Trial reportThe Clinical journal of pain
Randomized trial of web-based training about opioid therapy for chronic pain.
Trial report in The Clinical journal of pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- A Systematic Review of Pain Management Education in Graduate Medical Education.Journal of graduate medical education · 2022Pooled it
- Digital Learning to Improve Safe and Effective Prescribing: A Systematic Review.Clinical pharmacology and therapeutics · 2019Pooled it
- Evidence for state, community and systems-level prevention strategies to address the opioid crisis.Drug and alcohol dependence · 2019Pooled it
- Strategies to evaluate healthcare provider trainings in shared decision-making (SDM): a systematic review of evaluation studies.BMJ open · 2019Pooled it
- Online Digital Education for Postregistration Training of Medical Doctors: Systematic Review by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- Evidence-based narratives to improve recall of opioid prescribing guidelines: a randomized experiment.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014Trial
- Clinician approaches to new spine pain cases in primary care: Balance of opioid prescribing and early linkage to exercise therapy and spinal manipulation.Journal of evaluation in clinical practice · 2024Article
- Variation in prescribing of opioids for emergency department encounters: A cohort study in the Military Health System.Journal of evaluation in clinical practice · 2022Article
- Learning gain in web (internet) sourced seminars versus textbook sourced seminars in postgraduate medical students.Journal of education and health promotion · 2022Article
- Responsible Prescribing of Opioids for Chronic Non-Cancer Pain: A Scoping Review.Pharmacy (Basel, Switzerland) · 2020Article
- Article
- Setting Expectations, Following Orders, Safety, and Standardization: Clinicians' Strategies to Guide Difficult Conversations About Opioid Prescribing.Journal of general internal medicine · 2019Article
- A Decade of Teaching and Learning in Internal Medicine Ambulatory Education: A Scoping Review.Journal of graduate medical education · 2019Article
- An E-learning Module on Chronic Low Back Pain in Older Adults: Effect on Medical Resident Attitudes, Confidence, Knowledge, and Clinical Skills.Pain medicine (Malden, Mass.) · 2018Article
- From Opiophobia to Overprescribing: A Critical Scoping Review of Medical Education Training for Chronic Pain.Pain medicine (Malden, Mass.) · 2017Article
- Article
- Evaluation of Health Plan Interventions to Influence Chronic Opioid Therapy Prescribing.The Clinical journal of pain · 2015Article
- Developing and Initiating Validation of a Model Opioid Patient-Prescriber Agreement as a Tool for Patient-Centered Pain Treatment.The patient · 2015Article
- How do physicians adopt and apply opioid prescription guidelines in the emergency department? A qualitative study.Annals of emergency medicine · 2014Article
- A research agenda for enhancing appropriate opioid prescribing in primary care.Journal of general internal medicine · 2013Review
Corrections and comments
- Commented on by
Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe treatment of chronic noncancer pain with chronic opioid therapy has increased rapidly, but medicine residents receive little training concerning this therapy. Therefore we conducted a trial to determine if an interactive web-based training focusing on shared decision-making for chronic opioid therapy improves knowledge and competence compared with exposure to practice guidelines.
methodsA randomized controlled educational trial of 213 internal medicine residents from 5 medicine residencies participating in the Residency Review Committee for Internal Medicine's Educational Innovations Project comparing access to interactive web-based training (COPE: Collaborative Opioid Prescribing Education) or access to the Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Opioid Therapy for Chronic Pain. Pretraining and immediate posttraining knowledge test; pretraining and 60-day posttraining self-reported competence, satisfaction, patient-centeredness, and selected clinical behaviors were analyzed using t tests, Pearson chi, and Generalized Estimating Equations.
resultsThe web training group had greater increase in knowledge with training (chi(2)=72.06, P<0.00001) and greater self-rated competence in the management of outpatients with chronic pain (chi(2)=6.48, P=0.01), and specifically in the use of opioids in this management (chi(2)=5.17, P=0.02). Residents in both groups reported more satisfaction with managing chronic pain care after training (chi(2)=52.72, P<0.0001), though the web training was superior on subscales concerning training adequacy (chi(2)=4.94, P=0.026) and relationship quality (chi(2)=5.79, P=0.016).
conclusionsExposure to an interactive web-based training focused on shared decision-making and communication skills was more effective than exposure to compatible practice guidelines for knowledge and self-reported competence in the management of chronic noncancer pain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.