Effectiveness of a Preoperative Educational Video for Reducing Opioid Consumption After Hand Surgery

Study Overview
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Brief Summary
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This study seeks to determine if watching a preoperative educational video influences opioid consumption and proper disposal following elective hand surgery.

Detailed Description
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This study seeks to determine if watching a preoperative educational video influences opioid consumption and proper disposal following elective hand surgery. Patients undergoing elective hand surgery are randomized to either watch a preoperative educational video or not. Patients are asked to record their pain medication usage postoperatively, as well as their daily pain levels and satisfaction with their pain control after surgery.

Official Title
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Effectiveness of a Preoperative Educational Video for Reducing Opioid Consumption After Hand Surgery

Conditions
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Opioid Use, Hand Injuries and Disorders, Surgery

Intervention / Treatment
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* Other: Educational video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: undergoing elective hand surgery surgeon is planning to prescribe opioids for postoperative pain control Exclusion Criteria: emergent surgery surgeon not planning to prescribe opioids for postoperative pain control

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Soft tissue surgery - preoperative video<br>Patients > 18 years old undergoing elective hand surgery (soft tissue) for which the surgeon is planning to prescribe opioids for postoperative pain control. | Other: Educational video<br>* Patients will watch a preoperative educational video on proper opioid use and disposal.<br>|
| No Intervention: Soft tissue surgery - no video<br>Patients > 18 years old undergoing elective hand surgery (soft tissue) for which the surgeon is planning to prescribe opioids for postoperative pain control. | |
| Experimental: Bone/joint surgery - preoperative video<br>Patients > 18 years old undergoing elective hand surgery (bone/joint) for which the surgeon is planning to prescribe opioids for postoperative pain control. | Other: Educational video<br>* Patients will watch a preoperative educational video on proper opioid use and disposal.<br>|
| No Intervention: Bone/joint surgery - no video<br>Patients > 18 years old undergoing elective hand surgery (bone/joint) for which the surgeon is planning to prescribe opioids for postoperative pain control. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Morphine milliequivalents consumed in 2 weeks postoperatively | Total morphine mEq consumed in 2 weeks after surgery | 2 weeks after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale | Average daily Visual Analog Scaled pain score recorded after surgery. Pain will be recorded on a scale from 0 (no pain) to 10 (worst pain possible). | 2 weeks after surgery | 
| Patient satisfaction | Patient satisfaction with pain control after surgery. Satisfaction will be measured on a Likert scale with the following question: How satisfied have you been with your pain management after surgery?. Answer choices are: Very unsatisfied, unsatisfied, neutral, satisfied, very satisfied. | 7-10 days after surgery | 
| Proper disposal | Self-reported proper disposal of unused opioids after surgery. Patients will be asked in a postoperative survey if they used all of the pills in their initial postoperative prescription. If they did not, they will be asked Have you disposed of your unused opioids via a DEA-approved method (I.e. at a pharmacy or other safe location?) as a yes or no question. | 2 weeks after surgery |