Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study
Phase: NA
Conditions: Opioid Use, Chronic Pain Post-Procedural
Sponsor: University of Arkansas

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 1 
 
 
Study Title: 
Video-based, Patient-Focused Opioid Education in the 
Perioperative Period: A Feasibility Study 
 
 
Principal Investigator:  
Johnathan H. Goree M.D. 
University of Arkansas for Medical Sciences 
4301 W. Markham Street, Slot # 515 
Little Rock, AR 72205 
Telephone:  501.686.8818 
Email:  JHGoree@uams.edu 
 
 
Sub-Investigator (s): 
Lauren A. Byers, APRN 
 
University of Arkansas for Medical Sciences 
  
4301 W. Markham Street, Slot # 515 
Little Rock, AR 72205 
Telephone:  501.686.8818 
Email:  LAByers@uams.edu 
 
 
Michael Cucciare, Ph.D. 
 
University of Arkansas for Medical Sciences 
  
4301 W. Markham Street 
Little Rock, AR 72205 
Telephone:  501.526.8179 
Email: MCucciare@uams.edu 
 
 
Corey Hayes, Pharm. D. 
 
University of Arkansas for Medical Sciences 
  
4301 W. Markham Street 
Little Rock, AR 72205 
Telephone:  501.526.8179 
Email: CJHayes@uams.edu 
 
 
Nickolas Zaller, Ph. D. 
 
University of Arkansas for Medical Sciences 
  
4301 W. Markham Street, Slot # 820 
Little Rock, AR 72205 
Telephone:  501.526.6700 
Email: NDZaller@uams.edu 
 
Study location: 
University of Arkansas for Medical Sciences 
 
4301 W. Markham Street 
 
Little Rock, AR  72205 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 2 
Table of Contents  
 
 
 
 
 
 
 
 
Page 
 
Study Summary  
 
 
 
 
 
 
 
 
 
4 
Background and Rationale  
 
 
 
 
 
 
 
5 
Study Objectives 
 
 
 
 
 
 
 
 
 
6 
Hypothesis  
 
 
 
 
 
 
 
 
 
7 
Study Population 
 
 
 
 
 
 
 
 
 
 
 
Inclusion Criteria 
 
 
 
 
 
 
 
 
7 
 
Exclusion Criteria 
 
 
 
 
 
 
 
 
8 
Study Design and Procedures 
 
 
 
 
 
 
 
8 
Risks and Benefits  
 
 
 
 
 
 
 
 
9 
Data Management  
 
 
 
 
 
 
 
 
10 
Ethical Considerations 
 
 
 
 
 
 
 
 
10 
Dissemination of Data 
 
 
 
 
 
 
 
 
11 
Reference 
 
 
 
 
 
 
 
 
 
 
12 
Appendices  
 
 
 
 
 
 
 
 
 
14 
 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 3 
Study Summary 
Title  
Video-based, Patient-Focused Opioid Education in the 
Perioperative Period: A Feasibility Study 
Short Title 
Perioperative patient opioid education video study 
Methodology  
A pilot study designed to assess the feasibility of using a 
novel, video-based opioid education tool for opioid naïve 
ambulatory surgery patients in the perioperative period. 
Study Center 
University of Arkansas for Medical Sciences 
Objectives 
To evaluate the affect that video-based opioid education 
has on narcotic intake after outpatient surgery. 
Number of Subjects 
Total N = 110 
Diagnosis and Main Inclusion 
Criteria 
Opioid naïve adult men and women undergoing outpatient 
surgical procedure 
Study Procedures 
Patients will be randomized to a video or no video prior to 
surgery then administered a phone questionnaire at post-op 
day 7, 30, and 90. The Arkansas Prescriptions Drug 
Monitoring Database will also be accessed for information 
on opioid prescription refills. 
Duration of Administration 
The duration of the study will be approximately 3 months, 
plus a single 1-hour long focus group if desired by the 
patient. 
Primary Objective 
Primary outcomes are patient satisfaction, knowledge 
acquisition, and the effect of the video intervention on post-
operative pain control.   
Secondary Objective 
Feasibility of collecting data including the percentage of 
patients who develop chronic opioid use, percentage of 
patients who develop a chronic post-surgical pain disorder, 
and number of total days to opioid cessation. 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 4 
Background and Rationale 
It has been well publicized that the United States is facing an opioid crisis, with most 
states experiencing an alarming increase in rates of prescription opioid related deaths, 
now spanning almost three decades (Deyo, 2016). As this public health crisis continues 
to plague Americans, much attention has been directed to opioid prescribing trends. It 
has been shown that the rate of long-term opioid use increases to 13.5% when opiate 
naïve patients extend its use to eight days or longer and 29.9% when its use extends to 
31 days or longer (Shah, 2017). Even one additional refill after initiation can increase 
odds of long-term use by 2.25 (Deyo, 2016). Coupling these tendencies with the fact 
that over prescribing of narcotic analgesics has been shown to occur even when these 
opiate naïve patients encounters even their first prescription, at ambulatory surgeries for 
example, increased awareness through education is paramount in working to effectively 
battle the opioid epidemic (Thiels, 2018). 
Other than overdose deaths, complications of long-term opiate use have been well 
studied showing tolerance to the medication, hyperalgesia, and limited efficacy over 
time, just to name a few (Deyo, 2016). Therefore, opiate alternatives and non-opiate 
analgesic regimens that can be paired with opiates to decrease total intake should be 
emphasized. Acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) are 
popular substitutes to opioids that should be considered for post-operative pain control 
(Valentine, 2015). They can be administered on a scheduled basis so that consistent 
therapeutic concentrations can be maintained to avoid opiate analgesics as a rescue.  
Ibuprofen and Acetaminophen have been shown to provide superior acute pain with 
combined with opioids (Memtsoudis, 2018) and to be more effective than opioids in 
certain chronic pain conditions (Krebs, 2018). 
We now know that long term opioid use often begins with the treatment of acute pain.  
More specifically, many patients use opioids chronically and develop opioid use 
disorders after they experience their first exposure to opioids during a hospital surgical 
encounter (Cicero, 2014). Patients are often provided with a prescription for excessive 
amounts of opioids without clear instructions on usage, full disclosure of the risk and 
benefits, or a discussion of alternative treatment strategies for pain control (Sabatino, 
2018; Theisen, 2018).  Approximately 6% of patients who undergo an operative 
procedure have continued opioid usage at 90 days (Brummett, 2017).  While many of 
these patients have developed chronic post-surgical pain disorders, rates of chronic 
post-surgical pain are increased by poorly controlled acute post-surgical pain (Gjeilo, 
2014; Meissner, 2015).   
Disseminating information into easily understood patient education programs that will 
allow patients to navigate post-operative pain management options and improve acute 
pain treatment could be a technique to decrease narcotic intake after outpatient surgery.  

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 5 
According to Shah, Hayes, and Martin (2017), starting this conversation early, prior to 
surgery thus prior to opioid intake is suggested. Cancer-related pain control has been 
shown by researchers to respond well to brief 20 minute coaching interventions on self–
management (Oliver, 2001).  Booklets regarding pain-relief methods have been used 
with proven adequate analgesia (Watt-Watson, 2017).  While this work is promising, 
there are some limitations to the use of handouts as the primary means of patient 
education.   While most hospital education materials are produced at a 10th grade 
reading level, the reading level of the average patient in the United States is 
approximately 8th-9th grade (Saffer, 2005). Also, approximately 22 percent of patients 
read at a 5th grade reading level or lower (Saffer, 2005). 
In studies that have randomized patients to handouts versus video-based education, 
patients obtained and retained more knowledge from video-based education initiatives 
(Hill, 2009; Shah 2017).  This conclusion holds true for instructional-based initiatives 
pertaining to prescription medications, preventing home falls, and adherence to pre-
surgical instructions (Hill, 2009; Shah 2017). Pre-procedural video based education has 
also been shown to decrease anxiety among patients due to increased knowledge 
about the unknown (Ayasrah, 2016). Ambulatory surgery, pre-procedural patient-
centered interview interventions have also been shown to decrease post procedural 
pain, improve surgical recovery, and increase daily activity after surgery (Pereira, 2015).  
In the emergency room, fifty-two patients who were being discharged with an opioid 
prescription were randomized to either a 6 minute animation-based video on opioid 
education discussing safe usage of opioids and their potential dangers or an information 
sheet containing the same information.  In this study, the animation-based video tool 
was found to increase knowledge acquisition of the covered material measured by a 
written test by a statistically significant margin of 17 percent (Chakravarthy, 2018).  This 
trial further illustrates the benefits of standardized video-based education over non 
standardized verbal education by providers and handouts.  We feel that this video 
based style of opioid education could be better implemented throughout other phases of 
hospital care. 
Therefore, we propose to examine the feasibility of using a novel, video-based opioid 
education tool for opioid naïve (patients who have not taken opioids in the 30 days pre-
operatively), ambulatory surgery patients in the perioperative period. During our pilot 
study, our primary outcomes are patient satisfaction, knowledge acquisition, and the 
effect of the video intervention on post-operative pain control.  This pilot study will also 
examine the feasibility of collecting data including the percentage of patients who 
develop chronic opioid use (use of opioids past 90 days), percentage of patients who 
develop a chronic post-surgical pain disorder, and number of total days to opioid 
cessation.  We plan to collect this data both by patient report and from the Arkansas 
Prescriptions Drug Monitoring Database.  This study will also allow us to assess 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 6 
whether video opioid education tools are an effective means of providing information 
about opioid use to ambulatory surgery patients and whether the perioperative holding 
area is the ideal location for this education. 
Study Objectives 
Primary Objectives 
Assess the feasibility of collection of data from both cohorts including the following 
metrics via phone survey: 
 
Days to post-operative opioid cessation 
 
Methods for post-operative pain control 
 
Patient rated knowledge of post-operative pain control 
 
Patient rated knowledge of post-operative opioid safety 
 
Development of chronic post-surgical pain syndromes 
 
Development of chronic post-surgical opioid use 
Assess the feasibility of collection of data from both cohorts from the Arkansas 
Prescription Drug Monitoring Database including the following: 
 
Number of post-operative prescriptions obtained 
Assess the feasibility of the proposed intervention on patient satisfaction, retention of 
information, perceived usefulness of information, effect on pre-operative anxiety, and 
effect on acute usage of opioid medication via focus group. 
Hypothesis 
The use of patient-focused, video based opioid education about the risks and 
benefits, alternatives to opioid therapy, and safe use, storage, and disposal of opioids is 
feasible in the perioperative period.  The collection of data about opioid use, patient 
perception of their knowledge on pain control options, patient perception of their 
knowledge on opioid safety, rates of post-operative chronic opioid use, and rates of 
chronic post-surgical pain disorders is feasible via phone interview, focus group, and 
access to the Arkansas Prescription Drug Monitoring Database.   
 
Potential Impact: Understanding the feasibility of this research protocol will inform 
the creation of a fully powered comparative effectiveness trial to test whether applying 
this video intervention for opioid naïve, ambulatory surgery patients in the pre-operative 
holding area will decrease chronic opioid use (90 days), days to opioid cessation, and 
development of chronic post-surgical pain conditions. 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 7 
Study Population 
Eligibility waivers are not permitted.  Subjects must meet all of the inclusion and 
exclusion criteria to be enrolled in the study.  Study events may not begin until a subject 
has signed the informed consent for and is enrolled.  The study population will be opiate 
naïve preoperative patients arrived and consented for ambulatory surgery.  
Inclusion Criteria 
• 110 men and women 18 years or older 
• not chronically receiving opioid analgesics  
• patients who have not taken opioids 30 days pre-operatively 
• undergoing surgical procedure not requiring overnight hospital stay 
Exclusion Criteria 
• non-English speaking 
• legally deaf or blind 
• on opiate contract 
• has taken oral narcotic in the past 30 days 
• unable to operate a telephone  
Study Design and Procedures 
Study Procedure   
Prior to subject enrollment, we will create a 5-10 minute opioid education video.  
This video will explain the risks and benefits of opioid medications and provide 
examples of evidence-based alternative acute pain therapies.  It will also discuss safe 
use, storage, and disposal of opioids.  This video will be based on a Centers for 
Disease Control and Prevention publication titled “Opioids for Acute Pain: What You 
Need to Know.”  This video will be peer-reviewed for accuracy by a panel of medical 
doctors, pharmacists specializing in addiction medicine, psychologist, researchers with 
experience in substance using populations, and nurses, all of which are experts with 
advanced knowledge of opioid pharmacology and opioid use disorders. 
After video creation, we will begin enrolling patients.  Patients admitted for 
ambulatory surgery will be consented for the study in the preoperative holding area.  All 
patients will be read the risk and benefits of the study prior to signing informed consent.  
After signing informed consent and discussing the risks and benefits of the study 
protocol, interested patients will be randomized to either receive the video intervention 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 8 
or to standard of care.  100-opaque-envelopes will be filled with a piece of paper with 
either “video intervention” or “standard intervention” typed on them.  They will be 
shuffled 10 times then split in half then sequentially numbered, and stored in a plastic 
tub.  Envelopes containing the treatment allocation will be opened by the recruiting 
clinician on participant enrolment. To be robust, the envelopes will be truly opaque, 
sequentially numbered, and opened in the correct order. The clinician will not open the 
envelope in advance and will ensure that the envelope seal has not been broken.  
Patients randomized to the intervention will be shown the video in the pre-operative 
holding area on an iPad. 
Post-Operative Data Collection and Analysis. 
Patients will be contacted on Post-operative day 7, 30, and 90 and asked a 
series of questions (Appendix B).  After completing their post-operative day 90 phone 
call, patients will be compensated for their time with a $20 gift card.  Arkansas 
Prescription Monitoring Database Data will be accessed for every patient (Dr. Hayes) 
and will be protected and de-identified.  This will provide objective data to determine 
whether patients have gotten additional prescriptions post operatively and whether 
patients are continuing opioids past 90 days. 
As this a prospective preliminary collection with plans for a more detailed 
longitudinal study in the future, no net sample size or statistical power has been 
planned, however the goal is to enroll 110 subjects.  Data collection will continue in an 
ongoing, prospective, open-ended manner, which depends on participant willingness to 
continue in the study over several months. 
Analysis of data will be undertaken with the help of SPSS version 22 software 
(IBM) using parametric and non-parametric tests of significance dependent on the 
variables being tested.  Univariate and multivariate regression models will be applied 
using the same software to determine variables that correlate best with differences in 
studied variables. 
Focus Group Structure and Content. 
Patients who are randomized to the video group will also be notified that they are 
eligible to participate in one of two focus groups.  These will be scheduled after all 
patients have been enrolled in the study and all 7 day follow up calls are completed.  
Patients will receive a $50 gift card in compensation for completing the interactive focus 
group.  The two focus groups of patients from the treatment arm will be held on the 10th 
floor of the Winthrop P. Rockefeller Cancer Institute and will last approximately 1 hour 
each (Basch, 1987).  We will use the information from this focus group to ensure that 
this information is correctly delivered to and consumed and retained by patients.  We 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 9 
will also use this information to assess timing for the intervention in the pre-operative 
holding area and assess whether patients feel that there is a better time for this 
information to be delivered.   
Analysis of Qualitative Data Gathered from Focus Groups.   
All focus group discussions will be audio recorded.  We will compile and review 
notes and transcripts collected from the phone interviews to generate written summaries 
of the factors that impact acceptability and feasibility of the video intervention.  We will 
pursue a rapid analysis (e.g., Sobo et al., 2006) of focus group data to ensure quick 
translation of patient feedback to actionable suggestions for developing the study 
protocol and finalizing the video intervention.  We will listen to all focus group audio 
recordings and will compile all interview and observation notes.  This data will be used 
to generate a summary of patient recommendations for adaptations to video content 
and final study video delivery methods. This generated summary will be presented to 
study team and stakeholders. 
Removal of Subjects from the Study 
 
Patients can be taken off the study at any time at their own request, or they may 
be withdrawn at the discretion of the investigator for safety, behavioral, or administrative 
reasons.  The reason(s) for discontinuation will be documented and may include: 
• Subject withdraws consent 
• Subject is lost to follow up.  If the investigator is unable to contact the subject for 
follow up phone calls the subject will be considered “lost to follow up” 
Risks 
The only potential risk to study participants is the potential for loss of confidentiality.  
Measures to protect the confidentiality of study participants will be implemented as 
described in the Data Handling and Recordkeeping section below. 
Potential Benefits 
Patients provided with education video could be at lower risk for opioid addiction.  As 
well as the knowledge gained from the study could potentially benefit patients in the 
future. 
 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 10 
Data Management 
The Principal Investigator will carefully monitor study procedures to protect the safety of 
research subjects, the quality of the data and the integrity of the study.  All study subject 
material will be assigned a unique identifying code or number (Appendix A).  The key to 
the code will be kept in a locked file in the principal investigator’s office.  Only principal 
and sub-investigators will have access to the code and information that identifies the 
subject in this study. At the conclusion of the study, the data will be permanently 
deidentified, then destroyed after seven years. 
Ethical Considerations 
This study will be conducted in accordance with all applicable government regulations 
and University of Arkansas for Medical Sciences research policies and 
procedures.  This protocol and any amendments will be submitted and approved by the 
UAMS Institutional Review Board (IRB) to conduct the study.   
The formal consent of each subject, using the IRB-approved consent form, will be 
obtained before that subject is submitted to any study procedure.  All subjects for this 
study will be provided a consent form describing this study and providing sufficient 
information in language suitable for subjects to make an informed decision about their 
participation in this study.  The person obtaining consent will thoroughly explain each 
element of the document and outline the risks and benefits, alternate treatment(s), and 
requirements of the study. 
The consent process will take place in a private preoperative bay, and subjects may 
take as much time as needed to make a decision about their participation.  Participation 
privacy will be maintained and questions regarding participation will be answered.  No 
coercion or undue influence will be used in the consent process.  This consent form 
must be signed by the subject or legally authorized representative (only if applicable), 
and the individual obtaining the consent.  A copy of the signed consent will be given to 
the participant, and the informed consent process will be documented in each subject’s 
research record. 
Amendments to the Protocol 
Should amendments to the protocol be required, the amendments will be originated and 
documented by the Principal Investigator.  It should also be noted that when an 
amendment to the protocol substantially alters the study deign or potential risk to the 
patient, a revised consent form might be required. 
The amendment protocol, and if required the amended consent form, must be approved 
by the IRB prior to implementation.  

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 11 
Record Retention 
All study records will be retained in accordance with applicable institutional and 
applicable regulatory requirements.   
Obligation of Investigators 
The principal investigator is responsible for the conduct of the clinical trial at the site in 
accordance with applicable regulatory requirements.  The principal investigator is 
responsible for personally overseeing the treatment of all study subjects.  The principal 
investigator must assure that all study site personnel, including sub-investigators and 
the other study staff members, adhere to the study protocol and all applicable 
regulations and guidelines regarding clinical trials both during and after study 
completion.   
Dissemination of Data 
Results of this study may be used for presentations, posters, or publications. The 
publications will not contain any identifiable information that could be linked to a 
participant.   
 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 12 
References 
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New persistent opioid use after minor and major surgical procedures in US 
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4. Chakravarthy, B., Somasundaram, S., Mogi, J., Burns, r., Hoonpongsimanont, 
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Anesthesiology. 2018; 128: 891-902  

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
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Date:  1/4/2019 
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11. Oliver, J., Kravitz, R., Kaplan, S., & Meyers, F.  Individualized Patient Education 
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Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 14 
Appendices 
Appendix A: Coded Identifier List 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A 
Feasibility Study 
Code Identifier        Patient Name          DOB 
   Phone number        Date of Surgery 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
 
 
 
 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 15 
Appendix B: Follow up Phone Interview Questions  
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A 
Feasibility Study 
 
Day 7 post-op phone call: 
1. Are you still taking opioids? 
2. With your surgery day being day 0 and today being day 7, what day was your 
last opioid taken? 
3. What methods other than opioids did you use to control your post-operative 
pain? 
4. On a scale of 1-10 with 1 being not at all informed and 10 being very 
informed, rate your knowledge of post-operative pain control prior to surgery. 
5. On a scale of 1-10 with 1 being not at all informed and 10 being very 
informed, rate your knowledge of post-operative pain control after surgery. 
6. On a scale of 1-10 with 1 being not at all informed and 10 being very 
informed, rate your knowledge of opioid safety including safe use, storage, 
and disposal of opioids prior to surgery 
7. On a scale of 1-10 with 1 being not at all informed and 10 being very 
informed, rate your knowledge of opioid safety including safe use, storage, 
and disposal of after surgery 
8. On a scale of 1-10 with 1 being not at all improved and 10 being very 
improved, how you feel your hospital experience improved your knowledge of 
post-operative pain control. 
 
  
Day 30 post-op phone call 
1. Are you currently taking opioids? 
2. When was your last opioid taken? 
3. Are you experiencing any pain from your surgery? 
4. On a scale of 0-10 with 0 being pain free and 10 being the worst pain 
imaginable, how would you rate your current post-surgical pain? 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 16 
Day 90 post-op phone call: 
1. Are you currently taking opioids? 
2. When was your last opioid taken? 
3. Are you still experiencing any pain from your surgery? 
4. On a scale of 0-10 with 0 being pain free and 10 being the worst pain 
imaginable, how would you rate your current post-surgical pain? 
 
 

Title: 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A Feasibility Study 
PI: 
Johnathan Goree, M.D. 
Site:  
University of Arkansas for Medical Sciences 
 
Version #: 4 
 
IRB # 228789 
Date:  1/4/2019 
Page 17 
Appendix C: Focus Group Interview Discussion Outline 
Video-based, Patient-Focused Opioid Education in the Perioperative Period: A 
Feasibility Study 
 
 
1. How do you feel about the timing of the educational video?  Is there a better time 
this information could be provided prior to surgery (e.g.: in clinic)? 
2. Did you like the way the information was conveyed in the video? 
3. What information should be added to the video?