Psychosocial Support for Pre-operative Pain and Distress (Mind-Body JRA)

Utah System of Higher Education (USHE)

Status: Completed

Conditions: Acute Pain

Treatments: Behavioral: Suggestion; Behavioral: Psychoeducation; Behavioral: Mindfulness

Study type: Interventional

Funder types: Other

Identifiers

NCT03665727

IRB_00085446

Details and patient eligibility

About

The purpose of this randomized study is to determine the impact of three different types of psychosocial support delivered by mental health professionals to pre-operative joint replacement patients. This study will examine the differential effects of brief mindfulness training, hypnostic suggestion, and cognitive behavioral pain psychoeducation for pre-operative patients, with a supplemental nonrandomized usual care comparison group.

Enrollment: 727 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• English-speaking males or females
• 18 years old or older
• patients within the University of Utah Hospital system
• patients attending the Joint Replacement Academy to prepare for either hip or knee replacement surgery

Exclusion criteria

• Altered mental status due to delirium, psychosis, or pharmacological sedation as determined by clinical assessment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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727 participants in 4 patient groups

Mindfulness

Experimental group

Description:

15 minute mindfulness session

Treatment:

Behavioral: Mindfulness

Suggestion

Experimental group

Description:

15 minute therapeutic suggestion session

Treatment:

Behavioral: Suggestion

Psychoeducation

Active Comparator group

Description:

15 minute psychoeducation session

Treatment:

Behavioral: Psychoeducation

Usual Care

No Intervention group

Description:

The usual care comparison group was comprised of patients who underwent total joint arthroplasty of the hip or knee at the same academic medical center during the study period but who did not attend Joint Academy.