A Skills-Based Program Delivered Via Secure Live Video to Patients With Acute Musculoskeletal Trauma

Mass General Brigham

Status: Completed

Conditions: Fracture; Musculoskeletal Injury

Treatments: Behavioral: The Toolkit for Optimal Recovery after Injury

Study type: Interventional

Funder types: Other

Identifiers

NCT03405610

2014P001194

Details and patient eligibility

About

The aims of this study are to test a manualized mind body skills-building program aimed at preventing the development of chronic pain and disability following acute musculoskeletal injury in at-risk patients.

Full description

This is a pilot randomized feasibility trial of the mind body program Toolkit for Optimal Recovery versus usual medical care. The Toolkit is delivered via secure live video to patients at risk for chronic pain, at 1-2 months after injury. The primary aim of this study is to determine the feasibility and acceptability of the program, randomization, procedures and outcome measures. Secondarily, we report means and standard deviation and explore change in quantitative outcomes in the Toolkit compared to usual care.

Enrollment: 55 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of musculoskeletal injury in the past 1-2 months
• 18 years of age or older
• English fluency and literacy
• PCS OR, PASS score above median split

Exclusion criteria

• Major medical comorbidity expected to worsen in the next 6 months
• Comorbid chronic pain condition
• Antidepressant medication change in the past 6 months
• Secondary gains such as litigations or workers compensation procedures
• Diagnosis of psychosis, bipolar disorder or active substance dependence (by self report)
• Unwilling or unable to use videoconferencing

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

55 participants in 2 patient groups

Toolkit for Optimal Recovery after Injury

Experimental group

Description:

The Toolkit for Optimal Recovery after Injury (ToR) is a mind body skills based program delivered individually via secure live video. The format is a 4-week program with weekly meetings and a focus on teaching skills to optimize recovery and prevent chronic pain and disability.

Treatment:

Behavioral: The Toolkit for Optimal Recovery after Injury

Usual Care

No Intervention group

Description:

The Usual Care (UC) group will continue with their current medical care.