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Effect of a Scenario-tailored Opioid Messaging Program on Parents' Risk Perceptions and Opioid Decision-making
- Source :
- The Clinical journal of pain. 34(6)
- Publication Year :
- 2017
-
Abstract
- OBJECTIVES Poor parental understanding of prescription opioid risks is associated with potentially dangerous decisions that can contribute to adverse drug events (ADE) in children and adolescents. This study examined whether an interactive Scenario-tailored Opioid Messaging Program (STOMP) would (1) enhance opioid risk perceptions and (2) improve the safety of parents' decision-making. MATERIALS AND METHODS In total, 546 parents were randomized to receive the STOMP versus control information and 516 completed the program. A baseline survey assessed parents' opioid risk knowledge, perceptions, and preferences for pain relief versus risk avoidance (Pain Relief Preference). Parents then made hypothetical decisions to give or withhold a prescribed opioid for high-risk (excessive sedation) and low-risk (no ADE) scenarios. The STOMP provided immediate feedback with specific risk and guidance information; the control condition provided general information. We reassessed knowledge, perceptions, and decision-making up to 3 days thereafter. RESULTS Following the intervention, the STOMP group became more risk avoidant (Pain Relief Preference, mean difference -1.27 [95% confidence interval, -0.8 to -1.75]; P
- Subjects :
- Male
Parents
medicine.medical_specialty
Adolescent
Drug-Related Side Effects and Adverse Reactions
Sedation
Decision Making
Specific risk
MEDLINE
Statistics, Nonparametric
Article
03 medical and health sciences
Random Allocation
0302 clinical medicine
030202 anesthesiology
030225 pediatrics
Intervention (counseling)
medicine
Humans
Pain Management
Psychiatry
Child
business.industry
Pain Perception
Odds ratio
Preference
Confidence interval
Analgesics, Opioid
Anesthesiology and Pain Medicine
Opioid
Anesthesia
Female
Neurology (clinical)
medicine.symptom
business
medicine.drug
Follow-Up Studies
Subjects
Details
- ISSN :
- 15365409
- Volume :
- 34
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- The Clinical journal of pain
- Accession number :
- edsair.doi.dedup.....383aeaf6abc239a9042453c79055e9fc