Opioid Education in Total Knee Arthroplasty

Summary

The goal of this experimental study is to compare different education intervention on opioid education for patients undergoing total knee arthroplasty. The specific research questions to address are:

1. Does perioperative education pathway reduce opioid refill requests?
2. Is education pathway that focuses on pain management provided in-person and via video in repeated sessions more effective than current standard of care education consisting of a single exposure given as part of a broader preoperative presentation covering multiple topics?
3. Is there a difference between education provided in-person vs video?
4. Does perioperative education improve compliance with multimodal analgesia?
5. Does perioperative education improve appropriate opioid storage?
6. Does perioperative education improve appropriate opioid disposal?

Enrolled patients will be assigned at random to one of 3 study groups. Group 1 (control): Patients are referred to the hospital's standard 1-hour virtual patient education webinar prior to surgery.

Group 2 (in-person): Patients will receive two in-person education sessions (1st session before surgery and 2nd session after surgery). Patients will also receive portable document format (pdf) handouts about opioid and pain management.

Group 3 (video): Patients will receive two video education sessions (1st session before surgery and 2nd session after surgery). Patients will also receive pdf handouts about opioid and pain management.

Conditions

• Arthropathy of Knee
• Post Operative Pain
• Opioid Use
• Opioid Abuse
• Opioid Misuse

Interventions

OTHER

Opioid education in person

The presentation and handouts contain information regarding the following topics: * Reviewing opioids and strategies for analgesia * Defining and identifying opioids * Goals for postoperative pain management and utilizing opioids to treat pain * Alternative modes of treating pain * Regional anesthesia/analgesia defined * Side effects and risks of opioids * Common side effects of opioids * Risks of addiction, tolerance, dependence, opioid-induced hyperalgesia with long-term use * Proper use and handling of opioids * Safe practices when taking opioids * Weaning off opioids * Safe storage and disposal of opioids

OTHER

Opioid education via video

The video and handouts contain information regarding the following topics: * Reviewing opioids and strategies for analgesia * Defining and identifying opioids * Goals for postoperative pain management and utilizing opioids to treat pain * Alternative modes of treating pain * Regional anesthesia/analgesia defined * Side effects and risks of opioids * Common side effects of opioids * Risks of addiction, tolerance, dependence, opioid-induced hyperalgesia with long-term use * Proper use and handling of opioids * Safe practices when taking opioids * Weaning off opioids * Safe storage and disposal of opioids

Sponsors & Collaborators

• Hospital for Special Surgery, New York

  lead OTHER

Principal Investigators

• Bradley H Lee, MD · Hospital for Special Surgery, New York

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

80 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-09-27

Primary Completion

2023-09-11

Completion

2023-09-11

Countries

• United States

Study Locations