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Randomized Controlled Trial
. 2023 Oct 1;43(4):241-246.
doi: 10.1097/CEH.0000000000000476. Epub 2022 Dec 21.

Evaluation of Two Educational Modalities for the Clinical Practice Guideline for Opioid Therapy for Chronic Pain for US Military Physicians

Suzanne L Hurtado  1 , Cynthia M Simon-Arndt, Jennifer N Belding, Sandra S Sanchez, Christopher Spevak, Amy Osik
Affiliations
Randomized Controlled Trial

Evaluation of Two Educational Modalities for the Clinical Practice Guideline for Opioid Therapy for Chronic Pain for US Military Physicians

Suzanne L Hurtado et al. J Contin Educ Health Prof. .

Abstract

Introduction: The Department of Veterans Affairs and Department of Defense Clinical Practice Guideline (CPG) for the Management of Opioid Therapy for Chronic Pain was updated in 2017 with targeted guidance to provide safe opioid use while mitigating the increasing levels of prescription opioid misuse among military personnel. The objective of this study was to determine the effectiveness of two educational training modalities for the CPG (an online training [OLT] module and a mobile app) on provider's knowledge, practices, and comfort with the CPG. The OLT was a self-paced interactive slide-based module that emphasized practical application, and the app provided information on the revised CPG and provider and patient resources.

Methods: Active duty providers (N = 56) were randomly assigned to one of four groups (OLT only, app only, OLT and app combined, or neither OLT nor the app), and they completed a pre-test and an 8-week post-test.

Results: Compared with those who received neither intervention, providers who received OLT only or the app only showed significant increases in knowledge over time. The combination of both OLT and app did not seem to significantly increase knowledge above either the OLT or the app alone. Neither the OLT, the app, nor their combination significantly increased either practices or comfort over time.

Discussion: These results show that use of these educational tools, individually, was associated with an increase in provider knowledge, suggesting that these tools constitute a valuable addition to the available resources to optimize CPG implementation.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1.
FIGURE 1.
Provider knowledge of the CPG for opioid therapy for chronic pain by intervention (app, OLT) and time of measurement (pre-test, post-test).
See this image and copyright information in PMC

References

    1. Dembek ZF, Chekol T, Wu A. The opioid epidemic: challenge to military medicine and national security. Mil Med. 2020;185:e662-e667. - PubMed
    1. Tam CC, Zeng C, Li X. Prescription opioid misuse and its correlates among veterans and military in the United States: a systematic literature review. Drug Alcohol Depend. 2020;216:108311. - PubMed
    1. Rosenberg JM, Bilka BM, Wilson SM, et al. . Opioid therapy for chronic pain: overview of the 2017 US Department of Veterans Affairs and US Department of Defense clinical practice guideline. Pain Med. 2018;19:928–941. - PubMed
    1. US Defense Health Headquarters. Army Medical Command. Operation Order 16-40: Clinical Practice Guideline Implementation (261100R). Falls Church, VA: US Defense Health Headquarters. 2016.
    1. Sud A, Molska GR, Salamanca-Buentello F. Evaluations of continuing health provider education focused on opioid prescribing: a scoping review. Acad Med. 2022;97:286–299. - PMC - PubMed

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