Perioperative ACT for Preventing CPSP: a Single-arm Non-randomized Pilot Trial (PREPS)

Samantha Meints

Status: Completed

Conditions: Back Pain; Spondylolisthesis; Spinal Stenosis; Back Injury; Spondylosis

Treatments: Behavioral: Acceptance and Commitment Therapy

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06750874

2020A003336

K23AR077088 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The present study aims to adapt and modify a brief perioperative Acceptance and Commitment Therapy (ACT) intervention aimed at preventing the transition to Chronic Post-Surgical Pain (CPSP) and reducing long-term opioid use. Investigators will assess the acceptability, feasibility, and preliminary efficacy of the intervention via a non-randomized, non-controlled pilot trial.

Enrollment: 45 patients

Sex: All

Ages: 22+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• scheduled to undergo fusion, discectomy, vertebroplasty, kyphoplasty, or foraminotomy
• age 22 and older
• able to communicate fluently in English

Exclusion criteria

• inability to complete study procedures due to delirium, dementia, psychosis, or other cognitive impairment
• have a history of severe neurologic movement disorder
• are pregnant or intent to become pregnant during study
• have undergone previous spinal surgery
• have spinal deformity, pseudarthrosis, trauma, infection, or tumor as primary indication for surgery
• have undergone Acceptance and Commitment Therapy in last 2 years

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

45 participants in 1 patient group

Perioperative Acceptance and Commitment Therapy Workshop

Experimental group

Description:

Participants assigned to this arm will complete a 1-day ACT workshop followed by a telephone booster after surgery

Treatment:

Behavioral: Acceptance and Commitment Therapy