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Completed

NCT Number: NCT03828669

Recovery Toolkits: Assessment of Pragmatic Behavioral Pain Medicine Delivered In Hospital After Surgery

Behavioral pain medicine is largely absent from perioperative pathways, and on post-surgical recovery units. The goal of this project was to develop and implement "Recovery Toolkits", physical branded bags presented to patients after surgery. The "Recovery Toolkits" include a descriptive brochure and orientation to the contents of the bag. "Recovery Toolkits" include a behavioral pain medicine self-help book, an app with a downloadable pain management audiofile, earbuds, and a pen. Patients on each unit have access to iPads where they may view a digital behavioral pain medicine program ("My Surgical Success"), consisting of three 15-minute video learning modules. The "Recovery Toolkits" are psychologist-developed and nurse-delivered to every patient on the surgical recovery units. This pragmatic project seeks to understand:

1. Nurse perceived value of the intervention 2. Burden to nurses to deliver the intervention to all patients 3. Patient engagement with the Recovery Toolkits 4. Patient perceived value of the Recovery Toolkits 5. Patient satisfaction with pain care 6. Impact of Recovery Toolkits on pain and opioid use in hospital and at one-month discharge relative to a pre-Recovery Toolkit program cohort of patients.

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Key information

Conditions

Post Surgical Pain Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Signs and Symptoms

Sex eligibility

All sexes

Study type

Observational

Primary location

Stanford Hospital

Palo Alto, California, 94034, United States

About this study

The Stanford "Recovery Toolkit" program is delivered by nurses across multiple surgical recovery units and surgery types, including neurosurgery, spine, and orthopedic surgeries. All patients who enter the units are offered a "Recovery Toolkit", which is a physical and branded bag. The program includes the following elements: a descriptive brochure and orientation to the contents of the bag. "Recovery Toolkits" include a behavioral pain medicine self-help book, an app with a downloadable pain management audiofile, earbuds, and a pen. Patients on all participating units have access to iPads where they may view a digital behavioral pain medicine program ("My Surgical Success"), consisting of three 15-minute video learning modules.

At discharge, patients are asked to evaluate their pain care and perception about the "Recovery Toolkit" in a 10-item survey that includes items as to whether the patient received a "Recovery Toolkit" (yes/no), did they use the "Recovery Toolkit" (yes/no), their satisfaction with the "Recovery Toolkit" (6-point likert scale), and recommendation for continuing the program (5-point likert scale). Chart review will extract data for demographics, surgery type, existing pain conditions and comorbidities, pain intensity scores averaged over the duration of their inpatient stay, as well as total opioid use during hospital stay and a daily average for inpatient opioid use. At one month after surgery, patients who agreed to be contacted will be asked their average pain intensity (0-10), whether they are taking opioid medication (yes/no) and how much (morphine equivalent daily dose), whether they have used the Recovery Toolkit information (yes/no), and, if yes, to please rate the helpfulness of the Recovery Toolkit information (0-10).

Nurses will be surveyed to determine the level of burden to deliver the intervention (0-6), their perceived value of the intervention to their patients (0-6), and their assessment on whether the program should be continued/expanded (0-6).

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Everyone

Exclusion criteria

  • None, though Recovery Toolkits are English language

Treatment and study plan

Recovery Toolkits

Behavioral

Recovery Toolkits are presented to patients in a branded bag and include a brochure, a self-help behavioral pain medicine book, a downloadable app, earbuds, and access to digital behavioral medicine (the "My Surgical Success" program including online educational videos)

Primary outcomes

  1. Satisfaction with Recovery Toolkits

    Time frame: 10 minute survey administered at hospital discharge

    6-point scale

  2. Likelihood to recommend

    Time frame: 10 minute survey administered at hospital discharge

    5-point scale

Secondary outcomes

  1. Binary Opioid Use

    Time frame: Duration of inpatient hospital stay

    Average Morphine Equivalent Daily Dose

  2. Average Pain

    Time frame: Duration of inpatient hospital stay

    Average of all pain ratings (0-10 numeric rating scale)

  3. Opioid Daily Dose

    Time frame: 5 minuute survey administered 1 month after surgery

    Morphine Equivalent Daily Dose

  4. Opioid use

    Time frame: 5 minute survey administered 1 month after surgery

    Binary question about continued opioid use (yes/no)

  5. Average Pain Intensity

    Time frame: 5 minute survey administered 1 month after surgery

    Rating on 0-10 numeric rating scale

  6. Opioid use

    Time frame: 5 minute survey administered 1 month after surgery

    Morphine Equivalent Daily Dose

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Registry information

Official study title

Recovery Toolkits: An Observational Assessment of Nurse-Delivered, Pragmatic, Behavioral Pain Medicine for Post-Surgical Patients

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Feb 4, 2019
Registry last updated
Jul 8, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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