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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
140
One day in person workshop + telephone booster
Brigham and Women's Hospital
Chestnut Hill, Massachusetts, United States
RECRUITINGTreatment Helpfulness
Treatment Helpfulness Questionnaire (THQ); Item assesses the perceived helpfulness of the ACT workshop and is rated from -5 (extremely harmful) to 5 (extremely helpful).
Time frame: Immediately following the ACT workshop
Pain Interference
Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Items are rated from 1-5 and then summed with higher scores indicative of greater pain interference
Time frame: 1 month post-op
Pain Interference
Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Items are rated from 1-5 and then summed with higher scores indicative of greater pain interference
Time frame: 3 months post-op
Pain Interference
Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Items are rated from 1-5 and then summed with higher scores indicative of greater pain interference
Time frame: 6 month post-op
Treatment Helpfulness
Treatment Helpfulness Questionnaire (THQ); Item assesses the perceived helpfulness of the ACT workshop and is rated from -5 (extremely harmful) to 5 (extremely helpful).
Time frame: 1 month post-op
Opioid dose
We will assess daily morphine equivalent doses using the ManageMyPain App and confirm via medical record review
Time frame: 1 month post-op
Opioid dose
We will assess daily morphine equivalent doses using the ManageMyPain App and confirm via medical record review
Time frame: 3 months post-op
Opioid dose
We will assess daily morphine equivalent doses using the ManageMyPain App and confirm via medical record review
Time frame: 6 months post-op
Pain Intensity
Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Values range from 0-10 with higher scores indicating greater pain intensity
Time frame: 1 month post-op
Pain Intensity
Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Values range from 0-10 with higher scores indicating greater pain intensity
Time frame: 3 months post-op
Pain Intensity
Patient Reported Outcomes Measurement Information System-29 (PROMIS-29); Values range from 0-10 with higher scores indicating greater pain intensity
Time frame: 6 months post-op
Treatment Credibility
Credibility and Expectancy Questionnaire (CEQ); 3 items are rated to indicate the logic, success, and confidence in the treatment. Scores are summed with a range from 3-27 where higher scores indicating greater treatment credibility
Time frame: Immediately following ACT workshop
Treatment Expectancy
Credibility and Expectancy Questionnaire (CEQ); 3 items are used to assess the likelihood of the success of the therapy to reduce pain and improve function. Scores are summed with a range from 0-29 where higher scores indicate greater expectancy for beneficial treatment outcomes
Time frame: Immediately following ACT workshop
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.