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

Bibliographic Data

ID21645798
AuthorsMichael J Mello (0000-0001-9683-6889, Department of Emergency Medicine, Rhode Island Hospital), Janette Baird (0000-0003-4476-4435, Department of Emergency Medicine, Rhode Island Hospital), Anthony Spirito (0000-0003-3859-2083, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University), Kelli Scott (0000-0002-4511-8825, Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine), Mark R Zonfrillo (0000-0002-0610-9563, Department of Emergency Medicine and Pediatrics, Rhode Island Hospital), Lois K Lee (0000-0002-3551-5050, Division of Emergency Medicine, Boston Children’s Hospital), Andrew Kiragu (0000-0002-1067-2922, Department of Pediatrics, Hennepin County Medical Center), Emily Christison-Lagay (0000-0001-6277-0906, Division of Pediatric of Surgery, Yale New Haven Children’s Hospital), Julie Bromberg (0000-0003-3138-4521, Department of Emergency Medicine, Rhode Island Hospital), Stéphanie Ruest (0009-0006-2221-7309, Department of Emergency Medicine and Pediatrics, Rhode Island Hospital), Charles Pruitt (Department of Pediatric Emergency Medicine, Primary Children’s Hospital), Karla A Lawson (0000-0002-1408-6787, Dell Children’s Trauma and Injury Research Center, Dell Children’s Medical Center of Central Texas), Isam W Nasr (0000-0002-1848-5259, Johns Hopkins Children's Center), Jeremy T Aidlen (Division of Pediatric Surgery, UMass Memorial Medical Center), Sara J Becker (0000-0001-9271-2432, Northwestern University), Sara Becker (0000-0002-4595-580X, Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine)
Year2026
Volume61
Issue9
Pages1477-1482
Publication date2026-07-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2025.2609292
PMID41481074
OpenAlexW7118018524
LanguageEN
References cited16

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

Injury prevention · Medical prescription · Opioid · Pain medication · Pediatric trauma · Human Factors and Ergonomics · Opioid Use Disorder Treatment · Pain Management and Opioid Use · Pediatric Pain Management Techniques

  • Prescription Opioid Misuse and Use of Alcohol and Other Substances Among High School Students — Youth Risk Behavior Survey, United States, 2019

    Christopher M Jones, Heather B Clayton et al.•MMWR Supplements•2020

  • A New Brief Screen for Adolescent Substance Abuse

    John R Knight, Lydia A Shrier et al.•Archives of Pediatrics and…•1999

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