Disseminating and implementing medsma℞T families in emergency departments: a randomized control trial to assess effectiveness of an evidence-based gaming intervention to reduce opioid misuse
Active Project Grant Awarded Last action
- Award ID
- R18HS030202
- Recipient
-
The University Of Kentucky Research Foundation UEI H1HYA8Z1NTM5
- Awarding agency
-
Division of Grants Management
Agency for Healthcare Research and Quality, Department of Health and Human Services
- Obligated
- $1,572,997
Award facts
- Assistance listing
- 93.226 Research on Healthcare Costs, Quality and Outcomes
- Completion date 44% complete
- Funding agency
- Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality, Department of Health and Human Services
- Place of performance
- Lexington, KY 40506, USA
Award details come from USAspending.gov.
Description
- Abstract
- Adolescents (ages 12-18) are uniquely at risk for prescription opioid misuse for a variety of reasons, including inadequate knowledge about safety risks, easy access to opioids stored improperly in the home, and limited family communication about opioid safety in the home. Although adolescents identify parents as useful resources for opioid safety information, parents report they do not have the comfort or skills to talk to their children about opioid medication safety. Introducing an intervention at the point of care in emergency departments (EDS) (i.e., when an adult is prescribed an opioid prescription) is an accessible, low-cost, way to provide opioid education and facilitate communication about opioid medication safety among youth and their families. Although adolescents represent a public health priority population, no intervention has attempted to improve adolescent and parent knowledge, attitudes, and behaviors about opioid safety to prevent adolescent opioid misuse in EDS. Our transdisciplinary team, with experts in community engagement, dissemination and implementation science, emergency medicine and pediatrics, family medicine and community health, addiction medicine and substance use, adolescent and digital health, game design, biostatistics, health economics, and mixed-methods research, will collaborate with a health system: UW health. The collaboration will lead to the adaptation and evaluation of a digital health intervention (medsma℞T mobile) in health system EDS, to improve medication safety among adolescents and their parents, thus reducing prescription opioid misuse. The medsma℞T mobile intervention incorporates the evidence-based serious game - medsma℞T: adventures in pharmacity - and a personalized family medication safety plan to promote opioid safety communication between youth and parents. We will use the exploration, preparation, implementation, sustainment (EPIS) framework to ensure continual optimization of medsma℞T mobile in ED settings. Three aims support the goal of reducing opioid misuse for adolescents and their parents. First, qualitative evaluation of adolescents, parents, and ED staff stakeholders will generate feedback used to iteratively adapt medsma℞T mobile for its maximal availability in ED settings, while also informing an implementation package for more widespread ED adoption. Second, a randomized controlled trial will be used to evaluate effectiveness of medsma℞T mobile to improve adolescent/parent opioid misuse knowledge, attitudes, and behaviors over 9 months. Finally, medsma℞T mobile will be made available in more EDS, and interviews and a survey will be used to evaluate ED staff perceptions of sustainability and organizational preparedness for sustainability, while exploring health cost impact of increased opioid safety. Leadership from the health systems, as well as their front-line ED staff, are committed to promoting awareness of this innovative intervention for families receiving an opioid prescription. This is the first preventative intervention designed in direct response to an unmet critical need identified by the ahrq call for proposals (PA- 18-793) to design, implement, disseminate and spread, and evaluate interventions to improve patient safety.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $399,998 | |
| Amendment | $399,999 | |
| Amendment | $0 | |
| Amendment | $386,500 | |
| Original award | $386,500 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| University Of Wisconsin System | $73,045 | |
| University Of Wisconsin System | $60,605 |
Quick answers
Who received award R18HS030202?
R18HS030202 was awarded to The University Of Kentucky Research Foundation by Division of Grants Management (Agency for Healthcare Research and Quality) on September 30, 2024.
How much is award R18HS030202 worth?
$1,572,997 has been obligated on R18HS030202.
Which agency awarded R18HS030202?
Division of Grants Management (Agency for Healthcare Research and Quality) awarded R18HS030202, with funding from Center for Evidence and Practice Improvement (Agency for Healthcare Research and Quality).
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