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This is a study on how patients use and store opioid pain medications at home after surgery and what happens to left over pills when patients are done taking them. Participants will be taught the proper storage and destruction of opioid pain medications, then contacted in 6-8 weeks about pain medication used, stored disposed of.
This is a randomized single-center prospective survey study to describe the utilization of opioid destruction bags in the post-operative period. Participants who underwent surgery for Total Knee Arthroplasty (TKA) or Total Hip Arthroplasty (THA) will be eligible for inclusion if discharging to home with an opioid prescription. Eligible participants will be randomized between two groups: 1) Control group will receive current standard of care 2) Intervention group will receive a specialized handout and patient education on the safe storage of opioid medications, importance of opioid destruction, opioid destruction options and medication destruction (Deterra) bag before discharge. Participants will be phoned/emailed six to eight weeks post-surgery to complete a survey. Attempts will be made on three separate days to reach the participant via phone. If email is preferred, three reminders will be sent to complete the survey. If participant is unreachable, they will be considered lost to follow up. Survey questions will be comprised of various question styles, including: yes/no, multiple choice, and free text answers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Control group will receive current standard of care education and surveys at 6-8 weeks post discharge. | |
| Intervention | Experimental | Intervention group will receive a specialized handout and patient education on the safe storage of opioid medications, importance of opioid destruction, opioid destruction options and medication destruction (Deterra) bag before discharge. Surveys will be sent to group at 6-8 weeks post discharge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Opioid destruction education | Behavioral | Intervention group will receive a specialized handout and patient education on the safe storage of opioid medications, importance of opioid destruction, opioid destruction options and medication destruction (Deterra) bag before discharge. |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid destruction | Number of patients who report they did or plan to destroy unused opioids | Six to Eight weeks post discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Education | Number of patients who recall patient education on storage and disposal of opioid medications at discharge | Six to Eight weeks post discharge |
| Opioid Storage | Type of opioid storage method used at home |
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Inclusion Criteria:
19 years of age or older Discharging to home and prescribed opioids at discharge post total knee arthroplasty or total hip arthroplasty
Exclusion Criteria:
Under 19 years of age Opioid medication use prior to surgery Not prescribed an opioid to take after discharge
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| Name | Affiliation | Role |
|---|---|---|
| Kristin R Daniel, PharmD | University of Nebraska | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
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| ID | Term |
|---|---|
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| Six to Eight weeks post discharge |
| Opioid Destruction Method | Type of opioid destruction method used or plan to use | Six to Eight weeks post discharge |
| Leftover Pills | Estimated number of pills leftover after completion of therapy | Six to Eight weeks post discharge |