opiates prescribed, few studies have focused on education of general surgery patients about home storage and safe disposal. The purpose of this feasibility study was to explore the use of an online video intervention to prepare surgical patients to properly dispose of unused opioids. METHODS: Eligible patients undergoing elective general surgery between August and October 2019 were enrolled into this prospective randomized controlled feasibility study. Patients with reported opioid use preoperatively were excluded from the study. The control group followed usual care, and the intervention group received usual care plus a brief educational video guided by the theory of reasoned action describing safe storage and disposal practices of unused opioid pills. Measures were collected at baseline and 2 wk postoperatively. RESULTS: A total of 40 participants were enrolled in the study; average age was 44.7 (range 21-75 y); most were Caucasian, educated, and employed. Recruitment took 11 wk, and the retention rate was excellent at 85%. Differences in opioid disposal were not significantly different by age, sex, education, or type of surgery. The video intervention was positively received, but the majority (80%) still stored their pills unsecured. CONCLUSIONS: Results demonstrate that a video intervention addressing safe storage and disposal practices of unused opioids is feasible, and more research is needed to determine efficacy in increasing rates of secure storage and disposal of unused opioid pills.
    Source

    Lewis J, Crawford S, Sullivan-Boylai S, Poza R. A Clinical Trial of a Video Intervention Targeting Opioid Disposal After General Surgery: A Feasibility Study. J Surg Res. 2021 Jan 30;262:6-13. doi: 10.1016/j.jss.2020.12.010. Epub ahead of print. PMID: 33530006. Link to article on publisher's site

    DOI
    10.1016/j.jss.2020.12.010
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/34479
    PubMed ID
    33530006
    Notes

    Joanne Lewis participated in this study as a doctoral student (view her dissertation) in the Graduate School of Nursing at UMass Medical School.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jss.2020.12.010
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