Effects of Hypnosis Therapy on Outcomes in Shoulder Replacement Therapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- Change in Perioperative Pain
研究概览
简要总结
The purpose of this study is to collect information to evaluate the role of the psychogenic component of pain induced by anxiety on postoperative outcomes in major orthopaedic surgery and to determine whether hypnosis therapy provided during the perioperative period will lead to decreased use of opioid therapy. Patients are randomly assigned to one of two treatment groups: (I) usual care, or; (II) hypnotherapy treatment. Patients have an equal chance of being assigned to one of the two groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •diagnosis of primary shoulder osteoarthritis, massive cuff tear arthropathy, and rotator cuff arthropathy requiring a primary total or reverse shoulder replacement,
- •the ability to read, speak, and understand English
- •the ability and willingness to use a web-based application (OBERD) on a smartphone, pad, or computer, and
- •18 years of age or older.
排除标准
- •shoulder replacement for the treatment of acute proximal humerus fractures
- •hemiarthroplasty
- •revision shoulder replacement
- •patients with active cancer or receiving palliative care
- •Less than 18 years of age
研究组 & 干预措施
Hypnosis Therapy Group
Patients will receive questionnaires to establish their attitudes/beliefs toward hypnosis, baseline pain, anxiety, & shoulder function. 7 days before surgery, they will receive a pre-recorded video (~19 min) of guided hypnosis to be watched at least 1x/day, until surgery. Before & after the video, they will rate pain/anxiety levels. On the day of surgery, they will watch the video again & answer questions about their average anxiety and pain level. After surgery, they will watch the video each day and report on pain/anxiety, medication use, satisfaction, and sleep disturbance until postoperative day 7. Postoperative course will be otherwise completely standard of care, including a clinic visit at 10 days after surgery, where they will be given these same questionnaires. Patients will answer them again on postoperative day 49, constituting a study endpoint. Access to pain medication & study doctor will be the same as any shoulder arthroplasty patient regardless of study participation.
干预措施: hypnosis therapy (Behavioral)
Usual Care Group
Patients will receive questionnaires to establish their attitudes/beliefs toward hypnosis, baseline pain, anxiety, & shoulder function. 7 days before surgery, they will receive a daily questionnaire about their pain & anxiety over the last 24 hours. On the day of surgery, before they are given any anesthesia, they will answer questions about their average anxiety & pain levels. Starting the next morning on the day following surgery and every day for the subsequent week, they will be given questionnaires about their pain & anxiety levels, medication use, satisfaction, and sleep disturbance due to pain. Their postoperative course will be otherwise completely standard of care, including a first postoperative clinic visit at 10 days after surgery, where the patients will be given these same questionnaires. Finally, patients will answer them one more time on postoperative day 49 and this will constitute a study endpoint. The whole process each day should take approximately 10 minutes.
结局指标
主要结局
Change in Perioperative Pain
时间窗: 7 days before surgery, day of surgery, 7 days after surgery
Patient-reported pain in the perioperative period
Change in Perioperative Anxiety
时间窗: 7 days before surgery, day of surgery, 7 days after surgery
Patient-reported anxiety in the perioperative period
Change in Opioid Consumption
时间窗: 7 days after surgery, postoperative day 10, postoperative day 49
Patient-reported opioid consumption in the perioperative period
次要结局
- Change in Anxiolytic Consumption(7 days after surgery, postoperative day 10, postoperative day 49)