Effectiveness of a Preoperative Educational Video for Reducing Opioid Consumption After Hand Surgery

This study seeks to determine if watching a preoperative educational video influences opioid consumption and proper disposal following elective hand surgery.

Study Overview

• Status: Completed
• Conditions: Surgery; Opioid Use; Hand Injuries and Disorders
• Intervention / Treatment: Other: Educational video

Detailed Description

This study seeks to determine if watching a preoperative educational video influences opioid consumption and proper disposal following elective hand surgery. Patients undergoing elective hand surgery are randomized to either watch a preoperative educational video or not. Patients are asked to record their pain medication usage postoperatively, as well as their daily pain levels and satisfaction with their pain control after surgery.

• Study Type: Interventional
• Enrollment (Actual): 119
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Illinois
    • Chicago, Illinois, United States, 60611
      • Northwestern Memorial Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• undergoing elective hand surgery
• surgeon is planning to prescribe opioids for postoperative pain control

Exclusion Criteria:

• emergent surgery
• surgeon not planning to prescribe opioids for postoperative pain control

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Soft tissue surgery - preoperative video; Patients > 18 years old undergoing elective hand surgery (soft tissue) for which the surgeon is planning to prescribe opioids for postoperative pain control.	Other: Educational video; Patients will watch a preoperative educational video on proper opioid use and disposal.
NO_INTERVENTION: Soft tissue surgery - no video; Patients > 18 years old undergoing elective hand surgery (soft tissue) for which the surgeon is planning to prescribe opioids for postoperative pain control.
EXPERIMENTAL: Bone/joint surgery - preoperative video; Patients > 18 years old undergoing elective hand surgery (bone/joint) for which the surgeon is planning to prescribe opioids for postoperative pain control.	Other: Educational video; Patients will watch a preoperative educational video on proper opioid use and disposal.
NO_INTERVENTION: Bone/joint surgery - no video; Patients > 18 years old undergoing elective hand surgery (bone/joint) for which the surgeon is planning to prescribe opioids for postoperative pain control.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Morphine milliequivalents consumed in 2 weeks postoperatively	Total morphine mEq consumed in 2 weeks after surgery	2 weeks after surgery

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale	Average daily Visual Analog Scaled pain score recorded after surgery. Pain will be recorded on a scale from 0 (no pain) to 10 (worst pain possible).	2 weeks after surgery
Patient satisfaction	Patient satisfaction with pain control after surgery. Satisfaction will be measured on a Likert scale with the following question: "How satisfied have you been with your pain management after surgery?". Answer choices are: Very unsatisfied, unsatisfied, neutral, satisfied, very satisfied.	7-10 days after surgery
Proper disposal	Self-reported proper disposal of unused opioids after surgery. Patients will be asked in a postoperative survey if they used all of the pills in their initial postoperative prescription. If they did not, they will be asked "Have you disposed of your unused opioids via a DEA-approved method (I.e. at a pharmacy or other safe location?)" as a yes or no question.	2 weeks after surgery

Collaborators and Investigators

• Sponsor: Northwestern University
• Collaborators: American Society for Surgery of the Hand
• Investigators: Principal Investigator: David M. Kalainov, M.D., Northwestern University

Study record dates

Study Major Dates

• Study Start (ACTUAL): May 29, 2020
• Primary Completion (ACTUAL): March 1, 2021
• Study Completion (ACTUAL): March 1, 2021

Study Registration Dates

• First Submitted: July 3, 2020
• First Submitted That Met QC Criteria: November 9, 2020
• First Posted (ACTUAL): November 12, 2020

Study Record Updates

• Last Update Posted (ACTUAL): September 10, 2021
• Last Update Submitted That Met QC Criteria: September 8, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Hand Injuries
• Other Study ID Numbers: 00211034

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No