An examination of the perceived impact of a continuing interprofessional education experience on opiate prescribing practices

• Published in: Journal of interprofessional care 2018-09, Vol.32 (5), p.556-565
• Main Authors: Cardarelli, Roberto, Elder, William, Weatherford, Sarah, Roper, Karen L., King, Dana, Workman, Charlotte, Stewart, Kathryn, Kim, Chong, Betz, William
• Format: Article
• Language: English
• Subjects: Analgesics, Opioid - adverse effects; Analgesics, Opioid - therapeutic use; Attitude of Health Personnel; Changes; Chronic pain; Chronic Pain - drug therapy; Clinical Competence - standards; Conferences; Confidence; Education; Education, Medical, Continuing; Health problems; Humans; Integrated care; Interdisciplinary aspects; Interdisciplinary education; Interprofessional education; Medical personnel; Narcotics; Nurse practitioners; Nurses; Opioid-Related Disorders - prevention & control; Opioids; Organization learning and change; Pain; Pain management; Practice Patterns, Physicians; Prescribing; Program planning/curriculum development; Public health; Surveys and Questionnaires; United States
• ISSN: 1356-1820; 1469-9567
• DOI: 10.1080/13561820.2018.1452725

Chronic pain is increasingly recognized as a public health problem. We assessed the effectiveness of a multi-modal, interprofessional educational approach aimed at empowering healthcare professionals to make deliberative changes, especially in opiate prescribing practices. Education activities included enduring webcasts, regional interprofessional roundtable events, and state-level conference presentations within targeted Kentucky and West Virginia regions of the United States. Over 1,000 participants accessed the various activities. For the live events, the largest groups reached included nurses (38.1%), nurse practitioners (31.2%), and physicians (22.1%). In addition to our reach, higher levels of educational effectiveness were measured, specifically, learner's intentions to change practice patterns, confidence in meeting patient's needs, and knowledge of pain management guidelines. The majority of the conference (58%) and roundtable (69%) participants stated they intend to make a practice change in one or more areas of chronic pain patient management in post-event evaluation. Differences in pre- and post-activity responses on the measures of confidence and knowledge, with additional comparison to a control population who were not in attendance, were analyzed using non-parametric tests of significance. While neither activity produced significant changes in confidence from pre-activity, participants were more confident post-activity than their control group peers. There were significant changes in knowledge for both live event and webcast participants. Impactful chronic pain continuing the education that emphasizes collaborative care is greatly needed; these results show that the approaches taken here can impact learner's knowledge and confidence, and hold potential for creating change in how opioid prescribing is managed.