Implementing an Education Intervention for Prescription Opioid Pain Medication at Pediatric Trauma Centers.

Background: Adolescents treated in trauma centers are frequently prescribed opioid pain medication for pain management at hospital discharge. There has been an increase in adolescent opioid overdose deaths requiring additional education on risks associated with opioid pain medication use in this pop...

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Published in:Substance Use & Misuse Vol. 61; no. 9; pp. 1477 - 1483
Main Authors: Mello, Michael J., Baird, Janette, Spirito, Anthony, Scott, Kelli, Zonfrillo, Mark R., Lee, Lois K., Kiragu, Andrew, Christison-Lagay, Emily, Bromberg, Julie, Ruest, Stephanie, Pruitt, Charles, Lawson, Karla A., Nasr, Isam W., Aidlen, Jeremy T., Becker, Sara
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd 2026
Online Access:View this record in EBSCOhost
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      dt: 2026
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      pub: Taylor & Francis Ltd
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        10.1080/10826084.2025.2609292
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        atl: Implementing an Education Intervention for Prescription Opioid Pain Medication at Pediatric Trauma Centers.
      aug:
        au:
          Mello, Michael J.
          Baird, Janette
          Spirito, Anthony
          Scott, Kelli
          Zonfrillo, Mark R.
          Lee, Lois K.
          Kiragu, Andrew
          Christison-Lagay, Emily
          Bromberg, Julie
          Ruest, Stephanie
          Pruitt, Charles
          Lawson, Karla A.
          Nasr, Isam W.
          Aidlen, Jeremy T.
          Becker, Sara
        affil: Department of Emergency Medicine, Rhode Island Hospital, Providence, Rhode Island, USA
      sug:
        subj:
          Chronic Pain Drug Therapy
          Drugs, Prescription
          Analgesics, Opioid Therapeutic Use
          Trauma Centers United States
          Patient Education Methods
          Pain Management Methods
          Practice Patterns
          Implementation Science
          Program Evaluation
          Human
          Funding Source
          United States
          Male
          Female
          Child
          Adolescence
          Exploratory Research
          Multicenter Studies
          Nurses Education
          Health Education Methods
          Patient Discharge
          Substance Abuse Prevention and Control
          Health Screening
          Health Personnel Education
          Caregivers Education
          Descriptive Statistics
          Data Analysis Software
          Odds Ratio
          Confidence Intervals
          Chi Square Test
          Pearson's Correlation Coefficient
          Multivariate Analysis
          Multiple Logistic Regression
          Univariate Statistics
          Questionnaires
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Adolescents treated in trauma centers are frequently prescribed opioid pain medication for pain management at hospital discharge. There has been an increase in adolescent opioid overdose deaths requiring additional education on risks associated with opioid pain medication use in this population. Objectives: The objective of this analysis was to assess the implementation at ten US pediatric trauma centers of an opioid pain medication prevention education intervention and whether implementation of the intervention was also associated with an increase of delivery of pain medication education and a reduction in opioid prescribing. Results: Across all sites during the study period, 4,371 adolescent patients received an opioid pain medication at discharge. Opioid pain medication education increased from 20.9% before the intervention's implementation to 37.3% (p = 0.0001) after implementation. There was also a significant increase in adolescent patients with positive screens on admission for alcohol or drugs in getting opioid pain medication education after the implementation. Additionally, there was a modest decrease in opioid prescribing at discharge from pre- to post-implementation of the intervention: 54.7% to 48.8% (p < 0.0001). Conclusion: An intervention that includes training staff on delivery of opioid pain medication education for adolescents and family members can improve education provided to patients being prescribed opioid pain medication at discharge from pediatric trauma centers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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