Audio-Recorded vs. Nurse-Led Brief Mindfulness-Based Intervention

University of Utah

Overview

This is a single-site, three-arm, parallel-group randomized clinical trial (RCT). The clinical effects of a nurse-led, very brief, preoperative mindfulness-based intervention for hip and knee replacement patients will be investigated relative to an audio-recorded very brief, preoperative mindfulness-based intervention delivered during the standard nurse consult and a nurse-led preoperative pain psychoeducation intervention during the standard nurse consult.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Conditions

Pain Osteoarthritis, Knee Osteoarthritis, Hip

Interventions

Standard Pain ManagementBEHAVIORAL

Nurses will provide psychoeducation about pain along with common pain coping strategies, such as rest, ice, and elevation, for use any time they experience intense pain or take pain medication before and after surgery.

Audio-Recorded Mindfulness-Based InterventionBEHAVIORAL

Nurses will read patients a brief (1 minute) scripted, introduction to mindfulness and then have them listen to a very brief (1 minute 30 second) guided mindfulness practice validated in our prior research to encourage focused attention on breath and body sensations and open monitoring and acceptance of discursive thoughts, negative emotions, and pain. Finally, patients will be given an audio recording of the mindful pain management technique for use any time.

Nurse-Led Mindfulness-Based Intervention

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 1\) Age ≥18, * 2\) Scheduled to undergo unilateral total knee or hip arthroplasty Exclusion Criteria: * 1\) Cognitive impairment preventing completion of study procedures. * 2\) Current cancer diagnosis, * 3\) Contralateral knee or hip replaced in the previous 3 months, * 4\) Intent to have contralateral knee or hip replaced or other, additional surgical procedure during the study period, * 5\) Intent to add new pain treatments during the study period (except for what is part of the study), * 6\) Other unstable illness judged by medical staff to interfere with study treatment.

Outcomes

Primary Outcomes

Change in Pain Intensity Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no pain and 10 representing the most intense pain imaginable.

Time frame: Baseline and after the 10 minute preoperative nurse visit

Secondary Outcomes

Change in Pain Unpleasantness Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no pain and 10 representing the most unpleasant pain imaginable.

Time frame: Baseline and after the 10 minute preoperative nurse visit

Change in Pain Medication Desire Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no desire for pain medication and 10 representing a strong desire for pain medication.

Time frame: Baseline and after the 10 minute preoperative nurse visit

Data from ClinicalTrials.gov

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