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Related Concept Videos

Health Literacy01:21

Health Literacy

Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative programs,...
Drug Dependence01:17

Drug Dependence

Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Drug Dosage Regimen: Overview01:15

Drug Dosage Regimen: Overview

A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
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Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
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Clinically Relevant Drug Product Specifications: Methods of Establishment

Product specifications define the acceptable quality of a pharmaceutical product by ensuring identity, purity, potency, and strength. These specifications serve as benchmarks during development, manufacturing, and post-approval quality control. Clinically relevant specifications are particularly important because they directly relate to a drug's safety and efficacy in clinical use.Dissolution studies are critical biopharmaceutic tools that link in vitro behavior to in vivo performance. They...

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Related Experiment Video

Updated: Jul 14, 2026

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
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Development and validation of a low-literacy opioid contract.

Lorraine S Wallace1, Amy J Keenum, Steven E Roskos

  • 1University of Tennessee Graduate School of Medicine, Department of Family Medicine, Knoxville, Tennessee 37920, USA. lwallace@mc.utmck.edu

The Journal of Pain
|June 16, 2007
PubMed
Summary

A new, easy-to-understand opioid contract (OPC) was developed and validated for patients. This low-literacy tool ensures patients comprehend medication guidelines and responsibilities, improving safe opioid use.

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Area of Science:

  • Medical Education
  • Patient Adherence
  • Health Literacy

Background:

  • Opioid contracts (OPCs) are crucial for defining safe opioid prescription criteria.
  • Existing OPCs often present barriers due to low health literacy.
  • There is a need for accessible patient-provider communication tools.

Purpose of the Study:

  • To develop and validate an English-language, low-literacy opioid contract (OPC).
  • To ensure clear communication of medication administration, patient responsibilities, and expectations.
  • To create a tool that enhances patient comprehension and adherence.

Main Methods:

  • A four-step process: content identification, adherence to low-literacy guidelines, Suitability Assessment of Materials (SAM) evaluation, and patient pilot testing (n=18).
  • Content developed from literature review and expert consensus.
  • Formatted using large font (16-24pt), 7th-grade reading level, 6 pages, and 12 illustrations.

Main Results:

  • The OPC was scored in the superior range by SAM criteria.
  • Pilot testing showed 19 out of 26 statements were comprehended by all patients.
  • The final OPC is comprehensive, valid, readable, and adheres to low-literacy standards.

Conclusions:

  • A low-literacy, English-language OPC was successfully developed and validated.
  • The OPC's format and content are suitable for routine clinical practice.
  • This tool can improve understanding and safe use of opioid medications.