Brief Nurse-led Mindfulness Based Intervention Among Patients Scheduled for Knee and Hip Replacement Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain
- Sponsor
- University of Utah
- Enrollment
- 127
- Locations
- 1
- Primary Endpoint
- Change in Pain Intensity Numeric Rating Scale
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a single-site, two-arm, parallel-group randomized clinical trial (RCT). The feasibility, acceptability, and clinical effects of the nurse-led, very brief, preoperative mindfulness based intervention for hip and knee replacement patients will be investigated relative to nurse-led preoperative pain psychoeducation.
A secondary sub-analysis will compare two different styles of mindfulness practice (mindfulness of breath vs. mindfulness of pain) relative to preoperative pain psychoeducation.
Investigators
Adam Hanley
Assistant Professor
University of Utah
Eligibility Criteria
Inclusion Criteria
- •Age ≥18,
- •Scheduled to undergo unilateral total knee arthroplasty
Exclusion Criteria
- •Cognitive impairment preventing completion of study procedures.
- •Current cancer diagnosis,
- •Contralateral knee replaced in the previous 3 months,
- •Intent to have contralateral knee replaced or other, additional surgical procedure during the study period,
- •Intent to add new pain treatments during the study period (except for what is part of the study),
- •Other unstable illness judged by medical staff to interfere with study treatment.
Outcomes
Primary Outcomes
Change in Pain Intensity Numeric Rating Scale
Time Frame: baseline and after the 15 minute preoperative nurse visit
Single Likert scale item ranging from 0-10, with 0 indicating no pain and 10 representing the most intense pain imaginable.
Secondary Outcomes
- Change in Pain Unpleasantness Numeric Rating Scale(baseline and after the 15 minute preoperative nurse visit)
- Change in Pain Medication Desire Numeric Rating Scale(baseline and after the 15 minute preoperative nurse visit)
- Postoperative Patient Reported Outcomes Measurement Information System (PROMIS) Physical Functioning Item Bank, v2.0(During the 6 weeks prior to surgery and at the 6-week outpatient follow-up appointment)