Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers

The University of Texas System (UT)

Status: Active, not recruiting

Conditions: Ventral Hernia; Opioid Use; Inguinal Hernia

Treatments: Other: Opioid Use Agreement

Study type: Interventional

Funder types: Other

Identifiers

NCT06167759

HSC-MS-22-0807

Details and patient eligibility

About

The effect of pain agreements to reduce opioid misuse is an accepted practice in many settings, but it has never been applied to the acute care setting. Pain agreements are considered the standard of care for chronic pain management reliant on opioid prescribing, and they are a mandated component of care in many states. Therefore, the adjunct of safe opioid use agreements into acute pain management offers a logical extension of current practices from chronic pain management.

This study will test the use of agreements to improve safe opioid use to prevent misuse and opioid-related harm.

Enrollment: 240 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Adult patients (at least 18 years of age), of any gender, who speak English or Spanish, undergoing general surgery procedures with a high likelihood of receiving an opioid prescription (bariatric, inguinal hernia, or ventral hernia), who have their preoperative appointment at UT Physicians Health Center at Memorial Hermann Sugar Land Medical Plaza, Lyndon Baines Johnson, and Bellaire

Exclusion criteria

Patients with a known allergy or contra-indication to opioids, pregnancy, signification cognitive impairment, history of opioid misuse/abuse, chronic opioid use, readmission before the follow up appointment

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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240 participants in 2 patient groups

Opioid Use Agreement

Experimental group

Description:

Patients in this group will be administered a safe opioid use agreement by the research coordinator. This agreement is in addition to any routine education and counseling provided by the surgical team.

Treatment:

Other: Opioid Use Agreement

Standard of Care

No Intervention group

Description:

Patients in this group will receive standard care which includes safe opioid education from the surgical care team.