MedPath

The Effect of Mindfulness Training Before Primary Total Joint Arthroplasty on Sleep Quality

Not Applicable
Recruiting
Conditions
Arthropathy
Sleep Disturbance
Interventions
Behavioral: Mindfulness Meditation Training
Registration Number
NCT05295004
Lead Sponsor
Colorado Joint Replacement
Brief Summary

The primary purpose of this study is the determine whether a 15 minute Mindfulness Meditation (MM) administered at the preoperative appointment prior to primary unilateral total joint arthroplasty (TJA) results in any improvement in Pittsburg Sleep Quality Index (PSQI) score, a validated metric for sleep quality, at 2, 6 or 12 weeks post-operatively.

Detailed Description

The primary purpose of this study is the determine whether a 15 minute Mindfulness Meditation (MM) administered at the preoperative appointment prior to primary unilateral total joint arthroplasty (TJA) results in any improvement in Pittsburg Sleep Quality Index (PSQI) score, a validated metric for sleep quality, at 2, 6 or 12 weeks post-operatively. We hypothesize that patients in the MM cohort will have lower PSQI scores, indicating higher sleep quality, at both post-operative time points. Secondary aims include characterizing differences between cohorts in Visual Analog Scale (VAS) for pain, Epworth Sleepiness Scale (ESS) scores, Patient Reported Outcome Measurement Information System - Sleep Disturbance - Short Form, and Knee Injury and Osteoarthritis Outcome Scores (KOOS) at 2, 6 and 12 weeks following TJA.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
282
Inclusion Criteria
  • Patients undergoing primary unilateral total joint arthroplasty at Colorado Joint Replacement
  • Between the ages of 18 and 90 years old will be included in the study.
Exclusion Criteria
  • Simultaneous total joint arthroplasty
  • Uni-compartmental knee arthroplasty
  • Revision surgery for infection, fracture or other indication.
  • History of Drug or Alcohol Abuse
  • Patients who are unable to present at a standard pre-operative appointment within 4 weeks prior to scheduled surgery will also be excluded, as the MM intervention would not be possible to administer.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Mindfulness at Pre-OpMindfulness Meditation TrainingPatient will receive a one time training at their pre-operative appointment.
Multiple Mindfulness MeditationMindfulness Meditation TrainingMindfulness Video Training at Pre-Op, 1 Day Prior to surgery, 3 day's Post OP and 2 Weeks Post OP.
Primary Outcome Measures
NameTimeMethod
Pittsburg Sleep Quality Index scoreChange from Pre-Op to 2, 6 and 12 weeks post op.

Improvement in Pittsburg Sleep Quality Index (PSQI) score, Scale is 0 to 21, higher score is worse outcome.

Secondary Outcome Measures
NameTimeMethod
Knee Injury and Osteoarthritis Outcome Scores JRChange from Pre-Op to 2, 6 and 12 weeks post op.

Improvement in Knee Injury and Osteoarthritis Outcome Scores JR (KOOS JR), Scale is 1 to 100, lower score is worse outcome

Epworth Sleepiness ScaleChange from Pre-Op to 2, 6 and 12 weeks post op.

Improvement in Epworth Sleepiness Scale (ESS), Scale is 0 to 24, higher score is worse outcome

Visual Analog ScoreChange from Pre-Op to 2, 6 and 12 weeks post op.

Improvement in Visual Analog Score (VAS), Scale is 1 to 10, higher score is worse outcome

Knee Society Score (KSS)Change from Pre-Op to 6 Weeks post op.

Improvement in Knee Society Score (KSS), Scale is 0 to 100, lower score is worse outcome

Patient Reported Outcome Measurement Information System - Sleep Disturbance (PROMIS-SD)Change from Pre-Op to 2, 6 and 12 weeks post op.

Improvement in Patient Reported Outcome Measurement Information System - Sleep Disturbance (PROMIS-SD), Scale is 8 to 40, higher score is worse outcome

Trial Locations

Locations (1)

Colorado Joint Replacement

🇺🇸

Denver, Colorado, United States

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