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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

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

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.