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Tues-48 - Assessment of Educational-Based Intervention to an Interprofessional Academic Based Service of Chronic Opioid Pain Prescribing

Scientific Poster Session IV: Late-Breaking Original Research

Late Breaking Original Research
  Tuesday, November 14, 2023
  08:30 AM–10:00 AM

Abstract

Introduction: The updated CDC opioid pain guidelines are a resource for safe and effective prescribing. However, there is no standardized approach to prescribing opioids among primary care providers (PCPs). There are limited studies showing the effectiveness of education-based interventions on increasing knowledge and comfort of opioid regimen prescribing in an interprofessional setting.

Research Question or Hypothesis: Providers who receive an opioid management educational intervention will have improved knowledge and comfortability of opioid prescribing.

Study Design: Prospective cross-sectional survey.

Methods: All PCPs at UB|MD Family Medicine were sent a pre-survey as part of this University at Buffalo IRB approved study. The pre-survey assessed knowledge gaps of chronic opioid management including deprescribing, dose reduction, concurrent benzodiazepine use, naloxone, and constipation treatment. Utilizing results, a 45-minute educational intervention was executed by a multi-disciplinary team. The post-survey included pre-survey and additional feedback questions. Descriptive statistics were used to describe baseline demographics with paired t-tests to analyze pre-post distribution significance.

Results: A total of 18 PCPs (69.2% RR) replied to the pre-survey. However only 10 completed both the educational intervention and post-survey and included in the analysis. The average experience and time collaborating with pharmacists was 10 ± 6 and 7 ± 6 years respectively. There was an increase in the knowledge of opioid prescribing (43% vs 77%, Difference = 34%; 95% CI 21-50%, p <0.001) and clinical comfort with prescribing (33% vs 73%, Difference = 40%; 95% CI 21-59%, p <0.004). All participants reported receiving more education on opioid management is useful and most reported additional electronic health record support is needed to better manage opioid regimens (90%). All participants reported educational intervention material was helpful and would recommend to others.

Conclusion: The educational intervention provided in an interprofessional setting showed improved opioid knowledge and clinical comfort in prescribing among providers. Further skill development with opioid therapy prescribing is warranted.

Presenting Author

Durdana Iqbal PharmD
University at Buffalo

Authors

Kevin Hughes MD
University at Buffalo Jacobs School of Medicine & Biomedical Sciences

David M. Jacobs PharmD, PhD
University at Buffalo School of Pharmacy and Pharmaceutical Sciences

Sangrok Oh DO
University at Buffalo Jacobs School of Medicine & Biomedical Sciences

Christopher J. Daly PharmD, MBA, BCACP
University at Buffalo School of Pharmacy and Pharmaceutical Sciences