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A Risk Education Program Decreases Leftover Prescription Opioid Retention: An RCT
Terri Voepel-Lewis1, Carol J Boyd2, Alan R Tait3
1School of Nursing, University of Michigan, Ann Arbor, Michigan; Department of Anesthesiology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan; Center for the Study of Drugs, Alcohol, Smoking and Health (DASH Center), University of Michigan, Ann Arbor, Michigan.
A new educational program reduced parents' retention of leftover prescription opioids, decreasing risks of misuse and overdose for children. This intervention is key to safe medication disposal and preventing youth opioid misuse.
Area of Science:
- Pediatric medicine
- Public health
- Pharmacology
Background:
- Retaining unused prescription opioids at home presents significant risks, including diversion, misuse, accidental poisoning, and overdose, particularly for children and adolescents.
- Youth opioid misuse is a critical public health concern, necessitating strategies to prevent access to leftover medications.
Purpose of the Study:
- To evaluate the effectiveness of a novel educational intervention in enhancing parental risk perceptions and disposal intentions for leftover prescription opioids.
- To determine if the intervention decreases the likelihood of parents retaining unused opioid medications after a child's prescription.
Main Methods:
- A randomized controlled trial (RCT) involving 648 parents whose children received opioid analgesics.
- Parents were randomized to receive routine information or the Scenario-Tailored Opioid Messaging Program intervention, which included interactive feedback on risks and mitigation strategies.
- Outcomes measured included risk perception, disposal intentions, and actual retention of leftover opioids at 14 days post-prescription.
Main Results:
- The intervention group showed increased perceived riskiness of opioid misuse and retention compared to the control group.
- No significant differences were observed in disposal intentions between the groups.
- The educational intervention significantly reduced parents' retention of leftover opioids (Adjusted Odds Ratio=0.48).
- Parental history of opioid misuse was associated with higher retention rates.
Conclusions:
- A targeted educational intervention effectively decreased parents' retention of leftover opioid medications, mitigating potential risks to children.
- Reducing the availability of unused prescription opioids in homes is a crucial step in preventing diversion, accidental poisoning, and youth misuse.
- Further research should explore strategies to address higher retention behaviors among parents with a history of opioid misuse.
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