This is a randomized controlled pilot trial to establish methodological feasibility and determine whether a web-based, continuing dental education intervention regarding opioid prescribing risk mitigation strategies - consistent with ADA guidelines - produces pre-to-post changes in knowledge, motivation, and behavioral skills pertaining to the use of risk mitigation strategies when prescribing opioids in dental practice. The current study involves completion of a self-report pre-test (dentists), randomization to complete ROPEs or attention control intervention, completion of a self-report post-test (immediately following intervention/control completion), and completion of 1-month self-report follow-up assessment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
60
The ROPEs intervention is a self-guided, web-based continuing dental education intervention. Consistent with ADA recommendations, ROPEs consists of seven modules of active content: (1) Overview; (2) Background on the Opioid Epidemic; (3) Dental Pain Management and the Role of Opioids; (4) Universal Precautions Approach; (5) Screening, Monitoring, and PDMP use; (6) Providing Patient Education; and, (7) Case Vignettes. All key intervention content is delivered via video-based platform and includes downloadable practice aides and resources.
An online PDF version of the Center for Disease Control Guideline for Prescribing Opioids for Chronic Pain.
Jenna McCauley
Charleston, South Carolina, United States
Methodological Feasibility: Recruitment Rate
Number of participants enrolled and randomized out of the number of individuals expressing interest and receiving log-in credentials.
Time frame: Baseline completion, approximately 2 hours
Methodological Feasibility: Completion Rates
Percent of Patients Completing ROPES (or control)
Time frame: Baseline completion, approximately 2 hours
Methodological Feasibility: Follow-Up Completion Rates
Percent of baseline participants completing the one-month follow-up assessment
Time frame: Through study completion, an average of 4-6 weeks (Baseline and one-month follow-up)
Methodological Feasibility: Time to Complete Intervention
Time participant takes to finish engaging with ROPES intervention or control intervention
Time frame: Baseline completion component, approximately 90 minutes
Change at 1-Month Follow-Up From Baseline in Knowledge Change Questionnaire Score
The Knowledge Change Questionnaire was developed specifically for this study and contains five items that assess dentists' knowledge regarding: (1) dentists' role in curbing prescription opioid misuse, initiation to abuse, and diversion; (2) recent released guideline recommendations for standard pain management in dental practices; and, (3) risk mitigation strategies, such as prescription opioid misuse screening and use of their state's PDMP. One point is awarded for each correct response to items on the questionnaire. The questionnaire scale ranges from 0 (no correct items, least knowledge) to 5 (all correct items, most knowledge). This outcome will assess mean differences between groups in their change (from pre-test to one-month follow-up) in knowledge regarding best practices in dental opioid prescribing.
Time frame: Through study completion, an average of 4-6 weeks (Baseline and one-month follow-up)
Change at Post-test From Baseline in Knowledge Change Questionnaire Score
The Knowledge Change Questionnaire was developed specifically for this study and contains five items that assess dentists' knowledge regarding: (1) dentists' role in curbing prescription opioid misuse, initiation to abuse, and diversion; (2) recent released guideline recommendations for standard pain management in dental practices; and, (3) risk mitigation strategies, such as prescription opioid misuse screening and use of their state's PDMP. One point is awarded for each correct response to items on the questionnaire. The questionnaire scale ranges from 0 (no correct items, least knowledge) to 5 (all correct items, most knowledge). This outcome will assess mean differences between groups in their change (from pre-test to post-test) in knowledge regarding best practices in dental opioid prescribing.
Time frame: Single time point from pre-intervention to immediately post-intervention
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