None listed
Conditions
Brief summary
The aim of this study is to evaluate if a video decision aid (VDA) will reduce patient’s intention to commence or to continue to use opioids amongst patients with low back pain, or hip or knee osteoarthritis (OA) when compared to an attention control video. Participants with low back pain or hip or knee osteoarthritis will be recruited and randomly assigned to watch either an educational video or a control video. Surveys will be used to evaluate the effectiveness of a VDA in reducing the intention to commence or continue to use opioids amongst patients with LBP, or hip or knee OA when compared to an attention control video. It will also assess if the VDA improves the knowledge of management options, attitudes towards opioids, and the likelihood of making an informed choice in this population. We hypothesise that participants with LBP or hip or knee OA who watch a video decision aid will report a significantly lower intention to commence or continue using opioids for pain management compared to those who watch an attention control video.
Interventions
Participants in the intervention arm will receive two short videos (<90 seconds each) viewed in succession developed specifically for this study and informed by the content from the TANGO (TAperiNG of Opioids in older adults) brochure (Marcelo et al, 2023). The first video will address opioid risks and benefits, and how to reduce opioid use. The second video will address non-pharmacological pain management strategies such as a healthy lifestyle with regular physical activity and a healthy balanc
Participants in the intervention arm will receive two short videos (<90 seconds each) viewed in succession developed specifically for this study and informed by the content from the TANGO (TAperiNG of Opioids in older adults) brochure (Marcelo et al, 2023). The first video will address opioid risks and benefits, and how to reduce opioid use. The second video will address non-pharmacological pain management strategies such as a healthy lifestyle with regular physical activity and a healthy balanced diet, physiotherapy and pain and stress management, and resources for further information. The content of the videos has been assessed and approved by health practitioners and consumers for credibility, acceptability and readability. The videos are educational only and will explicitly encourage viewers not to change their medication use before consulting with physician. Adherence to the intervention will be monitored via REDCap analytics to ensure participants are watching the full length of the videos. Once the consent form is completed, participants will be randomly assigned to either the intervention or control group. Participants will then be led to view either the intervention or control video via REDCap. Once the video is viewed, the post-video survey will be shown.
Sponsors
University of Sydney
The George Institute for Global Health Australia
Study design
Allocation
Randomised controlled trial
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
To be included participants must meet the following inclusion criteria: • Aged 50 years or above, and; • Living in Australia, and; • Currently experiencing LBP, or; • Having been diagnosed with hip, or knee OA by a medical professional.
Exclusion criteria
Potential participants will be excluded if any of the following are present: • Unable to complete questionnaires in English; • Spinal surgery or joint replacement in the past 12 months; • Using opioid medication for other reasons apart from musculoskeletal pain.
Outcome results
None listed