Analysis plan and table shells

Attachment F1. Illustrative table shells.xlsx

Evaluating the implementation and impact of an opioid medication management program, in a hospital discharge setting, to reduce falls in older adults

Analysis plan and table shells

OMB: 0920-1285

Document [xlsx]
Download: xlsx | pdf

Overview

Descriptive stats Patient Qs
Table 2
Descriptive stats Clinical staf
Descriptive stats PCP


Sheet 1: Descriptive stats Patient Qs


Illustrative table shells: Pre and Post Discharge Patient Questionnaires















Pre-Discharge Patient Questionnaire
Post-Discharge Patient Questionnaire 14/30/60



Baseline
14 day followup 30 day followup 60 day followup
Pre-Question(s) Variable Value Number Percent 95% CI Post-Question(s) Number Percent 95% CI Number Percent 95% CI Number Percent 95% CI
1 Health Status Excellent


17










Very Good














Good














Fair














Poor












13-17 ADLS 0


29-33










1-2














3+












18-22 IADLS 0


34-38










1-2














3+












23 Personal Care Assistance Yes


39








24 Number of falls 0


12










1














2+












25 Number of injury falls 0


NA










1














2+












NA Number of falls limit activity 0


13










1














2+












NA Number of falls doctor visit 0


14










1














2+












NA Number of falls ED visit 0


15










1














2+












NA Number of falls hospitalizatoin 0


16










1














2+












27 Who has talked to you about falling Doctor


40/43










Pharmacist














Nurse














Another Healthcare Provider














Family Member or Caregiver














Other














No one has talked to me












NA Who has talked to you about medications Doctor


41










Pharmacist














Nurse














Another Healthcare Provider














Family Member or Caregiver














Other














No one has talked to me












32 Alcohol drinks per week Non-drinker














Drinker but doesn't binge


50










Binge drinker












34 Condition causing pain Yes


52








35 Days with pain I have had pain, but on less than half of the days


53










I have had pain on more than half of the days but not every day














I have had every day, but not all the time














I have had pain all day, every day, without break












39 Pain relief interventions Yoga, stretching, or range of motion exercises


57










Massage or chiropractic














Acupuncture or cupping














Meditation or cognitive behavioral therapy














Prayer














Marijuana or THC-containing, smoked, edible or vaporized system












40 Regularly take pain medications Yes


58








41 Medications for pain Over the counter medications such as Motrin or Tylenol


59










Prescription non-steroidal medications (NSAIDS) like ibuprofen or naproxen














Prescription for short acting opioid medications like oxycodone, Percocet, or Vicodin














Prescription long acting opioid medications like OxyContin, Methadone, or MSContin














Medications for nerve pain, such as gabapentin, or baclofen














Marijuana or THC-containing, smoked, edible or vaporized system












42 Length of time taken Less than a week


60










More than a week less than a month














More than a month












43 Tried to decrease Yes












NA Seen Primary Doctor since discharge Yes


1








NA Planned? Planned


2










Problem












NA Post-discharge Hospital Visits Yes


3








NA Post-discharge ED Visits Yes


4








NA Heart attack Yes


5








NA Stroke Yes


6








NA Blood clot in leg/calf Yes


7








NA Blood clot in lung Yes


8








NA UTI Yes


9








NA Pneumonia Yes


10








NA fall Yes


11








NA Recommended fall interventions Physical Therapy


42










Occupational Therapy














Exercise Programs (or yoga or Tai Chi)














Visiting an Eye Dr.














Visiting a Foot Dr.














Medication Changes














None












NA Recommended fall interventions-post-discharge Physical Therapy


44










Occupational Therapy














Exercise Programs (or yoga or Tai Chi)














Visiting an Eye Dr.














Visiting a Foot Dr.














Medication Changes














None












NA Physical Therapy Sessions None


45










One














Two














Three














More than 3












NA Occupational Therapy sessions None


46










One














Two














Three














More than 3












NA Exercise Program None


47










One














Two














Three














More than 3












NA Eye doctor None


48










One














Two














Three














More than 3












NA Foot doctor None


49










One














Two














Three














More than 3















































Number Mean(sd) 95% CI
Number Mean(sd) 95% CI Number Mean(sd) 95% CI Number Mean(sd) 95% CI
2-5 SF-12 Physical Component



18-21








6-12 SF-12 Mental Component



22-28








28 Perceived priority of falling



NA








29 Perceived likeliehood of falling



NA








30 Perceived severity of falling



NA








31 Efficacy for preventing falls



NA








36 Pain in the past 6 months (pre) or week (post)



54








37 Pain interference with life enjoyment



55








38 Pain interference with general activity



56








44-50 Opioid Misuse Index



61-66
























51 Open comment



67









Sheet 2: Table 2

Regression Model using Pre and Post Patient Questionnaires






















Outcome variable = Total falls






Other outcomes = injurious falls(limited activity, doctor visit, ED visit, hospitalization); pain at 60 days post-discharge; pain med use at 60 days post-discharge
















Crude Odds Ratio Adjusted Odds Ratio
Variable Value OR 95% CI p OR 95% CI p
Previous fall No (Ref)






Yes





Health Status Excellent/ V Good






Good (Ref)





Health Condition since discharge None (Ref)






Heart attack






Stroke/ TIA






Blood clot in leg/lung






Urianry tract infection






Pneumonia






Poor/Fair





Activities of daily living No limitation (Ref)






1-2 limitations






3+ limitations





Instrumental activities No limitation (Ref)






1-2 limitations






3+ limitations





Pain 0-3 mild (Ref)






4-7 moderate






8-10 severe





Pain interference w/ activity 0-3 mild (Ref)






4-7 moderate






8-10 severe





Intervention to help strength and balance






Physical Therapy 0 (Ref)






1-2






3+





Occupational Therapy 0 (Ref)






1-2






3+





Exercise Programs (or yoga or Tai Chi) 0 (Ref)






1-2






3+





Visit eye doctor No (Ref)






Yes





Visit foot doctor No (Ref)






Yes





Alcohol Non-drinker (Ref)






Drinks but no binge






Binge drinker






Sheet 3: Descriptive stats Clinical staf


Illustrative table shells: UCSF Clinical Staff Evaluation Questionnaire












Physicians Pharmacists Nurses
Question(s) Variable Value Number Percent 95% CI Number Percent 95% CI Number Percent 95% CI

Age <30










30-90










40-90










50-64










65+









Gender Female










Male










Other









Years in practice 0-5










6-10










11-15










16-20










> 20









Student, resident, fellow Yes









DEA registration Yes









Primary unit 15










14










12










11










10










9










8










7










6










5









In the past week, number of times …










screened a patient for opioid use disorder 0










1-3










4-6










7-10










>10










All









Seeked consultation from pain management for a patient 0










1-3










4-6










7-10










>10










All









Gave intruction on non-pharmacologic pain treatments 0










1-3










4-6










7-10










>10










All









wrote for discharge opioid prescription 0










1-3










4-6










7-10










>10










All









Gave opioid taper instruction after discharge 0










1-3










4-6










7-10










>10










All









Gave non-pharmacologic pain treatment instructions after discharge 0










1-3










4-6










7-10










>10










All









Sheet 4: Descriptive stats PCP

Illustrative table shell: PCP Post Discharge Survey





Number Percent 95% CI
Saw discharged patient In the last day



In the last 2-5 days



In the last 5-10 days



More than 10 days ago


How Useful …



Information about functional status and rehab goals Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Information about fall risk Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Suggestion about pain referral Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Suggestion about PT/OT referral Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Suggestion about other rehab Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Suggestion about Vitamin D/Cal use Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Suggestion for non-opioid pain meds Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


suggestions for opioid tapering Not useful



Slightly useful



Somewhat useful



Very useful but not perfect


Suggestions for identifying patients at risk of opioid adverse events Most useful



Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


Suggestions for non medication therapies Not useful



Slightly useful



Somewhat useful



Very useful but not perfect



Most useful


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