Using m-Health Tools to Reduce the Misuse of Opioid Pain Relievers

This multi-site, randomized trial will evaluate an m-health program designed to aid the
patient in making an informed decision about their pain treatment. Patients reporting to the
ED with an injury-related chief complaint who agree to participate are randomized to receive
the intervention program, My Healthy Choices, or an attention-matched control. My Healthy
Choices pairs tailored education with a patient decision aid to describe what opioid and
non-opioid pain medications are, assess the patient's risk factors for opioid-related adverse
effects, and produce a tailored report that patients are encouraged to share with their
doctor. Data are collected through surveys at three time points during the ED encounter
(baseline, immediately after the intervention, and just before discharge), and at a 6-week
follow-up survey. The primary outcomes are whether the patient prefers an opioid pain
reliever (OPR) and whether the patient takes an OPR. The investigators hope this program will
facilitate patient-provider communication, as well as reduce the number of prescriptions
written for OPRs and thus the number of patients exposed to prescription opioids and the
associated risks of addiction and overdose.

Inclusion Criteria:

1. ED visit for an injury- or pain-related chief complaint

2. 18 years of age or older

3. speak English

4. has a smart phone or email address that is used on a regular basis

5. no previous medical care for the current complaint

6. triage pain score between 7-10

Exclusion Criteria:

- allergy to pain medications

- have used a prescription pain medication for more than two days in the past month

- report renal problems or a history of dialysis