This study seeks to examine multiple risk factors as predictors of pain and function following total knee arthroplasty (TKA). Risk factors will be measured pre-surgically using psychophysical testing procedures, multimodal evaluation of sleep, standardized questionnaires. Additionally, this study will collect pilot data on a brief mindfulness-based cognitive-behavioral treatment that may help to improve long-term TKA outcomes. The pilot study compared TKA patients that received brief mindfulness-based cognitive behavioral therapy (MBCBT) to the treatment-as-usual (TAU) group from the parent study.
The present study seeks to collect pilot data on a brief mindfulness-based cognitive-behavioral treatment to determine the feasibility of this intervention and its potential benefits. The study includes 6 total contacts, 1 visit before surgery and 3 after surgery, and 2 phone calls. The last visit will be about 6 months after surgery. The study includes evaluation of peoples' pain, physical functioning, medication use, and physiological responses to sensory stimuli such as heat and cold. The research takes place at the Brigham \& Women's Pain Management Center, 850 Boylston St, Chestnut Hill.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
44
Mindfulness-based CBT methods are based on pain self-management paradigms, and involve the identification and reduction of maladaptive pain-related cognitions (i.e., catastrophizing), the enhancement of self-efficacy for managing pain, and training in the use of adaptive pain-coping strategies such as relaxation, distraction, and self-talk.
Brigham and Women's Hospital Pain Management Center
Chestnut Hill, Massachusetts, United States
Brief Pain Inventory (BPI)
Measure of pain severity and pain interference
Time frame: baseline
Brief Pain Inventory (BPI)
Measure of pain severity and pain interference
Time frame: 6-week
Brief Pain Inventory (BPI)
Measure of pain severity and pain interference
Time frame: 3-months
Brief Pain Inventory (BPI)
Measure of pain severity and pain interference
Time frame: 6-months
Quantitative Sensory Testing (QST)
Measures of responses to standardized stimuli
Time frame: baseline
Quantitative Sensory Testing (QST)
Measures of responses to standardized stimuli
Time frame: 3-months
Pain Catastrophizing Scale
Assess catastrophic thinking related to pain
Time frame: baseline
Pain Catastrophizing Scale
Assess catastrophic thinking related to pain
Time frame: 6-week
Pain Catastrophizing Scale
Assess catastrophic thinking related to pain
Time frame: 3-months
Pain Catastrophizing Scale
Assess catastrophic thinking related to pain
Time frame: 6-months
PROMIS-SF
Measures anxiety and depression symptoms
Time frame: baseline
PROMIS-SF
Measures anxiety and depression symptoms
Time frame: 6-week
PROMIS-SF
Measures anxiety and depression symptoms
Time frame: 3-months
PROMIS-SF
Measures anxiety and depression symptoms
Time frame: 6-months
The Western Ontario McMaster Universities Osteoarthritis Scale (WOMAC)
24 items and is a well-validated, widely-used outcomes measure that yields three indices specific to osteoarthritis: 1) pain, 2) disability and 3) joint stiffness, which are sensitive to treatment, with internal consistency coefficients for all scales above 0.8.
Time frame: baseline
The Western Ontario McMaster Universities Osteoarthritis Scale (WOMAC)
24 items and is a well-validated, widely-used outcomes measure that yields three indices specific to osteoarthritis: 1) pain, 2) disability and 3) joint stiffness, which are sensitive to treatment, with internal consistency coefficients for all scales above 0.8.
Time frame: 6-week
The Western Ontario McMaster Universities Osteoarthritis Scale (WOMAC)
24 items and is a well-validated, widely-used outcomes measure that yields three indices specific to osteoarthritis: 1) pain, 2) disability and 3) joint stiffness, which are sensitive to treatment, with internal consistency coefficients for all scales above 0.8.
Time frame: 3-months
The Western Ontario McMaster Universities Osteoarthritis Scale (WOMAC)
24 items and is a well-validated, widely-used outcomes measure that yields three indices specific to osteoarthritis: 1) pain, 2) disability and 3) joint stiffness, which are sensitive to treatment, with internal consistency coefficients for all scales above 0.8.
Time frame: 6-months
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