NCT03726476

Expectations and Pain Control Advancement In surgeRy: The REPAIR Trial

Randomized Trial on Expectations and Pain Control Advancement In surgeRy: The REPAIR Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 174 (actual)
• Sponsor: University of New Mexico · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This is a randomized control trial that aims to evaluate whether patient-centered education, compared to routine education, decreases narcotic consumption without interfering with return to physical activity following hospital discharge. In addition, it will test whether patient-centered education decreases the quantity of narcotics prescribed and/or increases patient satisfaction and preparedness.

Detailed description

Opioid use disorder is a national health emergency. Opioid prescribing practices to treat post-operative pain have contributed to the problem. This study seeks to explore the effects of changing pre-operative education \& increasing patient input regarding post-operative receipt of opioids. The study will explore the effects that change in pre-operative education may have on post-operative opioid consumption juxtaposed upon return to physical activity using a randomized trial design. Women undergoing pelvic floor reconstructive surgery will be randomized to either (i) standard pre-operative education (ii) modified, patient-centered pre-operative education. The investigators will monitor both post-operative opioid consumption and return to physical activity. The investigators hypothesize that investigation of patient's post-operative pain experiences and their inclusion in the educational and the shared decision-making process will likely decrease post-operative narcotic use without affecting return to function. Our long-term goal is to develop a pragmatic and balanced approach to address pain concerns, decreasing the medical community's contribution to the opioid epidemic.

Conditions

• Abuses Over-The-Counter/Prescription Medications
• Pain, Postoperative
• Opioid Use
• Physical Activity
• Patient Dependence on

Interventions

Type	Name	Description
BEHAVIORAL	Patient centered pre-op education	To implement a patient centered education intervention to evaluate post-op narcotic use.
BEHAVIORAL	routine preop education	To implement routine patient education intervention to evaluate post-op narcotic use.

Timeline

• Start date: 2019-09-10
• Primary completion: 2021-12-06
• Completion: 2021-12-06
• First posted: 2018-10-31
• Last updated: 2024-07-18
• Results posted: 2024-07-18

Locations

2 sites across 1 country: United States