PREventing Pain After Surgery

Purpose

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.

Conditions

  • Pain, Back
  • Spinal Stenosis
  • Disc Herniation
  • Spondylosis
  • Spondylolisthesis
  • Back Injuries

Eligibility

Eligible Ages
Over 22 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

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

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Prevention
Masking
Single (Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
ACT intervention 		Participants assigned to this arm will complete a 1-day ACT workshop followed by a telephone booster after surgery
  • Behavioral: ACT intervention
    One day in person workshop + telephone booster
No Intervention
Treatment As Usual 		Participants assigned to this arm will receive treatment as usual.

Recruiting Locations

Brigham and Women's Hospital
Chestnut Hill, Massachusetts 01467
Contact:
Samantha M Meints
6177329014
smeints@bwh.harvard.edu

More Details

Status
Recruiting
Sponsor
Brigham and Women's Hospital

Study Contact

Samantha M Meints, PhD
6177329014
smeints@bwh.harvard.edu