A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education
Background Many children with hematologic and oncologic diagnoses require opioids for management of pain, yet knowledge gaps persist among pediatric hematology/oncology (PHO) fellows. Objective Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) is an interactive, case‐based education tool...
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| Veröffentlicht in: | Pediatric blood & cancer 2023-06, Vol.70 (6), p.e30305-n/a |
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| creator | MacDonell‐Yilmaz, Rebecca E. Murillo, Anarina Welch, Jennifer G. |
| description | Background
Many children with hematologic and oncologic diagnoses require opioids for management of pain, yet knowledge gaps persist among pediatric hematology/oncology (PHO) fellows.
Objective
Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) is an interactive, case‐based education tool designed for independent learning. The goal of this study was to evaluate its efficacy in increasing PHO fellows’ knowledge and comfort with using opioids to manage pain.
Design/method
PHO fellows were recruited from 74 American College of Graduate Medical Education‐accredited US programs during the 2019–2020 academic year and randomized to receive access to PedOASIS (intervention) or usual PHO training (control). Surveys at baseline, immediately after accessing the tool, and 6 months later assessed knowledge and comfort related to prescribing opioids.
Results
A total of 64 PHO fellows completed the study, with 32 in the intervention group and 32 controls. At baseline, mean scores on the 10‐question knowledge assessment were similar between groups (intervention: 5, control: 6; p = .8). Following intervention, mean score was significantly higher in the intervention group (9) versus controls (5; p |
| doi_str_mv | 10.1002/pbc.30305 |
| format | Article |
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Many children with hematologic and oncologic diagnoses require opioids for management of pain, yet knowledge gaps persist among pediatric hematology/oncology (PHO) fellows.
Objective
Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) is an interactive, case‐based education tool designed for independent learning. The goal of this study was to evaluate its efficacy in increasing PHO fellows’ knowledge and comfort with using opioids to manage pain.
Design/method
PHO fellows were recruited from 74 American College of Graduate Medical Education‐accredited US programs during the 2019–2020 academic year and randomized to receive access to PedOASIS (intervention) or usual PHO training (control). Surveys at baseline, immediately after accessing the tool, and 6 months later assessed knowledge and comfort related to prescribing opioids.
Results
A total of 64 PHO fellows completed the study, with 32 in the intervention group and 32 controls. At baseline, mean scores on the 10‐question knowledge assessment were similar between groups (intervention: 5, control: 6; p = .8). Following intervention, mean score was significantly higher in the intervention group (9) versus controls (5; p < .0001). Six months later, scores in both groups decreased but remained significantly higher in the intervention group (7) compared to controls (5, p < .0001) and compared to baseline (p = .0002). Fellows in the intervention group reported significant increases in comfort dosing opioids after exposure to the tool (p = .02).
Conclusion
PHO fellows exposed to the tool had improved scores on validated knowledge questions and greater comfort using opioids for pain management compared to controls. We therefore suggest that PedOASIS warrants further evaluation as a potential tool for PHO fellows.</description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.30305</identifier><identifier>PMID: 37036305</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Analgesia ; Analgesics, Opioid ; Child ; Education ; Education, Medical, Graduate ; Fellowships and Scholarships ; Hematology ; Hematology - education ; Humans ; Narcotics ; Oncology ; Opioids ; Pain ; Pain Management ; pain medicine ; Pain perception ; palliative care ; pediatric hematology/oncology ; Pediatrics ; support care ; United States</subject><ispartof>Pediatric blood & cancer, 2023-06, Vol.70 (6), p.e30305-n/a</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3135-cf0540c413f654582c40539603f13aa6aa3712aa28fa5b2f239fc154baa77b263</cites><orcidid>0000-0003-3882-4788 ; 0000-0001-9117-4812</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpbc.30305$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpbc.30305$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37036305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacDonell‐Yilmaz, Rebecca E.</creatorcontrib><creatorcontrib>Murillo, Anarina</creatorcontrib><creatorcontrib>Welch, Jennifer G.</creatorcontrib><title>A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education</title><title>Pediatric blood & cancer</title><addtitle>Pediatr Blood Cancer</addtitle><description>Background
Many children with hematologic and oncologic diagnoses require opioids for management of pain, yet knowledge gaps persist among pediatric hematology/oncology (PHO) fellows.
Objective
Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) is an interactive, case‐based education tool designed for independent learning. The goal of this study was to evaluate its efficacy in increasing PHO fellows’ knowledge and comfort with using opioids to manage pain.
Design/method
PHO fellows were recruited from 74 American College of Graduate Medical Education‐accredited US programs during the 2019–2020 academic year and randomized to receive access to PedOASIS (intervention) or usual PHO training (control). Surveys at baseline, immediately after accessing the tool, and 6 months later assessed knowledge and comfort related to prescribing opioids.
Results
A total of 64 PHO fellows completed the study, with 32 in the intervention group and 32 controls. At baseline, mean scores on the 10‐question knowledge assessment were similar between groups (intervention: 5, control: 6; p = .8). Following intervention, mean score was significantly higher in the intervention group (9) versus controls (5; p < .0001). Six months later, scores in both groups decreased but remained significantly higher in the intervention group (7) compared to controls (5, p < .0001) and compared to baseline (p = .0002). Fellows in the intervention group reported significant increases in comfort dosing opioids after exposure to the tool (p = .02).
Conclusion
PHO fellows exposed to the tool had improved scores on validated knowledge questions and greater comfort using opioids for pain management compared to controls. We therefore suggest that PedOASIS warrants further evaluation as a potential tool for PHO fellows.</description><subject>Analgesia</subject><subject>Analgesics, Opioid</subject><subject>Child</subject><subject>Education</subject><subject>Education, Medical, Graduate</subject><subject>Fellowships and Scholarships</subject><subject>Hematology</subject><subject>Hematology - education</subject><subject>Humans</subject><subject>Narcotics</subject><subject>Oncology</subject><subject>Opioids</subject><subject>Pain</subject><subject>Pain Management</subject><subject>pain medicine</subject><subject>Pain perception</subject><subject>palliative care</subject><subject>pediatric hematology/oncology</subject><subject>Pediatrics</subject><subject>support care</subject><subject>United States</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1uEzEYhi1ERUtgwQWQJTbtIo09Hs9klmnET6RKqRRYj77xfG5decaD7RGEFUfgCNyBG3AUTlI3abNA6sqf5cePrfcl5A1n55yxbDY06lwwweQzcsJlLqeS8fL5YWbVMXkZwm1CCybnL8ixKJkoEn9C_iyoh751nfmBLVWuj95Zm8boDVgaHcXv0JkeabxBilqjitTp3e4KWwOJU3Q9GGdauujBXmMwQDdo9b-fv1Z9iH5U0biebrYhYkdP0631YrPanCW5szSdDAfPDXYQnXXX25nr1W5IH4H0PP79je2o4F71ihxpsAFfP6wT8uXD-8_LT9PL9cfVcnE5VYILOVWayZypnAtdpCDmmcqZFFXBhOYCoAAQJc8AsrkG2WQ6E5VWKbIGoCybrBATcrr3Dt59HTHEujNBobXQoxtDnZVVxUvBUpgT8u4_9NaNPsWRqDnLq7KoeJWosz2lvAvBo64Hbzrw25qz-r7JOjVZ75pM7NsH49h02B7Ix-oSMNsD34zF7dOm-upiuVfeAVXgqyQ</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>MacDonell‐Yilmaz, Rebecca E.</creator><creator>Murillo, Anarina</creator><creator>Welch, Jennifer G.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3882-4788</orcidid><orcidid>https://orcid.org/0000-0001-9117-4812</orcidid></search><sort><creationdate>202306</creationdate><title>A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education</title><author>MacDonell‐Yilmaz, Rebecca E. ; Murillo, Anarina ; Welch, Jennifer G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3135-cf0540c413f654582c40539603f13aa6aa3712aa28fa5b2f239fc154baa77b263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analgesia</topic><topic>Analgesics, Opioid</topic><topic>Child</topic><topic>Education</topic><topic>Education, Medical, Graduate</topic><topic>Fellowships and Scholarships</topic><topic>Hematology</topic><topic>Hematology - education</topic><topic>Humans</topic><topic>Narcotics</topic><topic>Oncology</topic><topic>Opioids</topic><topic>Pain</topic><topic>Pain Management</topic><topic>pain medicine</topic><topic>Pain perception</topic><topic>palliative care</topic><topic>pediatric hematology/oncology</topic><topic>Pediatrics</topic><topic>support care</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MacDonell‐Yilmaz, Rebecca E.</creatorcontrib><creatorcontrib>Murillo, Anarina</creatorcontrib><creatorcontrib>Welch, Jennifer G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MacDonell‐Yilmaz, Rebecca E.</au><au>Murillo, Anarina</au><au>Welch, Jennifer G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr Blood Cancer</addtitle><date>2023-06</date><risdate>2023</risdate><volume>70</volume><issue>6</issue><spage>e30305</spage><epage>n/a</epage><pages>e30305-n/a</pages><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract>Background
Many children with hematologic and oncologic diagnoses require opioids for management of pain, yet knowledge gaps persist among pediatric hematology/oncology (PHO) fellows.
Objective
Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) is an interactive, case‐based education tool designed for independent learning. The goal of this study was to evaluate its efficacy in increasing PHO fellows’ knowledge and comfort with using opioids to manage pain.
Design/method
PHO fellows were recruited from 74 American College of Graduate Medical Education‐accredited US programs during the 2019–2020 academic year and randomized to receive access to PedOASIS (intervention) or usual PHO training (control). Surveys at baseline, immediately after accessing the tool, and 6 months later assessed knowledge and comfort related to prescribing opioids.
Results
A total of 64 PHO fellows completed the study, with 32 in the intervention group and 32 controls. At baseline, mean scores on the 10‐question knowledge assessment were similar between groups (intervention: 5, control: 6; p = .8). Following intervention, mean score was significantly higher in the intervention group (9) versus controls (5; p < .0001). Six months later, scores in both groups decreased but remained significantly higher in the intervention group (7) compared to controls (5, p < .0001) and compared to baseline (p = .0002). Fellows in the intervention group reported significant increases in comfort dosing opioids after exposure to the tool (p = .02).
Conclusion
PHO fellows exposed to the tool had improved scores on validated knowledge questions and greater comfort using opioids for pain management compared to controls. We therefore suggest that PedOASIS warrants further evaluation as a potential tool for PHO fellows.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37036305</pmid><doi>10.1002/pbc.30305</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3882-4788</orcidid><orcidid>https://orcid.org/0000-0001-9117-4812</orcidid></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Analgesia Analgesics, Opioid Child Education Education, Medical, Graduate Fellowships and Scholarships Hematology Hematology - education Humans Narcotics Oncology Opioids Pain Pain Management pain medicine Pain perception palliative care pediatric hematology/oncology Pediatrics support care United States |
| title | A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self‐Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education |
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