Pain Management Using Guided Imagery for Adolescents Post-spinal Fusion

Not Applicable

Completed

• Conditions: Pain; Scoliosis
• Interventions: Behavioral: Guided imagery intervention

• Registration Number: NCT01663909
• Lead Sponsor: St. Justine's Hospital

Brief Summary

Surgery to correct scoliosis (spinal fusion)generates a severe pain intensity rending pain management a complex task. Several studies have found out that pharmacological interventions alone were not enough to provide optimal pain management for these patients. The investigators developed a DVD on guided imagery, customized for teenagers, to help them cope better with their pain. The investigators believe that this type of intervention combined with their usual analgesic medication will help them to control their pain and foster rehabilitation.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-05
• Primary Completion: 2011-09
• Study Completion: 2011-12
• Study First Submitted: 2012-06-27
• Status Verified: 2012-08
• Study First Submitted QC: 2012-08-09
• Last Update Submitted: 2012-08-09
• Study First Posted: 2012-08-13
• Last Update Posted: 2012-08-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Aged between 11 and 20 years old
• Have undergone a posterior/anterior arthrodesis surgery for idiopathic scoliosis
• Able to write and understand French
• Requires a computer or DVD player at home.

Exclusion Criteria

• Diagnosed with a moderate cognitive deficit or severe mental retardation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Guided imagery	Guided imagery intervention	-

Primary Outcome Measures

Name	Time	Method
Level of pain intensity	Level of pain intensity at two weeks after the surgery	Pain was measured before the patients left the hospital on their 7th postoperative day (T-1, time of discharge from hospital). It was measured again at two week post-discharge (T-2) and also at one month post-discharge (T-3) on their visit to the orthopedic clinic. Our primary outcome was at T-2.

Secondary Outcome Measures

Name	Time	Method
Level of anxiety	Level of anxiety from 24-hrs before the surgery, to two weeks and to one month after the surgery	Anxiety was measured as baseline data on the pre-operative visit (24 hrs before surgery). It was also measured at two weeks post-discharge and at one month on the day of the visit to the orthopedic clinic.
Level of coping	Level of coping from Baseline (pre-operative), to two weeks and to one month after the surgery	Coping strategies of adolescents regarding their pain management were also measured pre-operatively (24 hrs before surgery), at two weeks and one month post-surgery.

Trial Locations

Locations (1)

CHU Ste-Justine Hospital; 🇨🇦 Montreal, Quebec, Canada