Preventing opioid misuse among older adolescents and young adults is critical considering peak misuse rates, the risk of overdose, and the risk of developing opioid use disorder. The emergency department provides an underutilized venue for identifying young people between the ages of 16-30 who are at risk for escalation of opioid misuse. Through funding from NIDA, study investigators will lead a randomized controlled trial focusing on prevention of opioid misuse and development of opioid use disorders. Using a two-by-two factorial design, this trial will study the efficacy of enhanced usual care (e.g., health brochure) as compared to two technology-assisted prevention approaches: a remote health-coaching intervention during the emergency care visit and/or web-based health messaging during the month post-discharge. These interventions are innovative and scalable, which could have high impact as prevention tools as part of larger efforts to address the opioid crisis.
Adolescents, Alcohol Use Disorders, Emergency Medicine, Web-based Interventions