TY - JOUR
T1 - The association between specific narrative elements and patient perspectives on acute pain treatment
AU - Engel-Rebitzer, Eden
AU - Dolan, Abby
AU - Shofer, Frances S.
AU - Schapira, Marilyn M.
AU - Hess, Erik P.
AU - Rhodes, Karin V.
AU - Bellamkonda, Venkatesh R.
AU - MSW, Erica Goldberg
AU - Bell, Jeffrey
AU - Schwarz, Linda
AU - Schiller, Elise
AU - Lewis-Salley, Dena
AU - McCollum, Sharon
AU - Zyla, Michael
AU - Becker, Lance B.
AU - Graves, Rachel Lynn
AU - Meisel, Zachary F.
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/12
Y1 - 2023/12
N2 - Background: Narratives are effective tools for communicating with patients about opioid prescribing for acute pain and improving patient satisfaction with pain management. It remains unclear, however, whether specific narrative elements may be particularly effective at influencing patient perspectives. Methods: This study was a secondary analysis of data collected for Life STORRIED, a multicenter RCT. Participants included 433 patients between 18 and 70 years-old presenting to the emergency department (ED) with renal colic or musculoskeletal back pain. Participants were instructed to view one or more narrative videos during their ED visit in which a patient storyteller discussed their experiences with opioids. We examined associations between exposure to individual narrative features and patients' 1) preference for opioids, 2) recall of opioid-related risks and 3) perspectives about the care they received. Results: Participants were more likely to watch videos featuring storytellers who shared their race or gender. We found that participants who watched videos that contained specific narrative elements, for example mention of prescribed opioids, were more likely to recall having received information about pain treatment options on the day after discharge (86.3% versus 72.9%, p = 0.02). Participants who watched a video that discussed family history of addiction reported more participation in their treatment decision than those who did not (7.6 versus 6.8 on a ten-point scale, p = 0.04). Conclusions: Participants preferentially view narratives featuring storytellers who share their race or gender. Narrative elements were not meaningfully associated with patient-centered outcomes. These findings have implications for the design of narrative communication tools.
AB - Background: Narratives are effective tools for communicating with patients about opioid prescribing for acute pain and improving patient satisfaction with pain management. It remains unclear, however, whether specific narrative elements may be particularly effective at influencing patient perspectives. Methods: This study was a secondary analysis of data collected for Life STORRIED, a multicenter RCT. Participants included 433 patients between 18 and 70 years-old presenting to the emergency department (ED) with renal colic or musculoskeletal back pain. Participants were instructed to view one or more narrative videos during their ED visit in which a patient storyteller discussed their experiences with opioids. We examined associations between exposure to individual narrative features and patients' 1) preference for opioids, 2) recall of opioid-related risks and 3) perspectives about the care they received. Results: Participants were more likely to watch videos featuring storytellers who shared their race or gender. We found that participants who watched videos that contained specific narrative elements, for example mention of prescribed opioids, were more likely to recall having received information about pain treatment options on the day after discharge (86.3% versus 72.9%, p = 0.02). Participants who watched a video that discussed family history of addiction reported more participation in their treatment decision than those who did not (7.6 versus 6.8 on a ten-point scale, p = 0.04). Conclusions: Participants preferentially view narratives featuring storytellers who share their race or gender. Narrative elements were not meaningfully associated with patient-centered outcomes. These findings have implications for the design of narrative communication tools.
KW - Narrative communication
KW - Opioid prescribing
KW - Opioid use disorder
KW - Shared decisionmaking
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U2 - 10.1016/j.ajem.2023.09.016
DO - 10.1016/j.ajem.2023.09.016
M3 - Article
C2 - 37797399
AN - SCOPUS:85172876270
SN - 0735-6757
VL - 74
SP - 84
EP - 89
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
ER -