Development and validation of a low-literacy opioid contract

JOURNAL OF PAIN

卷:8

Article

Wallace, Lorraine S. ; Keenum, Amy J. ; Roskos, Steven E. ; McDaniel, Kelly S.

关键词: chronic opioid therapy;    chronic pain;    contract;    noncancer pain;    opioids;   

DOI  :  10.1016/j.jpain.2007.05.004

来源: Elsevier

【 摘 要 】

Opioid contracts (OPCs) are often used to outline the criteria and circumstances for which opioid medications are prescribed. The purpose of this study was to develop and validate an English-language, low-literacy OPC. Specifically, the low-literacy OPC was designed to outline proper administration of prescribed medication(s) as well as highlight patient responsibilities and expectations. A 4-step process was used to develop and validate the low-literacy OPC, including: (1) content identification; (2) attention to low-literacy guidelines; (3) evaluation based on Suitability Assessment of Materials (SAM) criteria; and (4) pilot testing with patients (n = 18) to assess comprehension. Final OPC content, presented largely in bulleted format, was based on current literature and consensus of the first 3 authors. The 4-part OPC was formatted on 81/2 x 11 inch paper using 16- to 24-point size Arial-style font. The 6-page OPC, written at the 7(th) reading grade level, included 12 recognizable clipart-type illustrations to supplement written text. Two reviewers scored the OPC in the superior range based on total SAM percentage scores. Nineteen (n = 19) of the 26 statements were comprehended by all patients completing the pilot testing. Overall, the low-literacy OPC is comprehensive, valid, readable, and formatted according to established low-literacy guidelines. Perspective: This study describes the development and validation of a low-literacy, English-language OPC The OPC was formatted using low-literacy guidelines and validated with a sample of patients to confirm understanding of content. Accordingly, the low-literacy OPC is suitable for use in routine clinical practice. (C) 2007 by the American Pain Society

【 授权许可】

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