Previously, the study team evaluated the implementation and effectiveness of the Johns Hopkins Perioperative Pain Program (PPP), which coordinates continuum of care for surgical patients on chronic opioid therapy throughout the perioperative period. Based on the findings of that project, the study team developed an educational intervention intended to improve patient engagement in perioperative pain management. In this project, the study team will formally implement a randomized controlled trial to evaluate the effectiveness of the intervention developed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
178
Experimental participants will receive the patient engagement tools or the educational guide after randomization. The participants in the experimental cohort will utilize the tools between visits with their clinic providers. During visits, clinic providers will review the completed tools with participants.
Control participants will receive a brief educational guide about pain management.
Johns Hopkins Hospital
Baltimore, Maryland, United States
Patient engagement as assessed by a patient engagement survey
Patient engagement survey measures level of patient engagement on five-point Likert scale
Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment
Opioid consumption as assessed by daily morphine milligram equivalents
Daily morphine milligram equivalents (MME) indicates potency of an opioid dosage compared to morphine
Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment
Pain level as assessed by the Brief Pain Inventory
Brief Pain Inventory assesses pain severity and impact of pain on functional status on 10-point scale (1=no pain, no interference and 10 = worst pain, complete interference)
Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment
Pain level as assessed by the Present Pain Intensity scale of the McGill Pain Questionnaire
Present Pain Intensity scale of the McGill Pain Questionnaire measures pain intensity on 4-point scale (0 = none, 3 = severe)
Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment
Pain level as assessed by the Pain Catastrophizing Scale
Pain Catastrophizing Scale measures level of pain catastrophizing (0 = not at all, 4 = all the time)
Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment
Functional status as assessed by the Insomnia Severity Index
Insomnia Severity Index measures severity of insomnia on five-point scale (0=none, 4=severe, were score of 0-7 indicates no clinically significant insomnia and score of 22-28 indicates clinical or severe insomnia)
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Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment
Functional status as assessed by the 36-Item Short Form Health Survey
36-Item Short Form Health Survey measures overall health status (converted into 0-100 scale, were lower score indicates more disability)
Time frame: Time of each participant's standard of care clinic visit, up to 1 year from enrollment