Patient Education to Improve Pain Management in Older Adults With Acute Musculoskeletal Pain: A Pilot Randomized Trial (BETTER_Pilot)

University of North Carolina (UNC)

Status: Completed

Conditions: Musculoskeletal Pain

Treatments: Behavioral: Phone follow-up; Behavioral: Video

Study type: Interventional

Funder types: Other

Identifiers

NCT02438384

15-0986

Details and patient eligibility

About

This is a three arm pilot randomized trial. Patients will be assigned to:

1. Usual care
2. Video education in the Emergency Department (ED)
3. Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain >=4/10

Full description

This is a three arm pilot randomized trial. Patients will be assigned to:

1. Usual care
2. Video education in the ED (10 minute interactive video)
3. Video education in the ED plus phone follow-up at three days with geriatric pain management specialist for all patients with pain >=4/10

Enrollment: 75 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 50 and older; ED visit for acute musculoskeletal pain

Exclusion criteria

• Cognitively impaired; chronic pain (daily opioid use prior to onset of pain or pain symptoms more than one month); prison; injury or pain condition requiring hospital admission.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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75 participants in 3 patient groups

Usual care

No Intervention group

Description:

Pts will receive education and follow-up based on judgment of emergency provider.

Video

Experimental group

Description:

Patients will watch 10 minute educational video

Treatment:

Behavioral: Video

Video plus Phone Follow-up

Experimental group

Description:

Patients will watch 10 minute educational video and receive phone call follow-up at 3 days to assess pain symptoms. Patients with a pain score of 4 or more will receive another call with advice from a geriatric pain specialist.

Treatment:

Behavioral: Phone follow-up

Behavioral: Video