Evidence map›Paper›PMID 32900605›Full record

Trial reportPatient education and counseling2021

Assessing the effectiveness of a narrative-based patient education video for promoting opioid tapering.

Bo Feng, Yining Z Malloch, Richard L Kravitz, Susan Verba, Ana-Maria Iosif, George Slavik, Stephen G Henry

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
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1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Bo FengDepartment of Communication, University of California Davis, Davis, USA. Electronic address: bfeng@ucdavis.edu.
Yining Z MallochDepartment of Communication, University of California Davis, Davis, USA.
Richard L KravitzDepartment of Internal Medicine, University of California Davis, Sacramento, USA.
Susan VerbaDepartment of Design, University of California Davis, Davis, USA.
Ana-Maria IosifDepartment of Public Health Sciences, University of California Davis, Sacramento, USA.
George SlavikDepartment of Design, University of California Davis, Davis, USA.
Stephen G HenryDepartment of Internal Medicine, University of California Davis, Sacramento, USA.

Funding

A clinician training intervention to improve pain-related communication, pain management and opioid prescribing in primary careK23DA043052 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HENRY, STEPHEN G · 2017 to 2019
$591k
Harnessing patient narratives to promote opioid tapering in primary careR21DA042269 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HENRY, STEPHEN G · 2016 to 2017
$432k
NIDA NIH HHS K23 DA043052NIDA NIH HHS R21 DA042269
6 · The paper itself

Abstract

objectiveTo compare effectiveness of a narrative-based educational video versus an informational pamphlet for increasing patients' self-efficacy and intention to taper their opioid use.

methodsFive thousand participants recruited from MTurk were screened to identify eligible patients. Eligible participants (n = 365, 49.9 % female, mean age = 37 years) were randomized to either watch the narrative video or read the pamphlet. Linear regression models were used for the main analysis.

resultsParticipants' perceptions of tapering effectiveness were higher in the video group (mean = 4.06) than the pamphlet group (mean = 3.67), adjusted mean difference = 0.34, 95 %CI 0.13 - 0.54,P < 0.001. Participants' perceptions of tapering self-efficacy were also higher in the video group (mean = 3.97) than the pamphlet group (mean = 3.60), adjusted mean difference = 0.32, 95 %CI 0.09 - 0.55, P < 0.001. Perceived tapering effectiveness and self-efficacy were both positively associated with post-intervention tapering intention (Spearman rank correlation coefficient = 0.38 and 0.53, respectively, both P < 0.001).

conclusionA narrative-based video about opioid tapering enhanced patients' perceptions of the effectiveness of tapering and their tapering self-efficacy. PRACTICE IMPLICATIONS: Narrative-based videos may be effective for changing patient attitudes about opioid tapering.

Indexed as

Analgesics, OpioidOpioid-Related DisordersAdultFemaleHumansMaleNarrationPamphletsPatient Education as TopicAnalgesics, OpioidChronic painNarrative transportation theoryOpioid taperingPatient educationSelf-efficacy

Identifiers

PMID32900605
PMCPMC7855718

What OpenQuestion holds

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Registered trials

None linked

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.