The Perioperative Pain Self-Management Program Trial

VA Office of Research and Development401 enrolled

Overview

This study will trial the impact of teaching surgical patients a pain self-management approach to compliment medical post-surgical pain management.

Surgery can precipitate the development of both chronic pain and long-term opioid use. There is a need for strategies to augment perioperative pharmacotherapeutic management of pain with non-pharmacologic strategies to prevent long-term sequelae. Psychological interventions such as cognitive behavioral therapy (CBT) can effectively reduce distress and improve functioning among patients with chronic pain. While CBT has been used extensively in patients with established chronic pain, it has not been used as a preventive intervention targeting the transition from acute to chronic postsurgical pain. The Perioperative Pain Self-management (PePS) program has the potential to reduce the incidence of chronic post-surgical pain and long-term opioid use among Veterans. This study will: Examine the efficacy of PePS compared to standard care on 6-month pain (primary outcome), mood and functioning outcomes as well as time to post-surgical opioid and other analgesic use cessation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

401

Conditions

Postoperative Pain

Interventions

Perioperative Pain Self-management (PePS)BEHAVIORAL

4 sessions of telephone CBT-based pain self-management.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * scheduled for total hip, knee, or shoulder joint arthroplasty through the Iowa City, IA, Des Moines, IA, Minneapolis, IA, or Milwaukee WI, VA medical centers Exclusion Criteria: * inability to complete study forms/procedures because of a language/literacy barrier * active bipolar or psychotic disorder * history of brain injury * dementia * CBT therapy within the past year * lack of access to a telephone for PePS sessions

Locations (2)

Iowa City VA Health Care System, Iowa City, IA

Iowa City, Iowa, United States

Minneapolis VA Health Care System, Minneapolis, MN

Minneapolis, Minnesota, United States

Outcomes

Primary Outcomes

Numeric Pain Rating Scale

Surgical Site Pain The Numeric Rating Scale (NRS) is a 0-10 measure where 0 = no pain.

Time frame: 6-months post-surgery

Secondary Outcomes

opioid use

Time to opioid cessation following surgery: daily opioid use will be collected via weekly phone calls for the first 6 weeks post-surgery.

Time frame: time to cessation post surgery (weekly phone calls for the first 6 weeks)

Data from ClinicalTrials.gov

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