Online video education to reduce opioid use after hip or knee surgery
Effect of a Pre-operative Internet-based Educational Video, Providing Both Opioid Counselling and Pain Coping Skills, on Post-operative Opioid Consumption
This study tests if an online video that teaches patients about safe pain management can help reduce the use of opioids after hip or knee surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 220 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Sunnybrook Health Sciences Centre Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Trial ID | NCT05202080 on ClinicalTrials.gov |
What this trial studies
This study evaluates the impact of a pre-operative internet-based educational video on reducing opioid consumption following hip or knee replacement surgery. The 30-minute video provides patients with guidance on the safe use of opioids and non-opioid pain management techniques, as well as exercises to cope with pain. By empowering patients with knowledge before surgery, the study aims to mitigate the risk of opioid addiction and improve post-operative pain management. Participants will be assessed for cognitive capacity to ensure they can understand the video content.
Who should consider this trial
Good fit: Ideal candidates include adults over 18 years old undergoing elective knee or hip arthroplasty who can understand the educational content.
Not a fit: Patients with significant cognitive impairment, chronic pain, or those on long-term opioid therapy may not benefit from this intervention.
Why it matters
Potential benefit: If successful, this approach could significantly reduce opioid consumption and the risk of addiction in patients recovering from surgery.
How similar studies have performed: Other studies have shown promising results in using educational interventions to reduce opioid use, indicating this approach has potential based on previous findings.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients must be adults (\> 18 years of age) undergoing knee or hip arthroplasty. * Patients will be ASA 1-3 undergoing elective surgery. * English speaking patients with internet and computer access at home will be included. * Patients with pre-existing psychological conditions who receive either pharmaceutical or talk-based therapy will be included. * Patients must meet a minimum cognitive capacity to understand the instructions for the Opioid Counseling and Pain Coping Skills presentation. This will be assessed by the administration of the Montreal Cognitive Assessment during screening (MoCA), whereby a minimum score of 18 will be required to meet inclusion into the study. Exclusion Criteria: * Significant cognitive impairment. * Chronic pain, long-term opioid therapy * Renal replacement therapy * Standing opioid requirements * Neuropathic pain * Fractures requiring emergency surgery * End stage cardiac or respiratory disease * Severe hepatic dysfunction, * Patients with severe psychiatric disorders * Vision loss * Allergy to local anesthesia. * Patients who refuse to consent to neuraxial anesthesia and/or peripheral nerve blocks will also be excluded.
Where this trial is running
Toronto, Ontario
- Sunnybrook Health Sciences Centre — Toronto, Ontario, Canada (Recruiting)
Study contacts
- Study coordinator: Ahtsham U Niazi, FRCPC
- Email: ahtsham.niazi@sunnybrook.ca
- Phone: 6473390387
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.