{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:27:59Z","timestamp":1773289679142,"version":"3.50.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T00:00:00Z","timestamp":1548374400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"crossref","award":["N01DA-15\u20134424"],"award-info":[{"award-number":["N01DA-15\u20134424"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["NIH K24 NR015340"],"award-info":[{"award-number":["NIH K24 NR015340"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The University of Washington instituted a policy requiring all credentialed clinicians who prescribe opioids to complete a one-time education activity about safe and responsible opioid prescribing. A scenario-based, interactive online learning module was developed for opioid management of acute pain in hospitalized adults. This study examined the impact of the education module on learners\u2019 knowledge, perceived competence, and use of guideline-adherent practices.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Clinicians who completed the education module participated in a voluntary de-identified online survey approximately six months after the learning activity. Survey questions were related to 1) the perception of improved knowledge; 2) impact on learner\u2019s use of three guideline-adherent practices; and 3) perceived competence in managing opioids for acute pain. Descriptive statistics were generated, and multiple linear regression models were used for analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Clinicians (N\u2009=\u2009167) reported improvement in knowledge and perceived competence. Controlling for other aspects of knowledge evaluated, learning to construct a safe opioid taper plan for acute pain, distinguishing between short- and long-acting opioids, and safely initiating opioids for acute pain were significantly associated with increased self-reported likelihood of incorporating the Washington state Prescription Monitoring Program (P\u2009=\u20090.003), using multimodal analgesia (P\u2009=\u20090.022), and reducing the duration of opioids prescribed (P\u2009=\u20090.016). Only improvement in knowledge of how to construct a safe opioid taper plan was significantly associated with increased perceived competence (P\u2009=\u20090.002).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our findings suggest that this online education module about safe opioid prescribing for acute pain management was effective at improving knowledge, increasing the likelihood of using guideline-adherent clinical practices, and increasing perceived competence.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pny300","type":"journal-article","created":{"date-parts":[[2018,12,7]],"date-time":"2018-12-07T15:15:56Z","timestamp":1544195756000},"page":"55-60","source":"Crossref","is-referenced-by-count":10,"title":["Evaluation of the Impact of an Online Opioid Education Program for Acute Pain Management"],"prefix":"10.1093","volume":"21","author":[{"given":"Dale J","family":"Langford","sequence":"first","affiliation":[{"name":"Anesthesiology and Pain Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob B","family":"Gross","sequence":"additional","affiliation":[{"name":"Anesthesiology and Pain Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ardith Z","family":"Doorenbos","sequence":"additional","affiliation":[{"name":"Biobehavioral Nursing and Health Informatics, Anesthesiology and Pain Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J","family":"Tauben","sequence":"additional","affiliation":[{"name":"Anesthesiology and Pain Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D","family":"Loeser","sequence":"additional","affiliation":[{"name":"Neurological Surgery, University of Washington, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra B","family":"Gordon","sequence":"additional","affiliation":[{"name":"Anesthesiology and Pain Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,1,25]]},"reference":[{"issue":"12","key":"2020011009062192100_pny300-B1","doi-asserted-by":"crossref","first-page":"349","DOI":"10.15585\/mmwr.mm6712a1","article-title":"Overdose deaths involving opioids, cocaine, and psychostimulants\u2014United States, 2015\u20132016","volume":"67","author":"Seth","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"13","key":"2020011009062192100_pny300-B2","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1001\/jama.2011.370","article-title":"Association between opioid prescribing patterns and opioid overdose-related deaths","volume":"305","author":"Bohnert","year":"2011","journal-title":"JAMA"},{"issue":"5","key":"2020011009062192100_pny300-B3","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1213\/ANE.0000000000002458","article-title":"Chronic opioid use after surgery: Implications for perioperative management in the face of the opioid epidemic","volume":"125","author":"Hah","year":"2017","journal-title":"Anesth Analg"},{"key":"2020011009062192100_pny300-B4","doi-asserted-by":"crossref","first-page":"j5790","DOI":"10.1136\/bmj.j5790","article-title":"Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: Retrospective cohort study","volume":"360","author":"Brat","year":"2018","journal-title":"BMJ"},{"issue":"2","key":"2020011009062192100_pny300-B5","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jpain.2015.12.008","article-title":"Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists\u2019 Committee on Regional Anesthesia, Executive Committee, and Administrative Council","volume":"17","author":"Chou","year":"2016","journal-title":"J Pain"},{"key":"2020011009062192100_pny300-B6","unstructured":"Washington State Agency Medical Directors Group. 2015 interagency guideline on prescribing opioids for pain. 2015. 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Available at: https:\/\/wwwdohwagov\/ForPublicHealthandHealthcareProviders\/HealthcareProfessionsandFacilities\/OpioidPrescribing\/AdoptedRules (accessed August 2018)."},{"issue":"11","key":"2020011009062192100_pny300-B8","doi-asserted-by":"crossref","first-page":"e0186744","DOI":"10.1371\/journal.pone.0186744","article-title":"Human-centred design in global health: A scoping review of applications and contexts","volume":"12","author":"Bazzano","year":"2017","journal-title":"PLoS One"},{"issue":"4","key":"2020011009062192100_pny300-B9","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1037\/0022-3514.70.4.767","article-title":"Internalization of biopsychosocial values by medical students: A test of self-determination theory","volume":"70","author":"Williams","year":"1996","journal-title":"J Pers Soc Psychol"},{"key":"2020011009062192100_pny300-B10","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1186\/s12909-015-0448-5","article-title":"Validation of the physician teaching motivation questionnaire (PTMQ)","volume":"15","author":"Dybowski","year":"2015","journal-title":"BMC Med Educ"},{"key":"2020011009062192100_pny300-B11","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.2147\/JPR.S136478","article-title":"Provider confidence in opioid prescribing and chronic pain management: Results of the opioid therapy provider survey","volume":"10","author":"Pearson","year":"2017","journal-title":"J Pain Res"},{"issue":"2","key":"2020011009062192100_pny300-B12","doi-asserted-by":"crossref","first-page":"103","DOI":"10.5055\/jom.2018.0437","article-title":"Does familiarity with CDC guidelines, continuing education, and provider characteristics influence adherence to chronic pain management practices and opioid prescribing?","volume":"14","author":"McCalmont","year":"2018","journal-title":"J Opioid Manag"},{"issue":"10","key":"2020011009062192100_pny300-B13","doi-asserted-by":"crossref","first-page":"265","DOI":"10.15585\/mmwr.mm6610a1","article-title":"Characteristics of initial prescription episodes and likelihood of long-term opioid use - 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