Inclusion  18 years or older English Speaking Has a working smart-phone Able to provide informed consent Present for upper or lower extremity fracture (ED sample only) or for hand or wrist surgery (hand surgery sample only) Are expected to be prescribed opioids at discharge Are expected to be discharged from the Emergency Department (ED sample only) Intends to take 1 or more doses of opioid medication as prescribed  Exclusion  Chronic opioid use Unlikely to follow-up (discretion of investigator and treating provider) Having been diagnosed with a psychotic disorder Having a current medical marijuana prescription Currently receiving worker's compensation or intending to apply for worker's compensation History of opioid use disorder Allergy to opioid medication