title: Using m-health tools to reduce the misuse of opioid pain relievers.
abstract: Emergency department (ED) patients are among the many groups at risk for prescription drug overdose. There is limited research on how best to communicate with ED patients about options for pain management and the risks of opioids. The aim of this study is to pilot test a web-based, patient-centred educational programme that encourages the patient to have an informed discussion about pain medication options with their ED provider.
  
  
  
  This multisite, randomised trial will evaluate an m-health programme designed to aid the patient in making an informed decision about their pain treatment. Patients reporting to the ED with an injury-related or pain- related chief complaint who agree to participate are randomised to receive the intervention programme,My Healthy Choices, or an attention-matched control.My Healthy Choicespairs tailored education with a patient decision aid to describe what opioid and non-opioid pain medications are, assess the patient's risk factors for opioid-related adverse effects, and produce a tailored report that patients are encouraged to share with their doctor. Data are collected through surveys at three time points during the ED encounter (baseline, immediately after the intervention and just before discharge), and at a 6-week follow-up survey. The primary outcomes are whether the patient prefers an opioid pain reliever (OPR) and whether the patient takes an OPR.
  
  
  
  We hope this programme will facilitate patient-provider communication, as well as reduce the number of prescriptions written for OPRs and thus the number of patients exposed to prescription opioids and the associated risks of addiction and overdose.
  
  
  
  NCT03012087; Pre-results.
authors.affiliation: Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Elise
authors.initials: E
authors.lastname: Omaki
authors.affiliation: Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Renan
authors.initials: R
authors.lastname: Castillo
authors.affiliation: Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Eden
authors.affiliation: WVU injury Control and Research Center, West Virginia University, Morgantown, West Virginia, USA.
authors.forename: Steve
authors.initials: S
authors.lastname: Davis
authors.affiliation: Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Eileen
authors.initials: E
authors.lastname: McDonald
authors.affiliation: Department of Pharmacy, Johns Hopkins Hospital and Health System, Baltimore, Maryland, USA.
authors.forename: Umbreen
authors.initials: U
authors.lastname: Murtaza
authors.affiliation: Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gielen
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D062787:Drug Overdose / Q000517:prevention & control*; D061345:Early Medical Intervention; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D009293:Opioid-Related Disorders / Q000517:prevention & control*; D010351:Patient Discharge; D010353:Patient Education as Topic; D010865:Pilot Projects; D063487:Prescription Drug Misuse / Q000517:prevention & control* / Q000706:statistics & numerical data; D017216:Telemedicine
chemical_list: D000701:Analgesics, Opioid