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

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Patient Education to Improve Pain Management in Older Adults With Acute Musculoskeletal Pain: A Pilot Randomized Trial

Brief Summary:

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

  1. Usual care
  2. Video education in the 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

Detailed Summary:

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

Sponsor: University of North Carolina, Chapel Hill

Current Primary Outcome: Change in Pain [ Time Frame: One month ]

Change in Pain will be measured by calculating the difference between the maximum pain score in the ED and the patient reported average overall pain severity in the past week using the 0-10 numeric rating scale for both measures.Change in pain will be reported as a negative number if the pain decreases (i.e. 10 -> 8 = -2)


Original Primary Outcome: Pain [ Time Frame: One month ]

Pain will be measured by asking patients to report their average overall pain severity in the past week using the 0-10 numeric rating scale.


Current Secondary Outcome:

  • Side Effects [ Time Frame: One month ]
    For each of 15 common side effects, a side effect severity score will be obtained on a scale from 0 to 10.
  • Average overall pain at one month [ Time Frame: one month ]
  • Change in physical function [ Time Frame: from ED visit to one month ]
    Using the higher level function scale developed by Simonsick et al. Assesses walking, climbing stairs, and carrying bags - score from 0 to 12.
  • Pain Interference [ Time Frame: one month ]
    These 6 questions are take verbatim from the Brief Pain Inventory - and assess pain interference for 6 conditions (eg, activity, sleep, work, etc.)


Original Secondary Outcome: Side Effects [ Time Frame: One month ]

For each of 15 common side effects, a side effect severity score will be obtained on a scale from 0 to 10.


Information By: University of North Carolina, Chapel Hill

Dates:
Date Received: May 5, 2015
Date Started: September 2015
Date Completion: September 2017
Last Updated: April 18, 2017
Last Verified: April 2017