Journal article
One-day Acceptance and Commitment Therapy workshop for preventing persistent post-surgical pain and dysfunction in at-risk veterans: A randomized controlled trial protocol
Journal of psychosomatic research, Vol.138, pp.110250-110250
11/2020
DOI: 10.1016/j.jpsychores.2020.110250
PMCID: PMC7554120
PMID: 32961500
Abstract
Persistent post-surgical pain is common among patients undergoing surgery, is detrimental to patients' quality of life, and can precipitate long-term opioid use. The purpose of this randomized controlled trial is to assess the effects of a behavioral intervention offered prior to surgery for patients at risk for poor post-surgical outcomes, including persistent pain and impaired functioning.
Described herein is an ongoing randomized, patient- and assessor-blind, attention-controlled multisite clinical trial. Four hundred and thirty Veterans indicated for total knee arthroplasty (TKA) with distress and/or pain will be recruited for this study. Participants will be randomly assigned to a one-day (~5 h) Acceptance and Commitment Therapy workshop or one-day education and attention control workshop. Approximately two weeks following their TKA surgery, patients receive an individualized booster session via phone. Following their TKA, patients complete assessments at 1 week, 6 weeks, 3 months, and 6 months.
The primary outcomes are pain intensity and knee-specific functioning; secondary outcomes are symptoms of distress and coping skills. Mediation analyses will examine whether changes in symptoms of distress and coping skills have an impact on pain and functioning at 6 months in Veterans receiving ACT. This study is conducted mostly with older Veterans; therefore, results may not generalize to women and younger adults who are underrepresented in this veteran population.
The results of this study will provide the first evidence from a large-scale, patient- and assessor-blind controlled trial on the effectiveness of a brief behavioral intervention for the prevention of persistent post-surgical pain and dysfunction.
Details
- Title: Subtitle
- One-day Acceptance and Commitment Therapy workshop for preventing persistent post-surgical pain and dysfunction in at-risk veterans: A randomized controlled trial protocol
- Creators
- McKenzie K Roddy - Baylor College of MedicineDerrecka M Boykin - Michael E. DeBakey VA Medical CenterKatherine Hadlandsmyth - University of IowaJames N Marchman - University of IowaDavid M Green - Michael E. DeBakey VA Medical CenterJoseph A Buckwalter - University of IowaLauren Garvin - University of IowaBridget Zimmerman - University of IowaJaewon Bae - University of IowaJordan Cortesi - University of IowaMerlyn Rodrigues - Baylor College of MedicineJennie Embree - University of IowaBarbara A Rakel - University of IowaLilian Dindo - Baylor College of Medicine
- Resource Type
- Journal article
- Publication Details
- Journal of psychosomatic research, Vol.138, pp.110250-110250
- DOI
- 10.1016/j.jpsychores.2020.110250
- PMID
- 32961500
- PMCID
- PMC7554120
- NLM abbreviation
- J Psychosom Res
- ISSN
- 0022-3999
- eISSN
- 1879-1360
- Publisher
- Elsevier Inc
- Grant note
- DOI: 10.13039/100007217, name: VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, award: CIN13-413
- Language
- English
- Date published
- 11/2020
- Academic Unit
- Psychiatry; Psychological and Brain Sciences; Biostatistics; Orthopedics and Rehabilitation; Nursing; Anesthesia; Physical Therapy and Rehabilitation Science; Injury Prevention Research Center
- Record Identifier
- 9984280840402771
Metrics
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