Patient Education to Improve Pain Management in Older Adults With Acute Musculoskeletal Pain: A Pilot Randomized Trial

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2017-06-17

Brief Summary

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This is a three arm pilot randomized trial. Patients will be assigned to:

1. Usual care
2. Video education in the Emergency Department (ED)
3. Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain \>=4/10

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Detailed Description

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This is a three arm pilot randomized trial. Patients will be assigned to:

1. Usual care
2. Video education in the ED (10 minute interactive video)
3. Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain \>=4/10

Conditions

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Musculoskeletal Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Usual care

Pts will receive education and follow-up based on judgment of emergency provider.

Group Type NO_INTERVENTION

No interventions assigned to this group

Video

Patients will watch 10 minute educational video

Group Type EXPERIMENTAL

Video

Intervention Type BEHAVIORAL

This is a 10 minute interactive video which provided information to the viewer regarding the safe and effective use of analgesics for acute musculoskeletal pain at home. The focus is on acetaminophen, NSAIDs, and opioids.

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.

Group Type EXPERIMENTAL

Video

Intervention Type BEHAVIORAL

This is a 10 minute interactive video which provided information to the viewer regarding the safe and effective use of analgesics for acute musculoskeletal pain at home. The focus is on acetaminophen, NSAIDs, and opioids.

Phone follow-up

Intervention Type BEHAVIORAL

The call will be made by the study coordinator, who is a medical student. Any patients reporting a pain score in the past 24 hours of 4 or more will be re-contacted by an emergency physician with special training in geriatric pain management. This individual will provide recommendations to the patient regarding treatment options.

Interventions

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Video

This is a 10 minute interactive video which provided information to the viewer regarding the safe and effective use of analgesics for acute musculoskeletal pain at home. The focus is on acetaminophen, NSAIDs, and opioids.

Intervention Type BEHAVIORAL

Phone follow-up

The call will be made by the study coordinator, who is a medical student. Any patients reporting a pain score in the past 24 hours of 4 or more will be re-contacted by an emergency physician with special training in geriatric pain management. This individual will provide recommendations to the patient regarding treatment options.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 50 and older; ED visit for acute musculoskeletal pain

Exclusion Criteria

* 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.

Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No