Evidence map›Paper›PMID 35216854›Full record

Trial reportPatient education and counseling2022

Enhancing risk perception may be insufficient to curtail prescription opioid use and misuse among youth after surgery: A randomized controlled trial.

Terri Voepel-Lewis, Phillip Veliz, Justin Heinze, Carol J Boyd, Brian Zikmund-Fisher, Rachel Lenko, John Grant, Harrison Bromberg, Alyssa Kelly, Alan R Tait

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 2 institutions in 1 country.

Terri Voepel-LewisDepartment of Health Behavior and Biological Science at the School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA; Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA. Electronic address: terriv@umich.edu.
Phillip VelizDepartment of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Justin HeinzeDepartment of Health Behavior and Health Education at the School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
Carol J BoydDepartment of Health Behavior and Biological Science at the School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA.
Brian Zikmund-FisherDepartment of Health Behavior and Health Education at the School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
Rachel LenkoDepartment of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
John GrantDepartment of Orthopedic Surgery at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Harrison BrombergDepartment of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Alyssa KellyDepartment of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Alan R TaitDepartment of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Michigan Medicine · USUniversity of Michigan–Ann Arbor · US

Funding

Scenario-tailored opioid messaging program: An interactive intervention to prevent analgesic-related adverse drugs events in children and adolescentsR01DA044245 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI VOEPEL-LEWIS, TERRI DIANE · 2017 to 2019
$2.1M
NIDA NIH HHS R01 DA044245
6 · The paper itself

Abstract

objectiveThis randomized controlled trial examined whether an interactive, risk-focused educational program was associated with higher risk perceptions and decreased prescription opioid use/misuse among emerging adults.

methods503 participants aged 15-24 years scheduled for ambulatory surgery were randomized to routine prescription education with or without our Scenario-Tailored Opioid Messaging Program (STOMP) provided prior to receipt of a prescribed opioid. Surveys were completed preoperatively, and at days 7&14, months 1&3 postoperatively. Outcomes included analgesic risk perceptions, opioid use, and misuse intentions/behavior.

resultsCompared to Controls, STOMP was associated with stable but higher risk perceptions on day 14 (β = 1.76 [95% CI 0.53, 2.99], p = .005) and month 3 (β = 2.13 [95% CI 0.86, 3.40], p = .001). There was no effect of STOMP or analgesic misuse risk perceptions on days of opioid use or subsequent misuse intentions/behavior. The degree to which participants valued pain relief over analgesic risk (trade-off preference) was, however, associated with prolonged postoperative opioid use and later misuse.

conclusionEducation emphasizing the risks of opioids was insufficient in reducing opioid use and misuse in youth who were prescribed these analgesics for acute pain relief. PRACTICE IMPLICATIONS: Education may need to better address analgesic expectations to shorten opioid use and mitigate misuse.

Indexed as

Opioid-Related DisordersPrescription Drug MisuseAdolescentAdultAnalgesics, OpioidHumansPerceptionPrescriptionsAnalgesics, OpioidAcute painAnalgesic preferenceEmerging adultsPrescription opioid misusePrescription opioid useRisk perceptionYouth

Identifiers

PMID35216854
PMCPMC9203921
OpenAlexW4210615797

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.