青少年和家长对美国外科医师学会安全有效的疼痛控制手册的看法

IF 2.4 2区医学 Q1 PEDIATRICS

Journal of pediatric surgery Pub Date : 2025-04-15 DOI:10.1016/j.jpedsurg.2025.162331

Marjorie N. Odegard , Rachel C. Ceasar , Adaeze U. Obinelo , Donia N. Hijaz , Alvina Rosales , Sumeet K. Bhanvadia , Matthew Kirkpatrick , Eugene Kim , Lorraine I. Kelley-Quon

{"title":"青少年和家长对美国外科医师学会安全有效的疼痛控制手册的看法","authors":"Marjorie N. Odegard , Rachel C. Ceasar , Adaeze U. Obinelo , Donia N. Hijaz , Alvina Rosales , Sumeet K. Bhanvadia , Matthew Kirkpatrick , Eugene Kim , Lorraine I. Kelley-Quon","doi":"10.1016/j.jpedsurg.2025.162331","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The <em>American College of Surgeons Safe and Effective Pain Control After Surgery for Children and Teens</em> brochure highlights the risks of prescription opioid use for adolescents undergoing surgery and outlines safe use, storage, and disposal principles. Understanding how diverse patient populations use this brochure will enable providers to deliver guideline-consistent opioid education. In this study, we solicited feedback about the brochure from adolescents who underwent surgery and their parents.</div></div><div><h3>Methods</h3><div>We recruited adolescents aged 13–20 years who underwent surgeries commonly associated with opioid prescriptions and their parents from a previous longitudinal survey-based cohort study measuring postoperative opioid use. Recruitment was balanced for race/ethnicity, health literacy, and language preference. We held four virtual focus groups that included English-speaking adolescents, adolescents who spoke Spanish at home, parents who preferred participation in English, and parents who preferred to participation in Spanish (n = 15). Qualitative thematic analysis of the groups’ feedback was performed.</div></div><div><h3>Results</h3><div>Parents desired more procedure-specific guidance on administering opioids and more explicit directions about managing medication side effects. Adolescent participants reported that the phrasing of the brochure left them feeling alienated from its content. Both groups noted that the layout was lengthy, lacked representative images, and emphasized addiction and overdose risks to the point of making them question taking opioids at all. Finally, participants expressed learning new information about safe prescription opioid storage and disposal.</div></div><div><h3>Conclusions</h3><div>Adolescents undergoing surgery and their parents want a brief pain control brochure that contains actionable instructions regarding opioid side effects, is adolescent- and family-centered, and optimizes visual information.</div></div><div><h3>Type of Study</h3><div>Qualitative Focus Group.</div></div><div><h3>Level of Evidence</h3><div>Level 5.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 7","pages":"Article 162331"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adolescent and Parent Perceptions of the American College of Surgeons Safe and Effective Pain Control Brochure\",\"authors\":\"Marjorie N. Odegard , Rachel C. Ceasar , Adaeze U. Obinelo , Donia N. Hijaz , Alvina Rosales , Sumeet K. Bhanvadia , Matthew Kirkpatrick , Eugene Kim , Lorraine I. Kelley-Quon\",\"doi\":\"10.1016/j.jpedsurg.2025.162331\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>The <em>American College of Surgeons Safe and Effective Pain Control After Surgery for Children and Teens</em> brochure highlights the risks of prescription opioid use for adolescents undergoing surgery and outlines safe use, storage, and disposal principles. Understanding how diverse patient populations use this brochure will enable providers to deliver guideline-consistent opioid education. In this study, we solicited feedback about the brochure from adolescents who underwent surgery and their parents.</div></div><div><h3>Methods</h3><div>We recruited adolescents aged 13–20 years who underwent surgeries commonly associated with opioid prescriptions and their parents from a previous longitudinal survey-based cohort study measuring postoperative opioid use. Recruitment was balanced for race/ethnicity, health literacy, and language preference. We held four virtual focus groups that included English-speaking adolescents, adolescents who spoke Spanish at home, parents who preferred participation in English, and parents who preferred to participation in Spanish (n = 15). Qualitative thematic analysis of the groups’ feedback was performed.</div></div><div><h3>Results</h3><div>Parents desired more procedure-specific guidance on administering opioids and more explicit directions about managing medication side effects. Adolescent participants reported that the phrasing of the brochure left them feeling alienated from its content. Both groups noted that the layout was lengthy, lacked representative images, and emphasized addiction and overdose risks to the point of making them question taking opioids at all. Finally, participants expressed learning new information about safe prescription opioid storage and disposal.</div></div><div><h3>Conclusions</h3><div>Adolescents undergoing surgery and their parents want a brief pain control brochure that contains actionable instructions regarding opioid side effects, is adolescent- and family-centered, and optimizes visual information.</div></div><div><h3>Type of Study</h3><div>Qualitative Focus Group.</div></div><div><h3>Level of Evidence</h3><div>Level 5.</div></div>\",\"PeriodicalId\":16733,\"journal\":{\"name\":\"Journal of pediatric surgery\",\"volume\":\"60 7\",\"pages\":\"Article 162331\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pediatric surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0022346825001769\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pediatric surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0022346825001769","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

摘要

目的美国外科医师学会儿童和青少年手术后安全有效疼痛控制手册强调了接受手术的青少年使用处方阿片类药物的风险，并概述了安全使用、储存和处置原则。了解不同患者群体如何使用本手册将使提供者能够提供与指南一致的阿片类药物教育。在这项研究中，我们向接受手术的青少年及其父母征求关于小册子的反馈。方法：我们招募了13-20岁的青少年，他们接受了通常与阿片类药物处方相关的手术，以及他们的父母，这些青少年来自先前基于纵向调查的队列研究，测量了术后阿片类药物的使用。招聘在种族/民族、健康素养和语言偏好方面是平衡的。我们举办了四个虚拟焦点小组，包括说英语的青少年、在家说西班牙语的青少年、喜欢用英语参与的父母和喜欢用西班牙语参与的父母（n = 15）。对小组的反馈进行了定性专题分析。结果家长希望在阿片类药物的使用上有更具体的程序指导和更明确的药物副作用处理指导。青少年参与者报告说，小册子的措辞让他们感到与内容疏远。两个小组都指出，版面冗长，缺乏代表性的图片，并强调成瘾和过量服用的风险，以至于让他们质疑服用阿片类药物的必要性。最后，与会者表示正在学习有关处方阿片类药物安全储存和处置的新信息。结论接受手术的青少年及其父母需要一本简短的疼痛控制手册，其中包含有关阿片类药物副作用的可操作说明，以青少年和家庭为中心，并优化视觉信息。研究类型定性焦点小组。证据等级：5级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Adolescent and Parent Perceptions of the American College of Surgeons Safe and Effective Pain Control Brochure

Objective

The American College of Surgeons Safe and Effective Pain Control After Surgery for Children and Teens brochure highlights the risks of prescription opioid use for adolescents undergoing surgery and outlines safe use, storage, and disposal principles. Understanding how diverse patient populations use this brochure will enable providers to deliver guideline-consistent opioid education. In this study, we solicited feedback about the brochure from adolescents who underwent surgery and their parents.

Methods

We recruited adolescents aged 13–20 years who underwent surgeries commonly associated with opioid prescriptions and their parents from a previous longitudinal survey-based cohort study measuring postoperative opioid use. Recruitment was balanced for race/ethnicity, health literacy, and language preference. We held four virtual focus groups that included English-speaking adolescents, adolescents who spoke Spanish at home, parents who preferred participation in English, and parents who preferred to participation in Spanish (n = 15). Qualitative thematic analysis of the groups’ feedback was performed.

Results

Parents desired more procedure-specific guidance on administering opioids and more explicit directions about managing medication side effects. Adolescent participants reported that the phrasing of the brochure left them feeling alienated from its content. Both groups noted that the layout was lengthy, lacked representative images, and emphasized addiction and overdose risks to the point of making them question taking opioids at all. Finally, participants expressed learning new information about safe prescription opioid storage and disposal.

Conclusions

Adolescents undergoing surgery and their parents want a brief pain control brochure that contains actionable instructions regarding opioid side effects, is adolescent- and family-centered, and optimizes visual information.

Type of Study

Qualitative Focus Group.

Level of Evidence

Level 5.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of pediatric surgery 医学-外科

CiteScore

1.10

自引率

12.50%

发文量

569

审稿时长

38 days

期刊介绍： The journal presents original contributions as well as a complete international abstracts section and other special departments to provide the most current source of information and references in pediatric surgery. The journal is based on the need to improve the surgical care of infants and children, not only through advances in physiology, pathology and surgical techniques, but also by attention to the unique emotional and physical needs of the young patient.