Scenario Tailored Opioid Messaging Program (STOMP) to Improve Risk Understanding in Young Adults
Condition: Pain, Postoperative; Medication Adherence; Opioid Use; Knowledge, Attitudes, Practice; Risk Reduction Behavior
MeSH terms: Pain, Postoperative
Study type: Interventional

Summary: 
      Legitimate prescription opioid use during adolescence has been associated with later
      prescription opioid misuse and substance use disorder symptoms during adulthood. Thus,
      primary prevention interventions for older adolescents and young adults (15-24 yrs) at the
      time of prescribing are imperative.

      The goal of our research is to improve opioid analgesic safety and efficacy by optimizing
      opioid risk recognition and informed decision-making among 15-24 year olds who are prescribed
      these agents for home use. Young adults and older adolescents who manage their own
      prescription pain medicines need to recognize opioid-related risks and make decisions that
      will both reduce these risks yet ensure effective pain relief. The proposed research will
      evaluate new strategies to help subjects learn about opioid risks and make safe and effective
      analgesic decisions. 355 subjects who are undergoing an elective surgical procedure will be
      recruited. Subjects will be randomized to receive the new educational routine information.
      Subjects' knowledge and perceptions will be evaluated at baseline and at critical times after
      surgery.
    

Detailed description: 
      The goal of this research is to improve opioid analgesic safety and efficacy by optimizing
      opioid risk recognition, informed decision-making including misuse among 15-24 year olds who
      are prescribed these agents for home use.

      This is a randomized, controlled study design. The investigators will enroll emerging adults
      (aged 15-24 yrs) who are scheduled to undergo a surgical procedure and will be prescribed an
      opioid as part of their routine postoperative care. Comprehensive informed consent will be
      obtained.

      No medical treatments will be altered for the purposes of this educational study. All
      participants will complete baseline surveys to assess their pain medicine familiarity, their
      opioid risk knowledge and perceptions, and their analgesic self-efficacy and their pain
      relief/ risk avoidance preferences. Participants will also be presented (via the survey
      platform) with several hypothetical (mock) scenarios and will be asked to make hypothetical
      decisions about how they would treat pain for each.

      The Intervention group will receive tailored feedback and guidance after each scenario (i.e.,
      the Scenario Tailored Opioid Messages) and the Control group will receive only routine
      analgesic risk and benefit information. Participants will complete the post-scenario/feedback
      surveys to re-assess opioid risk perceptions and self-efficacy and will complete brief health
      literacy surveys.

      On days 7, 14 and at 1 and 3 months, participants will be resurveyed (via emailed qualtrics
      survey link or paper -whichever is preferred) about their opioid risk knowledge, perceptions,
      scenario decision making, analgesic self-efficacy and pain relief/risk avoidance preferences.

      All surveys and datasheets will contain unique identifiers only. Identifiers will be
      maintained separately from survey data (linked only by unique identifier) to maintain
      privacy. Participants will receive up to $50 for participation.
    

Intervention name(s): Educational Intervention
Intervention type(s): Behavioral
Intervention description(s): This intervention provides scenario-tailored opioid risk message feedback immediately following interactive analgesic decision-making exercises.
Other intervention name(s): STOMP Intervention
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: randomized, controlled, factorial design
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary purpose: Prevention