The purpose of this study is to examine what patients currently know about opioids, including their role in pain management, side effects, risks of abuse, and proper storage and disposal. It is critical for patients to be properly informed about opioid usage in treating postoperative pain, but current gaps in patient knowledge are not well understood. This study will help identify knowledge deficiencies and guide future patient education. Additionally, this study will examine possible patient factors that may be associated with these gaps. Evaluation of patient knowledge will be assessed through interviews conducted before patients' day of surgery.
Opioids are frequently prescribed to treat pain after surgery, and while these medications may be effective analgesics they are also susceptible to misuse and addiction. There are growing concerns that prescription opioids contribute to the existing opioid supply and become potential sources for abuse1,2. In fact, opioids are often abused by those using medications not prescribed to them but obtained from friends or relatives3,4. Many patients who undergo surgery are not given adequate information about opioids and strategies for postoperative pain management. Studies find that inadequate knowledge and inability to recall postoperative pain regimens result in poor compliance5. Many patients are also unaware of how to properly store and dispose of prescription opioids1,6 and this predisposes them to opioid misuse and improper saving and sharing of pills6. Little is known, however, about the specific gaps in knowledge and what patient demographics may be associated with lack of understanding. As an initial step toward addressing these issues, this study seeks to identify deficiencies in patient understanding of opioids and pain management.
Study Type
OBSERVATIONAL
Enrollment
128
Hospital for Special Surgery
New York, New York, United States
Patient's knowledge about opioids based on a qualitative assessment
Patient's answers to opioid-related questions will be summarized using grounded theory, and a comparative analytic strategy to categories. A PI-provided scoring manual will also be used to quantify the accuracy and level of patients' knowledge about opioids. Reference: Berkwits M, Inui TS. Making use of qualitative research techniques. J Gen Intern Med. 1998;13(3):195-199. doi:10.1046/j.1525-1497.1998.00054.x
Time frame: Prior to surgery
Age
Is the age the of patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Sex
Is the sex of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Race
Is the race of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Ethnicity
Is the ethnicity of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Previous surgeries
Are previous surgeries of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Previous opioid usage
Is the previous opioid usage of patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Education level
Is the education level of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Occupation
Is the occupation of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
Alcohol and tobacco use
Is the alcohol and tobacco use of the patient associated with patients' knowledge of opioids
Time frame: Prior to surgery
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