NCT04520958

Preoperative Psychosocial Support for Postoperative Recovery and Health: Mechanistic Substudy

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 118 (actual)
• Sponsor: University of Utah · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This was a single site, three-arm, parallel group randomized clinical trial that compared the effect of three preoperative psychosocial interventions on knee and hip replacement patients' preoperative pain intensity and postoperative pain intensity, pain unpleasantness, and opioid use.

Conditions

• Pain, Acute
• Pain, Joint
• Pain

Interventions

Type	Name	Description
BEHAVIORAL	Mindfulness of Breath	Mindfulness of Breath consisted of instruction in focused attention on the breath and metacognitive monitoring and acceptance of discursive thoughts, negative emotions, and pain.
BEHAVIORAL	Mindfulness of Pain	Mindfulness of Pain consisted of instruction in how to (1) zoom in to deconstruct pain into its constituent physical sensations and precisely map each sensation's spatial location, (2) use mindful breathing to zoom out and broaden the field of attention to include previously neglected sensory elements (i.e., spaces within the body that were absent of sensation and pleasant sensations), and (3) shift attention from unpleasant sensations to neutral/pleasant sensations or experiences.
BEHAVIORAL	Cognitive-Behaviorally Based Pain Psychoeducation	Cognitive-Behaviorally Based Pain Psychoeducation consisted of psychoeducation about the link between thoughts, emotions, and behavior and provided instruction in the use logic to dispute maladaptive thoughts about pain that might otherwise exacerbate pain and distress.

Timeline

• Start date: 2019-10-29
• Primary completion: 2020-03-10
• Completion: 2020-08-13
• First posted: 2020-08-20
• Last updated: 2020-08-27

Locations

1 site across 1 country: United States