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Opioid Analgesic Use and Disposal Following Outpatient Dental Surgery

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University of Pennsylvania

Status

Completed

Conditions

Opioid Use Disorders
Tooth Extraction Status Nos

Treatments

Behavioral: Educational
Behavioral: Financial

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Background: Overdose deaths from prescription opioid analgesics quadrupled from 4,000 cases to nearly 17,000 cases annually during 1999-2011. Most people who misuse or abuse prescription opioids obtain these pills from friends or family members who have surplus medication left over from prior prescriptions. There is little published data on surplus opioid analgesics remaining after patients recover from painful procedures. Even less is known about patients' willingness to dispose of these leftover pills.

Aims: 1) Measure the impact of a risk education intervention and a financial incentive intervention on patients' willingness to dispose of surplus opioids left over after outpatient dental surgery. 2) Measure the number and proportion of opioid pills left unused after outpatient dental surgery.

Methods: The study will be a pilot randomized controlled trial. Adult patients at the Penn Dental Care Center will be enrolled prior to elective outpatient dental surgery. Patients will be randomized to a control group, an educational intervention, or a financial incentive intervention. The primary outcome of the trial is the proportion of patients in each arm that express willingness to return their unused opioids. Secondary outcomes include patient use of prescribed opioids and their number of unused pills. These outcomes will be measured using novel text-message based data collection software that patients will interact with using a web-enabled cellular telephone or tablet.

Enrollment

79 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Non-institutionalized

Exclusion criteria

  • pregnancy
  • a history of opioid analgesic misuse/abuse
  • ongoing participation in other clinical research
  • or daily use of opioid analgesics in the week prior to surgery

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

79 participants in 4 patient groups

Control
No Intervention group
Description:
Patient receives neither educational nor financial interventions
Financial intervention only
Experimental group
Description:
Patient receives financial (pharmacy offer) intervention only
Treatment:
Behavioral: Financial
Educational intervention only
Experimental group
Description:
Patient receives educational (narrative) intervention only
Treatment:
Behavioral: Educational
Both interventions
Experimental group
Description:
Patient receives both educational and financial interventions
Treatment:
Behavioral: Financial
Behavioral: Educational

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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