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PREventing Pain After Surgery

Not Applicable
Recruiting
Conditions
Pain, Back
Spinal Stenosis
Spondylolisthesis
Disc Herniation
Back Injuries
Spondylosis
Registration Number
NCT05306665
Lead Sponsor
Brigham and Women's Hospital
Brief Summary

The present study aims to adapt and modify a brief presurgical 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 then assess the acceptability, feasibility, and preliminary efficacy of the finalized intervention to prevent the transition to CPSP and reduce post-surgical opioid use six months following lumbar spine surgery. Finally, investigators will identify psychosocial and psychophysical phenotypes associated with response to this intervention.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
140
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Treatment HelpfulnessImmediately following the ACT workshop

Treatment Helpfulness Questionnaire (THQ); Item assesses the perceived helpfulness of the ACT workshop and is rated from -5 (extremely harmful) to 5 (extremely helpful).

Secondary Outcome Measures
NameTimeMethod
Pain Interference6 month post-op

Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Items are rated from 1-5 and then summed with higher scores indicative of greater pain interference

Treatment Helpfulness1 month post-op

Treatment Helpfulness Questionnaire (THQ); Item assesses the perceived helpfulness of the ACT workshop and is rated from -5 (extremely harmful) to 5 (extremely helpful).

Opioid dose6 months post-op

We will assess daily morphine equivalent doses using the ManageMyPain App and confirm via medical record review

Pain Intensity6 months post-op

Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Values range from 0-10 with higher scores indicating greater pain intensity

Treatment CredibilityImmediately following ACT workshop

Credibility and Expectancy Questionnaire (CEQ); 3 items are rated to indicate the logic, success, and confidence in the treatment. Scores are summed with a range from 3-27 where higher scores indicating greater treatment credibility

Treatment ExpectancyImmediately following ACT workshop

Credibility and Expectancy Questionnaire (CEQ); 3 items are used to assess the likelihood of the success of the therapy to reduce pain and improve function. Scores are summed with a range from 0-29 where higher scores indicate greater expectancy for beneficial treatment outcomes

Trial Locations

Locations (1)

Brigham and Women's Hospital

🇺🇸

Chestnut Hill, Massachusetts, United States

Brigham and Women's Hospital
🇺🇸Chestnut Hill, Massachusetts, United States
Samantha M Meints
Contact
6177329014
smeints@bwh.harvard.edu

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