Bo Feng1, Yining Z Malloch2, Richard L Kravitz3, Susan Verba4, Ana-Maria Iosif5, George Slavik4, Stephen G Henry3. 1. Department of Communication, University of California Davis, Davis, USA. Electronic address: bfeng@ucdavis.edu. 2. Department of Communication, University of California Davis, Davis, USA. 3. Department of Internal Medicine, University of California Davis, Sacramento, USA. 4. Department of Design, University of California Davis, Davis, USA. 5. Department of Public Health Sciences, University of California Davis, Sacramento, USA.
Abstract
OBJECTIVE: To compare effectiveness of a narrative-based educational video versus an informational pamphlet for increasing patients' self-efficacy and intention to taper their opioid use. METHODS: Five thousand participants recruited from MTurk were screened to identify eligible patients. Eligible participants (n = 365, 49.9 % female, mean age = 37 years) were randomized to either watch the narrative video or read the pamphlet. Linear regression models were used for the main analysis. RESULTS: Participants' perceptions of tapering effectiveness were higher in the video group (mean = 4.06) than the pamphlet group (mean = 3.67), adjusted mean difference = 0.34, 95 %CI 0.13 - 0.54,P < 0.001. Participants' perceptions of tapering self-efficacy were also higher in the video group (mean = 3.97) than the pamphlet group (mean = 3.60), adjusted mean difference = 0.32, 95 %CI 0.09 - 0.55, P < 0.001. Perceived tapering effectiveness and self-efficacy were both positively associated with post-intervention tapering intention (Spearman rank correlation coefficient = 0.38 and 0.53, respectively, both P < 0.001). CONCLUSION: A narrative-based video about opioid tapering enhanced patients' perceptions of the effectiveness of tapering and their tapering self-efficacy. PRACTICE IMPLICATIONS: Narrative-based videos may be effective for changing patient attitudes about opioid tapering. Published by Elsevier B.V.
OBJECTIVE: To compare effectiveness of a narrative-based educational video versus an informational pamphlet for increasing patients' self-efficacy and intention to taper their opioid use. METHODS: Five thousand participants recruited from MTurk were screened to identify eligible patients. Eligible participants (n = 365, 49.9 % female, mean age = 37 years) were randomized to either watch the narrative video or read the pamphlet. Linear regression models were used for the main analysis. RESULTS: Participants' perceptions of tapering effectiveness were higher in the video group (mean = 4.06) than the pamphlet group (mean = 3.67), adjusted mean difference = 0.34, 95 %CI 0.13 - 0.54,P < 0.001. Participants' perceptions of tapering self-efficacy were also higher in the video group (mean = 3.97) than the pamphlet group (mean = 3.60), adjusted mean difference = 0.32, 95 %CI 0.09 - 0.55, P < 0.001. Perceived tapering effectiveness and self-efficacy were both positively associated with post-intervention tapering intention (Spearman rank correlation coefficient = 0.38 and 0.53, respectively, both P < 0.001). CONCLUSION: A narrative-based video about opioid tapering enhanced patients' perceptions of the effectiveness of tapering and their tapering self-efficacy. PRACTICE IMPLICATIONS: Narrative-based videos may be effective for changing patient attitudes about opioid tapering. Published by Elsevier B.V.
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