Pain medicine

Application of behavioral economic strategies to enhance recruitment into a pediatric randomized clinical trial for postoperative pain relief: A randomized clinical trial

Paediatr AnaesthPublished Randomised controlled trial

Authors' conclusion

A behavioral economics-informed video did not increase patients' intentions to enroll into a clinical trial assessing the impact of virtual reality intervention for postoperative pain management.

Study context

Population
Patients 12–18 years old undergoing surgery requiring postoperative admission and narcotic administration, and their parents (dyads), recruited for a trial of a virtual reality pain management interventionpatient-parent dyads
Participants
64 vs 66
Comparison
Behavioural economics-informed vs standard biological recruitment video
  • Behavioral economicsn = 64
  • Controln = 66reference
Primary endpoint
Intention to enroll in the future trial
Methodological detailssingle-centre, prospective
  • Single-centre
  • Prospective

Primary result

As reported in the abstract

Intention to enroll

P = 0.744

Further findings

Median

OutcomeBehavioral economicsControlP value
Intention to adhere to therapy (response score)4.0 (IQR 3.0–4.0)4.0 (IQR 3.0–4.0)P = 0.084
Acceptability of therapy (response score)4.0 (IQR 3.0–4.0)4.0 (IQR 3.0–4.0)P = 0.376
Perceived treatment burden (response score)3.0 (IQR 3.0–4.0)4.0 (IQR 3.0–4.0)P = 0.251
Perceived efficacy (response score)3.0 (IQR 3.0–4.0)3.0 (IQR 3.0–4.0)P = 0.914
Perceived risk of virtual reality (response score)Less likely to perceive risk with behavioral economics2.0 (IQR 1.0–2.0)2.0 (IQR 2.0–3.0)P = 0.023

Original publication

Application of behavioral economic strategies to enhance recruitment into a pediatric randomized clinical trial for postoperative pain relief: A randomized clinical trial. Paediatr Anaesth. Published 15 September 2023. doi:10.1111/pan.14755

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