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Brief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial.

Publication ,  Journal Article
Platts-Mills, TF; McLean, SA; Weinberger, M; Stearns, SC; Bush, M; Teresi, BB; Hurka-Richardson, K; Kroenke, K; Kerns, RD; Weaver, MA; Keefe, FJ
Published in: Trials
July 6, 2020

BACKGROUND: Chronic musculoskeletal pain (MSP) affects more than 40% of adults aged 50 years and older and is the leading cause of disability in the USA. Older adults with chronic MSP are at risk for analgesic-related side effects, long-term opioid use, and functional decline. Recognizing the burden of chronic MSP, reducing the transition from acute to chronic pain is a public health priority. In this paper, we report the protocol for the Brief EducaTional Tool to Enhance Recovery (BETTER) trial. This trial compares two versions of an intervention to usual care for preventing the transition from acute to chronic MSP among older adults in the emergency department (ED). METHODS: Three hundred sixty patients from the ED will be randomized to one of three arms: full intervention (an interactive educational video about pain medications and recovery-promoting behaviors, a telecare phone call from a nurse 48 to 72 h after discharge from the ED, and an electronic communication containing clinical information to the patient's primary care provider); video-only intervention (the interactive educational video but no telecare or primary care provider communication); or usual care. Data collection will occur at baseline and at 1 week and 1, 3, 6, and 12 months after study enrollment. The primary outcome is a composite measure of pain severity and interference. Secondary outcomes include physical function, overall health, opioid use, healthcare utilization, and an assessment of the economic value of the intervention. DISCUSSION: This trial is the first patient-facing ED-based intervention aimed at helping older adults to better manage their MSP and reduce their risk of developing chronic pain. If effective, future studies will examine the effectiveness of implementation strategies. TRIAL REGISTRATION: ClinicalTrials.gov NCT04118595 . Registered on 8 October 2019.

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Published In

Trials

DOI

EISSN

1745-6215

Publication Date

July 6, 2020

Volume

21

Issue

1

Start / End Page

615

Location

England

Related Subject Headings

  • Video Recording
  • United States
  • Treatment Outcome
  • Time Factors
  • Telephone
  • Telemedicine
  • Randomized Controlled Trials as Topic
  • Patient Education as Topic
  • Pain Measurement
  • Musculoskeletal Pain
 

Citation

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ICMJE
MLA
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Platts-Mills, T. F., McLean, S. A., Weinberger, M., Stearns, S. C., Bush, M., Teresi, B. B., … Keefe, F. J. (2020). Brief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial. Trials, 21(1), 615. https://doi.org/10.1186/s13063-020-04552-3
Platts-Mills, Timothy F., Samuel A. McLean, Morris Weinberger, Sally C. Stearns, Montika Bush, Brittni B. Teresi, Karen Hurka-Richardson, et al. “Brief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial.Trials 21, no. 1 (July 6, 2020): 615. https://doi.org/10.1186/s13063-020-04552-3.
Platts-Mills TF, McLean SA, Weinberger M, Stearns SC, Bush M, Teresi BB, Hurka-Richardson K, Kroenke K, Kerns RD, Weaver MA, Keefe FJ. Brief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial. Trials. 2020 Jul 6;21(1):615.
Journal cover image

Published In

Trials

DOI

EISSN

1745-6215

Publication Date

July 6, 2020

Volume

21

Issue

1

Start / End Page

615

Location

England

Related Subject Headings

  • Video Recording
  • United States
  • Treatment Outcome
  • Time Factors
  • Telephone
  • Telemedicine
  • Randomized Controlled Trials as Topic
  • Patient Education as Topic
  • Pain Measurement
  • Musculoskeletal Pain