Effect of a Pre-operative Internet-based Educational Video on Post Operative Opioid Consumption

NCT05202080 | Active Not Recruiting

• 1 other identifier: 5218
• Study Type: interventional
• Target: 220
• Locations: 1 country
• Sites: 1

Brief Summary

One of the most challenging issues in modern medicine is the current opioid epidemic. Given the association between opioid use after surgery and the development of opioid addiction, an essential goal of the medical community should be to develop strategies aimed at instructing the safe use of opioids. In addition, instructions on how to use non-opioid painkillers and exercises and techniques to better cope with pain can be used to reduce the patients opioid requirements after surgery. This study aims to evaluate the effect of providing an online educational video presentation to patients prior to surgery. This will be a 30 minute video which will provide the study participants with instructions on how best to use their opioid and non-opioid medication for pain and also teach the study participants exercises and techniques to better cope with their pain. This intervention will be used with a view to reduce the amount of opioids used by patients following hip or knee replacement surgery. Participants will be followed during their immediate phase after surgery to determine how much pain killers the participants have used and at six weeks the participants will be asked to return their unused opioids to see how much the participants have used in total.

Conditions

Patient Empowerment

Outcome Measures

Primary Outcomes (1)

• Post operative opioid consumption

  Total opioid consumption during the first 72 hours following THA or TKA surgery, measured in oral morphine equivalents.

  From surgery until 72 hours postoperatively.

Secondary Outcomes (10)

• Postoperative Pain

  On postoperative days 1/2/3, and 1- and 6-week follow-up.

• Length of hospital stay

  From day of admission until 72 hours postoperatively.

• Time to first opioid demand dose

  In the first 24 hours after surgery.

• Post-operative complication rate

  24 hours after surgery, and 1/6 week follow-ups.

• Total opioid consumption at 6-week follow-up

  6 weeks after surgery.

Study Arms (2)

Opioid Counseling and PCS Video Group

EXPERIMENTAL

This arm of the study will receive the opioid counseling and pain coping skills video 2 weeks prior to their surgery in addition to the conventional information provided to all patients undergoing total joint arthroplasty.

Other: Opioid Counseling and Pain Coping Skills Video

Standard of Care Group

NO INTERVENTION

This arm of the study will the conventional information provided to all patients undergoing total joint arthroplasty.

Interventions

Opioid Counseling and Pain Coping Skills Video OTHER

The intervention will be in the form of a video of a PowerPoint presentation with instructions and exercises designed to coach patients about catastrophizing, coping skills, mindfulness and behavioral modification techniques, in addition to providing education regarding postoperative analgesia and opioid use.

Opioid Counseling and PCS Video Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients must be adults (\> 18 years of age) undergoing knee or hip arthroplasty.
• Patients will be ASA 1-3 undergoing elective surgery.
• English speaking patients with internet and computer access at home will be included.
• Patients with pre-existing psychological conditions who receive either pharmaceutical or talk-based therapy will be included.

You may not qualify if:

• Significant cognitive impairment.
• Chronic pain, long-term opioid therapy
• Renal replacement therapy
• Standing opioid requirements
• Neuropathic pain
• Fractures requiring emergency surgery
• End stage cardiac or respiratory disease
• Severe hepatic dysfunction,
• Patients with severe psychiatric disorders
• Vision loss
• Allergy to local anesthesia.
• Patients who refuse to consent to neuraxial anesthesia and/or peripheral nerve blocks will also be excluded.

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre: lead

Study Sites (1)

Sunnybrook Health Sciences Centre

Toronto, Ontario, M4N 3M5, Canada

Location

MeSH Terms

Conditions

Patient Participation

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 7, 2022
• First Posted: January 21, 2022
• Study Start: September 20, 2022
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: March 12, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)