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Opioids are commonly prescribed pain medications, but they can lead to addiction. The study team is trying to determine if providing someone with an incentive (money in the form of a Visa gift card) to use less pain medications will result in study participants actually using fewer pain tablets than allowed by their health care provider. The study team also wants to know if providing the incentive (the Visa gift card alone) works the same as the incentive (the Visa gift card) plus providing additional information about addiction and alternative pain management.
Study participants will receive the standard of care for pain management at discharge. If study participants were not hospitalized at discharge, the study team will begin that standard of pain management at the participant's first outpatient clinic visit. Study participants will be randomized to 1 of 3 groups. All groups will receive a gift card if participants return the completed medication diary to the study team.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1--Diary and Possible Opioid Return Incentive | Experimental | Participants in this arm will be given incentives upon return of completed diary and will have the possibility to earn incentives for returning any leftover tablets to the study team. |
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| Group 2--Diary, Coaching, Possible Opioid Return Incentive | Experimental | Participants in this arm will be given coaching. They will also be given incentives upon return of completed diary and will have the possibility to earn incentives for returning any leftover tablets to the study team. |
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| Group 3--Diary and coaching | Experimental | Participants in this arm will be given coaching. They will also be given incentives upon return of completed diary. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Possible Incentive for Tablet Return | Other | Subjects who return completed diary will have the possibility to receive money for returned opioid tablets. |
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| Measure | Description | Time Frame |
|---|---|---|
| Mean number of opioid tablets used daily | up through two weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John K Bailey, MD | Wake Forest University Health Sciences | Principal Investigator |
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| Incentive for Completed Diary | Other | Subjects who return completed diary will receive a gift card. |
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| Coaching | Behavioral | Subjects will receive coaching prior to starting pain medication. |
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