NCT03134092.

Trial name or title	The Life STORRIED Study
Methods	RCT
Participants	Inclusion criteria Age 18 years to 70 years old. Experiencing back pain or renal colic. Text messaging and internet access including email capabilities or access to a smart phone ‐ anticipated discharge within 12 hours. Exclusion criteria Patients who take opioids for chronic pain or cancer treatments. Patients who have taken opioids in the last month. Patients who are pregnant, in police custody, intoxicated, cognitively impaired, or otherwise unable to fully consent and participate. Patients who are hemodynamically compromised, in respiratory distress, or in severe emotional or physical distress. Patients older than 70 or younger than 18. Patients who will be admitted to hospital or deemed to have a critical illness Patients who are cognitively impaired Patients who are suicidal or homicidal ideation by chart review and clinician assessment Patients who have evidence of current drug abuse, as measured by a DAST‐10105 score of 2 or greater Patients with evidence of aberrant behavior based on clinical assessment. Patients who do not have a phone, text messaging OR email address Patients under police arrest at ED visit Patients who are non‐English or Spanish speaking Patients previously enrolled Patient with any current contraindications for NSAIDs or opioid medications including allergies, chronic kidney disease (GFR90, if measured).
Interventions	No Intervention: Generalized Risk Communication (GRC) Active Comparator: Probabilistic Risk Communication (PRT) Experimental: Narrative Enhanced Risk Tool (NERT)
Outcomes	Primary outcome Risk awareness and recall Secondary outcomes Patient reported use of opioid medication Reported use of non opioid pain medication Functional ability/return to usual activities Patient‐reported shared decision making Satisfaction with pain treatment Trust in provider Patient preference for treatment plan Treatment plan agreement between patient preference and provider decision
Starting date	June 2017
Contact information	Erica B Goldberg, MSW, 215‐573‐2944, erica.goldberg@uphs.upenn.edu and Camille Lin, BA, 215‐746‐5608, camille.lin@uphs.upenn.edu
Notes