TY - JOUR PY - 2022// TI - Enhancing risk perception may be insufficient to curtail prescription opioid use and misuse among youth after surgery: a randomized controlled trial JO - Patient education and counseling A1 - Voepel-Lewis, Terri A1 - Veliz, Phillip A1 - Heinze, Justin A1 - Boyd, Carol J. A1 - Zikmund-Fisher, Brian A1 - Lenko, Rachel A1 - Grant, John A1 - Bromberg, Harrison A1 - Kelly, Alyssa A1 - Tait, Alan R. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: This 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.

METHODS: 503 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.

RESULTS: Compared 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.

CONCLUSION: Education 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.

Language: en

LA - en SN - 0738-3991 UR - http://dx.doi.org/10.1016/j.pec.2022.01.015 ID - ref1 ER -