Effect of a Pre-operative Internet-based Educational Video, Providing Both Opioid Counselling and Pain Coping Skills, on Post-operative Opioid Consumption

  • STATUS
    Recruiting
  • End date
    Jun 30, 2024
  • participants needed
    220
  • sponsor
    Sunnybrook Health Sciences Centre
Updated on 13 October 2022

Summary

One of the most challenging issues in modern medicine is the current opioid epidemic. Given the association between opioid use after surgery and the development of opioid addiction, an essential goal of the medical community should be to develop strategies aimed at instructing the safe use of opioids. In addition, instructions on how to use non-opioid painkillers and exercises and techniques to better cope with pain can be used to reduce the patients opioid requirements after surgery. This study aims to evaluate the effect of providing an online educational video presentation to patients prior to surgery. This will be a 30 minute video which will provide the study participants with instructions on how best to use their opioid and non-opioid medication for pain and also teach the study participants exercises and techniques to better cope with their pain. This intervention will be used with a view to reduce the amount of opioids used by patients following hip or knee replacement surgery. Participants will be followed during their immediate phase after surgery to determine how much pain killers the participants have used and at six weeks the participants will be asked to return their unused opioids to see how much the participants have used in total.

Details
Condition Patient Empowerment
Treatment Opioid Counseling and Pain Coping Skills Video
Clinical Study IdentifierNCT05202080
SponsorSunnybrook Health Sciences Centre
Last Modified on13 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients must be adults (> 18 years of age) undergoing knee or hip arthroplasty
Patients will be ASA 1-3 undergoing elective surgery
English speaking patients with internet and computer access at home will be included
Patients with pre-existing psychological conditions who receive either pharmaceutical or talk-based therapy will be included
Patients must meet a minimum cognitive capacity to understand the instructions for the Opioid Counseling and Pain Coping Skills presentation. This will be assessed by the administration of the Montreal Cognitive Assessment during screening (MoCA), whereby a minimum score of 18 will be required to meet inclusion into the study

Exclusion Criteria

Significant cognitive impairment
Chronic pain, long-term opioid therapy
Renal replacement therapy
Standing opioid requirements
Neuropathic pain
Fractures requiring emergency surgery
End stage cardiac or respiratory disease
Severe hepatic dysfunction
Patients with severe psychiatric disorders
Vision loss
Allergy to local anesthesia
Patients who refuse to consent to neuraxial anesthesia and/or peripheral nerve blocks will also be excluded
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