{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:36:27Z","timestamp":1792604187957,"version":"4.5.0"},"reference-count":38,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Serious Games"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The opioid crisis has significantly impacted adolescents and their families. This is attributed in part to increased opioid prescriptions in pediatric emergency departments (EDs) due to acute pain conditions and injuries. Although EDs frequently prescribe opioids, no effective preventative interventions have been implemented to educate adolescents and their families on safe opioid use. This study evaluates the MedSMA\u211eT Families intervention, which consists of an engaging serious game, Adventures in PharmaCity, and a personalized Family Medication Safety Plan (FMSP) with the aim of reducing opioid misuse and promoting opioid medication safety. The MedSMA\u211eT Families intervention was developed to educate adolescents and adults prescribed opioids on safe practices such as opioid storage and disposal.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to explore and characterize adolescents\u2019 and parents\u2019 experiences and perspectives on implementing the MedSMA\u211eT Families intervention in the ED to improve opioid education and safety among adolescents.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A total of 93 participants, including 16 children and 77 parents, were recruited from the pediatric ED at a tertiary academic hospital to play the MedSMA\u211eT game in the ED. A total of 16 participants, including 8 children and 8 parents, were followed up with interviews to gather qualitative feedback. Participants engaged with the MedSMA\u211eT game\u2014Adventures in PharmaCity\u2014and the FMSP. Data were collected through gameplay observation and 75-minute semistructured interviews via Zoom. Quantitative in-game data were analyzed using descriptive analysis and qualitative data were analyzed using thematic analysis with NVivo (version 14; Lumivero).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Parents spent an average of 22.16 (SD 4.97) minutes playing the game, while children spent an average of 21.99 (SD 8.06) minutes. Families appreciated the game\u2019s design and noted usability challenges and suggested enhancements for clearer gameplay instructions. Participants reported increased knowledge of opioid safety, highlighted the importance of communication with health care providers, and a desire for a mobile app to assist with medication management. The FMSP was perceived as valuable for promoting awareness of safe practices and connected well to the knowledge gained from the game.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The MedSMA\u211eT Families intervention was well received as a beneficial educational tool to educate adolescents and their families on safe opioid use. Additionally, it highlights a clear need for more accessible digital tools to increase opioid education. This feedback indicates a strong interest in improving educational resources to ensure safe opioid management within families.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/68814","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T17:50:07Z","timestamp":1745603407000},"page":"e68814-e68814","source":"Crossref","is-referenced-by-count":4,"title":["Adolescents\u2019 and Parents\u2019 Perspectives on Using the MedSMARxT Families Intervention in Emergency Departments for Opioid Medication Safety Education: Mixed Methods Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5621-5567","authenticated-orcid":false,"given":"Olufunmilola","family":"Abraham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3036-4322","authenticated-orcid":false,"given":"Sara","family":"Nadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4220-2626","authenticated-orcid":false,"given":"Irene","family":"Hurst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2741","article-title":"Cardiac arrest survival in pediatric and general emergency departments","volume":"141","author":"Michelson","journal-title":"Pediatrics"},{"issue":"5","key":"R2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-2459","article-title":"Pediatric readiness in the emergency department","volume":"142","author":"Remick","journal-title":"Pediatrics"},{"issue":"3","key":"R3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2021-001803","article-title":"Consensus-driven model to establish paediatric emergency care measures for low-volume emergency departments","volume":"11","author":"Remick","journal-title":"BMJ Open Qual"},{"issue":"12","key":"R4","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.1111\/acem.13564","article-title":"Adherence to pediatric cardiac arrest guidelines across a spectrum of fifty emergency departments: a prospective, in situ, simulation-based study","volume":"25","author":"Auerbach","journal-title":"Acad Emerg Med"},{"issue":"10","key":"R5","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1001\/jamapediatrics.2016.1550","article-title":"Differences in the quality of pediatric resuscitative care across a spectrum of emergency departments","volume":"170","author":"Auerbach","journal-title":"JAMA Pediatr"},{"issue":"4","key":"R6","doi-asserted-by":"publisher","first-page":"268","DOI":"10.15441\/ceem.21.161","article-title":"Pain management in the emergency department: a clinical review","volume":"8","author":"Motov","journal-title":"Clin Exp Emerg Med"},{"issue":"4","key":"R7","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2021.09.246","article-title":"234 Epidemiology of emergency department pediatric and adolescent opioid use across the United States","volume":"78","author":"Selby","journal-title":"Ann Emerg Med"},{"issue":"4","key":"R8","doi-asserted-by":"publisher","DOI":"10.3390\/children9040524","article-title":"The impact of pediatric opioid-related visits on U.S. emergency departments","volume":"9","author":"Champagne-Langabeer","journal-title":"Children (Basel)"},{"key":"R9","unstructured":"Determination that a public health emergency exists. 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